to pass graded A+
what is the pre carer for an endoscopic procedure? - correct answer ✔✔NPO 8 hr
consent
sedation
IV
stop blood thinners
what pre prep is there for a colonoscopy? - correct answer ✔✔diet
bowel prep
No red, orange drinks before
clear liquids 24 hours before
what is the post care for an endoscopic procedure? - correct answer ✔✔assessments
frequent vitals
safety
diet
education
report: abdominal pain, fever, unresolved n/v
what is EGD? - correct answer ✔✔esophagogastroduodenoscopy
what does an esophagogastroduodenoscopy do? - correct answer ✔✔visualizes the esophagus, stomach
and duodenum
allows for specimens: biopsy
what can an EGD give a diagnosis of? - correct answer ✔✔PUD: peptic ulcer disease
,what are examples of endoscopic producers? - correct answer ✔✔EGD
ERCP
capsule endoscopy
colonoscopy
what is ERCP? - correct answer ✔✔endoscopic retrograde cholangiopancreatography
what does an ERCP do? - correct answer ✔✔visualizes the liver, gallbladder, bile ducts, pancreas
used to receive obstructions
what does a capsule endoscopy do? - correct answer ✔✔visualizes the small intestine
locates/ evaluate GI bleeding
what does a colonoscopy do? - correct answer ✔✔detection of pre-colon cancer- polyps
visualizes the anus, rectum, colon
what types of bowel preps are there for colonoscopy? (levels) - correct answer ✔✔excellent
good
fair
poor
what patient education is there for post endoscopic procedure? - correct answer ✔✔NO alcohol 24hr
after
NO driving 12-18hr after
bleedings/s
flatulence
discomfort
diet
,s/s report to HCP
what are complications of endoscopic procedures? - correct answer ✔✔over-sedation
hemorrhage
aspiration
perforation
what are the s/s of aspiration? - correct answer ✔✔dyspnea
tachypnea
adventitious lung sounds (crackles)
tachycardia
fever
what are s/s of perforation? - correct answer ✔✔severe abdomen pain
altered bowel sounds
fever
n/v
abdominal distension
rigid abdomen
what are the s/s of hemorrhage? - correct answer ✔✔tachypnea
tachycardia
hypotension
change in LOC
pallor
pain
frank bleeding
decrease HBG/HCT
, what are gastric ulcers? - correct answer ✔✔impairment of gastric mucosal defenses no longer
protecting lining from acid- ulcer formation
what are risk factors for ulcer disease? - correct answer ✔✔genetics
GI surgery
H. pylori
drugs
hypersecretory states
stress
smoking
chronic disease
radiation therapy
alcohol ingestion
what is the etiology of gastric ulcers? - correct answer ✔✔H. pylori
increased gastric acid recreation
delayed gastric emptying
incompetent pyloric splinter
pain
what is the etiology of a duodenal ulcer? - correct answer ✔✔h. pylori
increased gastric acid recreation
rapid rate of gastric emptying
pain
what are the clinical manifestations of ulcers? - correct answer ✔✔asymptomatic
fullness
nausea
pain