Answers with complete solution A+ PASS!!!
AST and ALT normal < - ANSWER>>><40
Amalyse and Lipase < - ANSWER>>><100
Billirubin < - ANSWER>>><1
Albumin range - ANSWER>>>3.5-5
low = malnourished, liver disease
ammonia < - ANSWER>>><100
elevated = liver disease
how do we test for a GI bleed? - ANSWER>>>fecal occult blood
3 s/s of GI bleed - ANSWER>>>anemia
abdominal discomfort
abdominal distention or mass
Colonoscopy sedation - ANSWER>>>midazolam
opiate such as fentanyl and/or propofol
*MODERATE SEDATION*
colonoscopy prep
what kind of diet?
NPO how long?
avoid 3 types of fluids
what laxative are they given? - ANSWER>>>laxatives - bisacodyl and polyethylene glycol
clear liquid diet
no red, purple or orange fluids
, NPO after midnight
EGD
what type of sedation? - ANSWER>>>midazolam
opiate such as fentanyl and/or propofol
*MODERATE SEDATION*
EGD
NPO how long? - ANSWER>>>6-8 hr
sigmoidoscopy anesthesia - ANSWER>>>NONE REQUIRED
4 s/s hemorrhage - ANSWER>>>hypotension
tachycardia
dizziness
tachypnea
gastrointestinal series preprocedure - 3 - ANSWER>>>food and fluid restrictions
NPO after midnight
NO smoking or chewing gum - increases peristalsis
gastrointestinal series postprocedure - ANSWER>>>increase fluids to eliminate barium liquid dye
*STOOLS WILL BE WHITE* 24-72 hr until barium clears
Enteral feedings for two types of people - ANSWER>>>coma/intubated
difficulty swallowing/aspiration issues
overfeeding complications - 2 nursing actions
check how often?
how many mL should it be? - ANSWER>>>check residual 4-6hrs
SHOULD be <100-200mL
TPN for who?