| What labs are ordered before a liver biopsy? Why? | Platelets/clotting or bleeding time/prothrombin time/international normalized ratio.
To check ones ability/possible abnormalities. |
| List the follow post biopsy interventions: | Observe sign of bleeding.
Keep pt. on right side w/ rolled towel against puncture site for 2 hour to splint pressure site.
Asses pt/ for pneumothorax/ collapsed lung.
Monitor pts. vital signs
- Q15 min 2x
- Q30 min 4x
- Q1h 4x. |
| List the following NGT facts: | Explain rationale/advantages outweighs the discomfort.
Inability to chew, taste and swallow foods and liquid may contribute to pt. anxiety during intubation.
Pt. w/ an NGT is usually on NPO/occasionally once chips are allowed.
NGT is connected to either continuous or intermittent suctioning usually 100-125 magma for decompression. |
| List the two most common peptic ulcers: | Gastric ulcer.
Duodenal ulcer. |
| List the following foods pts. w/ Crohn’s Disease need to avoid? | Lactose.
Cauliflower/broccoli/asparagus/cabbage/brussels sprouts.
Caffeine/beer/monosodium glutamate/sugarless gum/mints.
Highly seasoned foods/concentrated fruit drinks/carbonated beverages/ fatty foods. |
| Lack of intestinal peristalsis is called: | Paralytic (adynanic) ileus. |
| What is the most common complication of Endoscopic Retrograde Cholangiopancreatography of the Pancreatic Duct (ERCP). | Pancreatitis s/s; intense abdominal pain, nausea, fever, chills, vomiting, and diminished or absent bowel sounds. |
| List the following interventions for pt. who is post-op laparoscopy cholecystectomy: | Ambulate because gas travels up into the right shoulder and can cause pain.
Teach pt. to splint anytime the abdominal muscle are used. |
