diagnostics
pre colonoscopy
bowel prep, NPO
pre ct scan
allergies, kidney function, pregnancy, NPO, remove metal
colonoscopy diagnoses?
•Colon cancer
•Diverticular disease
•Polyps
•Ulcerative colitis
CBC
•Hemoglobin & Hematocrit – looking for anemia or bleeding
•White blood cells - infection
post colonoscopy
F&Es; recovery from sedation
post ct scan
monitor for allergic reaction and renal impairment
endoscopy diagnoses?
•Cholelithiasis (ERCP)
•Esophageal cancer
•Gastritis
•Gastric cancer
•GERD
•Hiatal hernia
•Malabsorption diseases
•Pancreatitis (ERCP)
•Peptic ulcer disease
CMP
•K, Na, P, BUN, Cr – looking for electrolyte levels, dehydration, kidney function
•Liver function panel: ALP/AST/ALT – assess liver enzymes for hepatic disorders
•Albumin, total protein – nutrition, detect liver disease
pre endoscopy
NPO for sedation
pre x-ray
pregnancy, NPO, allergies, remove metal
biopsy diagnoses?
•Cancers
•Cirrhosis
•Crohn’s
•Gastritis
•Malabsorption diseases
•Peptic ulcer disease
•Polyps
•Ulcerative colitis
ESR/CRP
presence of inflammation
post endoscopy
airway, swallowing, gag reflex, recovery from sedation; perforation
post x-ray
monitor for allergic reaction
ct-scan diagnoses?
•Appendicitis
•Cancers
•Crohn’s
•Diverticulitis
•Hernias
•Obstructions
•Pancreatitis
•Pancreatic cancer
•Peritonitis
•Polyps
•Ulcerative colitis
feccal occult blood
presence of blood
pre biopsy
risks of bleeding; NPO
pre ultrasound
NPO, allergies
x-ray diagnoses?
•Appendicitis
•Hiatal hernia
•Peritonitis
stool sample
presence of parasites, virus, bacteria
post biopsy
monitor for bleeding; recovery from sedation
post ultrasound
monitor patient
ultrasound diagnoses?
•Appendicitis
•Cholelithiasis
•Hernias
•Pancreatitis
•Peritonitis
gastric acid ph tests
excess stomach acid
Helicobacter pylori testing
if H. pylori is present