Baruim Swallow

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BARUIM SWALLOW

A barium swallow is a test that may be used to determine the cause of painful swallowing, difficulty with swallowing, abdominal pain, bloodstained vomit, or unexplained weight loss.

NURSING RESPONSIBILITIES
Patient Preparation 1. Explain to the patient that this test evaluates the function of the pharynx and esophagus. 2. Instruct the patient to fast after midnight before the test. 3. If the patient is infant, delay the feeding to ensure complete digestion of the barium. 4. Explain that the test takes approximately 30 minutes. 5. Describe the milkshake consistency and chalky taste of the barium preparation the patient will ingest; although its flavored, it may be unpleasant to swallow. 6. Tell him hell first receive a thick mixture and then a thin one and that he must drink 12 to 14 oz (355 to 414 ml) during the examination. 7. Inform him that hell be placed in various positions on a tilting radiograph table and that radiographs will be taken. 8. If gastric reflux is suspected, withhold antacids, histamine-2 (H2) blockers, and proton pump inhibitors, as ordered. 9. Just before the procedure, instruct the patient to put a hospital gown without snap closures and to remove jewelry, dentures, hairpins, and other radiopaque objects from the radiograph field. 10. Check the patient history for contraindications to the barium swallow, such as intestinal obstruction and pregnancy. Radiation may have teratogenic effects.

AFTER THE PROCEDURE

1.

Check the additional films and fluoroscopic evaluations havent been ordered before allowing the patient to resume his usual diet. 2. Instruct the patient to drink plenty of fluids, unless contraindicated, to help eliminate the barium. 3. Give cathartic as prescribed. 4. Tell the patient to notify the physician if he fails to expel the barium in 2 to 3 days. 5. Inform the patient that stools will be chalky and light colored for 24 to 72 hours.

ENDOSCOPY
Endoscopy is a procedure that lets your doctor look inside your body. It uses an instrument called an endoscope, or scope for short. Scopes have a tiny camera attached to a long, thin tube. The doctor moves it through a body passageway or opening to see inside an organ. Sometimes scopes are used for surgery, such as for removing polyps from the colon.

NURSING RESPONSIBILTIES RADIO IODINE UPTAKE


Radioactive iodine uptake (RAIU) is a test of thyroid function. It measures how much radioactive iodine is taken up by the thyroid gland in a certain time period. NURSING RESP. How the Test is Performed You are asked to swallow a liquid or capsule containing radioactive iodine. After a certain period of time (usually 6 and 24 hours later), you must return to the testing center so that the amount of radioactivity in the thyroid gland can be measured. This is done using a device called a gamma probe.

The probe is placed over your thyroid gland along the outside of your neck. You will be asked to lie on a table while the scanner moves over your neck. The scan takes about 30 minutes. How to Prepare for the Test Do not eat for 8 hours before the test. Your health care provider will instruct you, if needed, to stop taking drugs that may affect the test results. Tell your doctor if you have:

Diarrhea (may decrease absorption of the radioactive iodine) Recent x-ray test using iodine-based contrast (within the past 2 weeks) Too little or too much iodine in your diet

PARACENTESIS Paracentesis is a procedure in which a needle or catheter is inserted into the peritoneal cavity to obtain ascitic fluid for diagnostic or therapeutic purposes.

flat plate
A survey radiograph, usually of the abdomen, without use of contrast media and obtained while the patient is recumbent.

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