ENDOSCOPY EGD stands for an esophagogastroduodenoscopy. This procedure is used to visualize the esophagus, stomach, and the duodenum. This is done via a lighted tube or endoscope to detect abnormalities. Possible abnormalities are tumors, ulcerations, or an obstruction. The patient should be NPO for 8 hours before the test. When the patient arrives medical history, consent forms, explanation of test, and insertion of an IV are all completed. The patient is given preoperative sedation and an IV sedation may also be given for the test. The throat is anesthetize with a local spray or gargle. Each facility has different ways the patient is positioned for the test. The book states that the patient lies on a table with head extended. GVMH has the patient sit and the endoscope is introduced …show more content…
Polyps can be removed or biopsies taken during the procedure. Clear liquid diet should be 1-3 days before the test. The patient should be NPO for 8 hours before the test. Laxatives are given for 1-3 days before the test and enemas the night before. GVMH has a different prep than the book. Their prep consists of clear liquid diet, five Dulcolax in the am, and then at 3pm a 64oz of Gatorade with Miralax the day before the test. When the patient arrives medical history, consent forms, explanation of test, and insertion of an IV are all completed. The patient is given preoperative sedation and is moderately sedated via IV for the test. The patient is positioned on their left side in bed. The length of the procedure depends on the reason for the test. Most colonoscopies take 30 minutes to an hour but some can take 1.5-2 hours if abnormalities are found. After the procedure is complete vital signs should be monitored every 15-30 minutes or as ordered. Watch for increased temperature, abdominal distention, or pain. This could be a possible complication known as perforation or rectal bleeding
On this second clinical for med-surg, I felt a bit more comfortable being on the floor. Before starting this clinical I had set a goal for myself to perform well and complete my assessment as thorough as possible. For pre-assessment I was set on just choosing a patient and not being afraid on what kind of diagnosis they had or how many medications they were on. As I selected my patient, I noticed that he had many medications and had had an ST-elevation myocardial infarction. I didn’t want to scare myself off from selecting this patient and caring for him on clinical day.
1. Name the circulatory system that carries blood from the heart to the lungs and back to the heart.
Diagnostic procedure: a procedure performed to obtain information needed to make a diagnosis and treatment plan.
Diana Lee, I think that a majority of significant issues that many people tend to run into is poor leadership skills and abilities. Moreover, a lack of respect for one another and sometimes lack of respect for ourselves. Although, the lack of communication has become problematic in itself. The essentials to having a good healthy company have to have an abundant of leadership skills and abilities. Once the leader fails, the followers will gradually have failure as well. Similar to the same "when the blind leadeth the blind all will fall into the dark hole." Without having trust and honesty what does a group of people have? The group has a massive pile of poop and failure. Repetition is how we learn and sometimes repeating what has become said
MMHS is a successful home health service company which has expanded constantly over the intervening 20 years, with further patient growth forecasted in 2012. The home healthcare business is seasonal with 66% of the entire annual sales occurring in the late Fall and Winter months. The evolving expansion of the agency and seasonality of the business makes cash management challenging for Ms. Ringer and has landed her in the predicament of requiring a loan to pay salaries. Aligning operating expenses to revenue, improving management of operating costs and decreasing the amount of cash in accounts receivable will improve her immediate cash flow crisis. For details see prior question.
MMHS is a successful home health service company which has expanded constantly over the intervening 20 years, with further patient growth forecasted in 2012. The home healthcare business is seasonal with 66% of the entire annual sales occurring in the late Fall and Winter months. The evolving expansion of the agency and seasonality of the business makes cash management challenging for Ms. Ringer and has landed her in the predicament of requiring a loan to pay salaries. Aligning operating expenses to revenue, improving management of operating costs and decreasing the amount of cash in accounts receivable will improve her immediate cash flow crisis. For details see prior question.
The patient is a 45 year old man who had GI surgery 4 days ago. He is NPO, has a nasogastric tube, and IV fluids of D51/2saline at 100 mL/hr. The nursing physical assessment includes the following: alert and oriented; fine crackles; capillary refill within normal limits; moving all extremities, complaining of abdominal pain, muscle aches, and "cottony" mouth; dry mucous membranes, bowel sounds hypoactive, last BM four days ago; skin turgor is poor; 200 mL of dark green substance has drained from NG tube in last 3 hours. Voiding dark amber urine without difficulty. Intake for last 24 hours is 2500mL. Output is 2000mL including urine and NG drainage. Febrile and diaphoretic; BP 130/80; pulse 88; urine specific gravity 1.035; serum
I am a medical graduate from Viet Nam. I came to the United States with the goal to becoming one of the best internists. I have improved my medical knowledge through my studies at Kaplan Medical Center. After that, I obtained experiences in different healthcare settings such as The University of Florida, Health Shands hospital and Emergency and Trauma Center at Hackensack University Medical Center. At this time, I am working as an extern at a clinic in New Jesery and attending some conversational English courses at Seton Hall University. I appreciate the patient-physician relationship and team-approach which are central practice in healthcare of the US. I am conscientious, focused and persevering in what I am doing. I am helpful and respectful
• An upper gastrointestinal (GI) series. This is an X-ray exam of your GI tract involving the use of a chalky liquid that you swallow. The liquid shows up clearly on the X-ray.
Mrs. Helen Bessler, mother of George Bessler, was hospitalized 16March2015 and underwent surgery of the right lung on 17March2015. She had cancer of the right lung that required removal of two lobes and a section of the superior vena cava.
Get ready for the dangerous ride of a banana getting crushed, smashed, and absorbed through the digestive system. “Watch out for the involuntary muscles which they can’t even control and voluntary muscles they can control, but will still use thriving to help get our nutrients by crushing us.” everyone has always said but, that didn’t stop him. Once Banana was ripe enough the farmer has picked him. Banana thought is was chosen for an amusement park. because everyone else says it’ll be like a scary rollercoaster, he took it literally…
In this essay I will be discussing the current recommendations for large bowel screening, to diagnose bowel cancer, including those categorised as high risk. I will also be discussing the role of imaging in the initial diagnosis and the subsequent follow up.
The work of an anesthesiologist is fulfilling with many benefits. A person would desire to become an anesthesiologist because there is a high standard of excellence due to a low percentage of doctors in this special field, not to mention the high salary. This occupation benefits the doctor through a feeling of personal gratification while receiving a great education. The community benefits through his or her help relieving the pain accompanied by surgery. Becoming an anesthesiologist involves extensive education and training, while also having many requirements and a good salary range.
of the day. Whether the challenges are mental or purely physical. We have found more
A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.