GI/Fecal tests
this test measures fat content in stool. used to confirm diagnosis of steatorrhea
stool for fat (lipids)
detects and evaluates treatment for pancreatitis
amylase
detects liver disorders
urobilinogen
x-ray examination of the esophagus, stomach, duodenum, and jejunum using oral barium
barium swallow
visualization of the lining of the lower colon through a flexible fiberoptic colonoscope
colonoscopy
this test send stool for 10 biomarkers for precancerous lesions and colorectal cancer
evaluates liver function. this is the sum of conjugated, unconjugated and delta bilirubin
total serum bilirubin
present in cirrhosis and hepatic tumors
urine bilirubin
post test nursing care: encourage fluids
2 answers: barium enema and barium swallow
colonoscopy: pre procedure nursing requirements
keep patient on a low residue (low fiber) diet for several days, clear liquids the evening before only. laxative enema the evening before the test.
(BOWELS SHOULD BE CLEAR FOR PROCEDURE - not clear, cant visualize what needs to be seen)
this sample tests for living organisms that may feed off of the body
stool for ova and parasites
digestive enzymes mainly secreted by the pancreas. serum levels can diagnose pancreatic disease
lipase
detects liver disorders
urine bilirubin and urobilinogen
your patient has a barium swallow test scheduled for this morning and is coming as an outpatient. Your patient has a history of smoking, what education is necessary?
encourage no smoking the morning of the procedure
ERCP stands for:
endo-scopic-retrograde-cholangeo-pancreato-graphy
this blood test will detect glycoproteins produced during rapid multiplication of epithelial cells // this monitors for response to liver and GI cancer therapy
CEA (carcinoembryonic antigen)
identifies 12 hour fasting serum cholesterol levels
cholesterol
increases with hepatitis, cirrhosis, and bile duct obstruction
urobilinogen
xray examination that requires 2-4 hours of NPO status prior to the test
computed tomography (CT) of various sites
endoscopy allowing visualization of esophagus, stomach, and upper duodenenum
EGD / esophago-gastro-duodeno-scopy
a stool sample is tested for pathogenic bacteria
stool cultures
a by product of protein catabolism
ammonia
what value of urine bilirubin is expected in a healthy patient?
negative
this procedure will help detect diverticula, inflammation, obstructions, polyps, stenosis, tumors and ulcerative colitis
barium enema
these 4 tests include post-procedure care of: monitor for bleeding
Percutaneous liver biopsy, colonoscopy, sigmoidoscopy, EGD