About
A procedure where a scope is entered into the esophagus down through the stomach and into the duodenum. Die is injected to help visualize the pancreatic duct and common bile duct. Used to help diagnose and visualize stones, biliary obstruction, disease, injury, strictures.
Assess
Assess for allergies to iodine, seafood, contrast medium; assess vital signs, remove dentures, and perform a pre-operative checklist. Make sure patient has been NPO prior to procedure.
Complications
- Peritonitis, abdominal perforation, pancreatitis, gastrointestinal bleed, aspiration
Diagnosis
- Knowledge deficit related to procedure.
- Risk for infection related to procedure.
- Risk for injury related to complications from procedure.
Goals
- The client will demonstrate knowledge of pre-, intra-, and post-operative activities.
- The client will remain free from injury, infection and complication.
Interventions
- Maintain the client NPO pre-procedure and post-procedure.
- Assess for gag reflex prior to initiating oral intake.
- Assess vital signs prior to procedure, during procedure and post-procedure.
- Teach client signs and symptoms to report to health care provider.
- Teach client activities prior to procedure and post-procedure to minimize risks of complication.
- Assess abdomen, pain levels frequently post-operatively.
- Notify physician immediately of post-procedure vomiting, fever, pain, abdomen distention.
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