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Large Intestine 2
RAD 135 Exam 2 Part 2
| Question | Answer |
|---|---|
| The Large intestine must be completely emptied of all contents when preparing the patient for a? | Barium Enema |
| Retained fecal matter in the large intestine can simulate | Small Masses |
| __________ Distends the lumen of the bowel for optimum visualization of the barium-coated mucosal lining of the colon | Double Contrast Media |
| Double Contrast Media includes both | Air and Thicker/high density barium |
| The area filled with ____ is the area of intrest | Air |
| Temperature of BE suspension should be- | Lower than body temperature (85° to 90° F) |
| ________ inflates the retention balloon | Cufflator |
| _________ adds air into colon for contrast | Air Inflator |
| Enema tip attaches to enema tube and to cufflator when using ______ contrast | Single |
| Enema tip attaches to enema tube and to cufflator AS WELL AS the Air Inflator when using ______ contrast | Double |
| The _________ connected to tube which is connected to the bag. The Tube should have clamps and may also need a hemostat | Enema Tips |
| What is the capacity of an enema bag? | 3-quart (3000-mL) |
| The tubing used in a BE Apparatus is approximately ______ long | 6 Feet |
| Relax abdomen Deep oral breathing Communicate cramping so that filling may be slowed or stopped ^ are instructions we can give the patient that can help- | minimize discomfort during filling |
| Before inserting the enema tip, Adjust the height of the IV pole so that the bag is no higher than _________ above the level of the patients anus | 24 inches (61 cm) |
| Expose anal region only. Run barium into basin to remove air from tubing. Clamp tube (hemostat or provided clamps) Lubricate enema tip ^ are all things we should do ___________ | Before inserting the enema tip |
| Enema Tip Insertion Instructions- Instruct patient to turn onto their _____ side | Left |
| Enema Tip Insertion Instructions- Roll patient ________ and rest on flexed right knee above and in front of left knee | Forward 35 to 40 degrees |
| Having the patient in _________ during the Enema Tip Insertion helps Relax abdominal muscles, decreases abdominal pressure, and aids in relaxation of the anal sphincter | Sims’ position |
| Insert tip slowly, steadily, and gently during _________ of deep breath, never force insertion | Expiration |
| Direct anteriorly 1 to 1½ inches, then slightly superiorly Total distance no more than 4 inches (10 cm) | Enema Tip Insertion Directions |
| After tip is inserted, hold in place while patient turns to | Supine or Prone Position |
| Retention cuff may be inflated using fluoroscopy at this time Free tubing of compression (remove clamps) to allow free flow Adjust flow by adjusting bag height (No higher the 24 inches) ^are all things we should do ___________ | After inserting the enema tip |
| Higher = | Faster |
| Lower = | Slower |