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- author "me"
- tags "Labs"
- description "Diagnostic"
- fileName "GI Labs and diagnotic"
- freezingBlueDBID -1.0
- What is upper gastrointestinal study
- UGI consists of a series of radiographs of the lower esophagus, stomach, and duodenum using barium sulfate as the contrast medium.
- It detects any abnormal condition of the upper GI any tumors or ulceration lesions.
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Nursing intervention for Upper GI study
- NPO after midnight.
- No smoking
- Stools light colored because of barium till its out.
- Give pt MOM 60ml after examination unless contraindicated.
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What is tube gastric analysis?
It helps determine the completeness of a vagotomy, confirm hypersecretion, or achlorhydria, estimate acid secretory capacity, or test for intrinsic factor.
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What is achlorhydria
An abnormal condition characterized by the absence of hydrochloric acid in the gastric tube.
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Nursing intervention for tube gastric analysis?
- No anticholinergic meds for 24hrs
- No smoking
- May eat afterwards
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What is esophagogastroduodenoscopy?
Endoscopy enables direct visualization of the upper gi tract.
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Nursing intervention for esophagogastroduodenoscopy? EGD
NPO after midnight
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What is capsule endoscopy?
When the pt swallows a capsule with a camera that provides endoscopic evaluation of the GI tract.
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Nursing intervention for capsule endoscopy?
NPO until 4-6 hrs later. No food while camera is inside.
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Barium swallow is?
More thorough exam of esophagus
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What medium is preferred over barium in a barium swallow?
Gastrografin
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What is given after a barium swallow
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Nursing intervention for barium swallow
NPO p midnight
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What is a bernstein test
Instillation of hydrochloric acid into the esophagus to determine GERD vs Angina
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Nursing intervention for bernstein test
- NPO 8hr before procedure
- Meds interfere c acid so withhold
- No smoking
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What is a sigmoidoscopy
Endoscopy of the lower GI tract
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Nursing intervention for sigmoidoscopy?
- Use of conscious sedation
- Enemas pm before, am before monitoring
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What is a colonoscopy?
Examine the entire colon
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Nursing intervention for colonoscopy
- NPO p midnight
- Clear liquids diet 1-3days
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GoLYTELY is
- Osmotic electrolyte solution
- Served cold
- Drink 1-2 gallons served in 8oz every 15min
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What should you stool look like after GoLYTELY
- Stool should look urine by the end of medication
- Stay close to bathroom
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What is a ERCP
- Visualization of biliary system and pancreatic duct
- Scope is inserted through oral cavity to the duodenum
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Nursing intervention for ERCP
- NPO 8hrs a procedure
- Pt must stay motionless threw procedure
- NPO till gag reflux returns
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What is a HIDA scan
IV injection of radioactive isotope followed by a camera recording of the distribution of isotopes in the liver, biliary tree, gallbladder, or proximal small bowel
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Nursing intervention for HIDA scan
NPO p midnight
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Range for Alkaline phosphatase
30-120
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BMP potassium range
3.5-5.1
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Ranges for total protein
6.4-8.3
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Ranges for globulin
2.3-3.4
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Ranges for A/G ratio
1.2-2.2
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Amylase serum range
60-120
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