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CH 27 gastro system
Term | Definition |
---|---|
Upper GI series (UGI) test for | obstruction ulceration growths |
upper GI series (UGI) uses | radiographs fluoroscopy contrast medium |
upper GI series preperations | npo 8-12 hrs laxatives and fluids after |
barium enema uses | radiograph fluoroscopy radiopaque substance |
barium enema preperations | air may be instilled npo 8 hrs laxatives and enema |
barium enema test for | tumors obstructions ulceration |
ct test for | tumors abscesses trauma cyst inflammation bleeding |
ct preperation | npo 4 hr consent check allergy to iodine and shellfish supine iv contrast |
ct takes how long | 30 min |
virtual colonoscopy test for | polyps and abnormalities in colon |
virtual colonoscopy uses | helical ct scan oral contrast |
virtual colonoscopy preperations | contrast day before lie still no metal |
virtual colonoscopy takes how long | 30 min |
MRI test for | abnormalities of liver or other structures |
how is mri different from ct | has better contrast between normal and pathologic tissue |
mri prep | antianxiety meds no metal lie still |
mri takes how long | 30-90 min |
metal fillings in mri may | feel tingly |
ultrasonography used for | gallstones tumor cyst abscess view density changes |
ultrasonography prep | npo after midnight supine remain still |
ultrasonography takes how long | 30 min |
hepatobiliary scintigraphy (hepatoiminodiacetic acid scan) used for | blood flow distribution to liver, biliary tree, gallbladder and small bowel confim cirrhosis, neoplasm and acure choleystitis |
hepatobiliary scintigraphy (hepatoiminodiacetic acid [hida] scan) prep | Tc injected lie flat |
GI scintigraphy test for | active GI bleeding |
GI scintigraphy prep | radioactive tracer via IV lie flat |
esophagogastroduodenoscopy test for | tumor ulceration site of bleeding obstruction |
esophagogastroduodenoscopy lets you | visualize with lighted tube |
esophagogastroduodenoscopy prep | npo 8 hr consent npo until gag reflex returns sedation vital signs q15-30 min check for perforation |
signs of perforation | rising temp pain change in vitals |
endoscopic retrograde cholangiopancreatography (ERCP) test for | obstruction, pathologic conditions in ducts |
ERCP used when | common radiologic studies fail |
ERCP requires | endoscope through mouth into duodenum cannula in common bile duct injection of contrast medium radiographs |
ercp prep | consent npo after midnight |
flexible sigmoidoscopy test for | polyps, tumors, obstruction and ulceration of sigmoid colon and rectum |
flexible sigmoidoscopy prep | knee chest postition bowel prep clear liquids night before npo deep breathing and relax for cramps monitor for rectal bleeding |
flexible sigmoidoscopy can be used for what procedures | biopsy and polyp removal |
colonoscopy lets you | directly view lining of colon biopsy remove polyps |
colonoscopy prep | sedation 30 min-1hr clear liquid 1-3 days npo 8 hrs bowel prep consent |
monitor after colonoscopy | rectal bleed perforation |
gastric analysis test for | rate of secretion of gastric juice degree of acidity |
increased gastric secretions indicate | peptic ulcer pancreatic tumor |
low acidity of gastric secretion indicate | gastric ulcer |
abscence of secretions indicates | cancer or pernicious anemia |
gastric analysis prep | with hold gastric drugs 24-48 hr no smoking morning of npo 8 hr |
liver biopsy test for | liver disorders |
how are liver biopsy done | needle through abdominal wall |
liver biopsy prep | anesthesia consent npo 4-8 hr supine or left lateral vitals assess allergy coagulation study |
after liver biopsy | lay on right side for 1-2 hr monitor vitals q15min for 1hr, q30min for 4 hr, q4h for 24 hr assess tenderness monitor for respiratory issues avoid coughing avoid heavy lifting for 1-2 wks |
tubeless gastric analysis test for | presence or abscence of hydrochloric acid |
how do tubeless gastric analysis test work | pt giver granules in 240 ml water urine specimen if HCI present = blue not present= normal color |
fecal analysis |