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8 Cards in this Set

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Endoscopy

Direct visual examination of the lumen of the GI tract.

4 levels of sedation:

1.Minimal, anxiolysis, responsive w/impairment .


2. Moderate, analgesia, spontaneous breathing and patent airway. CV VSS


3. Deep/analgesia, decreased LOC. May need airway, VSS.


4. General anes, LOC, no response to pain, airway adjunct, CV fx <..

Goals of Mod sedation

Maintain protective reflexes


Relax, allay great & anxiety


VSS


Reduce verbal response


Ensure cooperation


Reduce pain perception


Ready arousal


Maintain ability to comply


Retrograde amnesia

EGD Complications

Respiratory depression/arrest


Perforation


Hemorrhage


Aspiration


Infection


Cardiac arrhythmias, arrest


Hypotension


Phlebitis


Vasovagal response


Allergic reaction

Endoscopic Retrograde Cholangiopancreatography ERCP

Visualize biliary and pancreatic ducts

Indication: eval s/s, abnl test findings, stone removal, stent, manometry

ERCP Most significant complications

Pancreatitis, sepsis

Antibiotic prophylaxis


Sm bowel enteroscopes

For use with suspected abnormalities out of reach of regular scope

Some portions may be unreachable

Anoscopy

Anus and lower rectum to detect cause of rectal bleeding.