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RG2ASmallBowelStudy
Small Bowel Studies
| Question | Answer |
|---|---|
| Indications for Small Bowel studies: | Malabsorption syndrome (damage to the walls of small intestine can cause problem in absorption) |
| Contra-Indications for Small Bowel studies (initials): | CSI |
| Contra-Indications for Small Bowel Enema studies: | Complete obstruction suspected perforation Inflammatory diseases (eg Chrohn's disease) |
| where is the inflammation of Chrohn's disease nearly always found at? | the ileocecal region. But can also occur anywhere along the GIT |
| Patient preparation for small bowel studies: | Barium sulphate suspension (100% w/v 300ml) |
| after drinking the barium sulphate suspension, patient is asked to lie on his __________. | right |
| Prone _____ films of abdomen taken every ___ min during 1st hour, every ___ min until the colon is reached | PA; 20; 30 |
| After care of the patient after the barium follow through procedure: | Pt should be warned that his bowel motions will be white for a few days after the examination. Pt to drink more water to keep bowels open. Pt not to leave the dept until blurring by Buscopan has resolved. |
| Advantage of Small Bowel Enema: | -better visualisation of the small bowel -avoid segmentation of ba column -no flocculation entry through enteroclysis |
| Disadvantage of mall Bowel Enema: | intubation may be unpleasant for the pt |
| Why is Ba sulphate a good CM for small bowel enema? | reduced viscosity to achieve better mucosal coating. reduced density allows visualisation of bowel loops |
| patient preparation for small bowel enema: | low residue diet & laxatives fo 2 days before procedure. stop any antispasmodic drugs 1 day prior to procedure. amethocaine lozenge 30 mg, 30 min before procedure. pharynx is anaesthetised with lignocaine spray just before procedure. |
| Intubation of patient is done in the _____ position. | erect |
| until the tube has advanced the stomach, patient is then asked to lie on his _______. | left |
| why patient lie on his left after tube reach his stomach? | gastric air bubble rises into the antrum, straightens the stomach. this allows the tube to be passed more easily into duodenum |
| After care of patient after small bowel enema procedure: | nil orally for 5 hours after procedure. pt warned that diarrhoea may occur as a result of large volume of fluid given |
Created by:
choconad1891
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