D. Lower Gastrointestinal Tract Trent Douglas has been having pain in his lower

ID: 241261 • Letter: D

Question

D. Lower Gastrointestinal Tract Trent Douglas has been having pain in his lower abdomen and occult blood in his stool. Dr. Hartman tells you to schedule him for a lower GI radiographic examination at Grant Hospital. In the space provided, explain how you would instruct ation and the reason for each of the measures. Mr. Douglas to prepare for this examination. Include the patient 801 Chapter 28 Speclality Examinations and Procedures Copyright O 2016, Elsevier Inc. All Rights Reserved. caear liquids starting uay before the examination. The evening oetore the examination, the patient must take a laxative and is such as magnesium citrate andlor Dul

Explanation / Answer

Lower GI tract radiographic examinations include fluoroscopy and barium enema. The patients need to be prepared for the appropriate examination view and reliable result.

S.No.

Preparation

Rationale/ Reason

Previous day of the Examination

Make sure that the physician has received the informed consent after the explanation of the procedure

Informed consent is very important, it reflects the patient’s willingness for the procedure. It protects the health personnel and the patient from legal issues

Avoid solid food on the day before the procedure,

To clean the colon for a clear view and appropriate findings

Advice to take only clear fluids such as juice, tea, etc.….

Cleanses the bowel, Stimulates peristalsis movement, thus by empty the colon

Advise the patient to avoid dairy products

It stimulates the stomach acids such as Hydro choleric acid

Nil per oral from 12 midnight

To have clear visualization of the colon

Administer laxatives or soap and water enema at night before the examination

Cleanses the bowel

On the day of the Examination

Remove all the patients cloth and make the patient wear Hospital gown

Patient clothes may contain metals; Radiologists can easily identify the inpatient.

Remove all the jewelries, removable dental appliances, eye glasses and any metal objects.

Avoids unwanted injuries, missing of valuable items and magnetic effectiveness

Administer the oral Indicated medications with sips of fluids. E.g. Anti hypertensive drugs

Enhances to avoid further consequences of missing the doses

Advise the patient to empty his bladder

Enhances patients comfortable, Avoids distraction in between the procedure, Improves the visualization of the colon

Shift the patient to the Examination room along with a relative

Provides psychological support for the patient.