Upper Gastrography Flashcards
1
Q
Indicated for (5)
A
Persistent vomiting Abnormal bowel movements Suspected FB/obstruction Chronic weight loss Persistent abdominal pain
2
Q
CM which can be used (3)
A
Barium sulphate preferred
Water soluble iodine if perforation suspected
Double contrast for stomach
3
Q
Equipment (4)
A
Stomach tube
Lubricant
Large catheter tip syringe
Warmed CM
4
Q
Patient prep (3)
A
Fast for 24hrs 3 enemas - 24hrs / 4hrs / 1hr prior Sedation if necessary - ACP
5
Q
Why are GA and atropine contraindicated
A
Decrease gut motility
6
Q
Procedure (3)
A
Normal x-rays taken first Admin warmed CM - meal - directly into mouth - via stomach tube Check stomach tube placement with small volume sterile water
7
Q
Views to be take (4)
When (5)
A
DV / VD
R/L lateral
Taken immediately
Then at intervals of:
15 / 30 / 60 / 90 mins
