Today our topic of discussion is Procedure of Esophagogastroduodenoscopy.
Procedure of Esophagogastroduodenoscopy
Procedure
- A consent should be signed
- The client should be on and NPO for 8-12 hours before the test.
- When this procedure is used during an emergency and NPO cannot be enforced, the client’s stomach is lavaged (suctioned) to prevent aspiration
- The client may take prescribed medications at 6 am on the day of the test.
- Check with laboratory or healthcare provider for any changes.
- A sedative/tranquilizer, a narcotic analgesic, and atropine may be given an hour before the test, or they can be titrated intravenously immediately prior to the procedure and during the procedure as needed
- A local anesthetic may be used Dentures, jewelry and clothing should be removed from the neck to the wrist before
- Record baseline vital signs.
- The client should void the procedure
- Specimen containers should be labeled with the client’s name, the date and the type of tissues
- Emergency drugs and equipment should be available for hypersensitivity to medications (premeditations and anesthetic) and for severe laryngospasms
- The test takes approximately 1 hour or less
- The client should not drive self-home following the test because of possible after-effects of sedation.
Post-procedural Care
- Check the gag reflexes before offering food and fluids by asking the client to swallow or by touching the posterior pharynx with a cotton swab or tongue blade if the throat was sprayed with an anesthetic
- Monitor vital signs (blood pressure, pulse, respirations) as ordered
- Give the client throat lozenges or analgesics for throat discomfort.
- Inform the client that he or she may have flatus or burp-up gas, which is normal.
- This is caused by instillation of air during the procedure for visualization purposes
- Observe the client for possible complications
- Be supportive of the client and family.
- Complications: Perforation in the gastrointestinal tract from the endoscope.
- Symptoms could include pain (epigastric, abdominal and back pain), dyspnea, fever, tachycardia and subcutaneous emphysema in the neck..
- Factor affecting diagnostic results: Barium from a recent gastrointestinal images series can decrease visualization of the mucosa.
- This test should not be performed within 2 days after such tests.
- An X-ray film of the abdomen can be taken to see if barium is in the stomach or duodenum.