chapter 16
DESCRIPTION
Chapter 16. Other Diagnostic Studies. Objectives. Explain the purpose of provided diagnostic procedures. Identify the hospital department that would perform provided procedures. State two purposes of an electroencephalogram. - PowerPoint PPT PresentationTRANSCRIPT
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Chapter 16Chapter 16
Other Diagnostic Other Diagnostic StudiesStudies
Slide 2Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
ObjectivesObjectivesObjectivesObjectives
• Explain the purpose of provided diagnostic Explain the purpose of provided diagnostic procedures.procedures.
• Identify the hospital department that Identify the hospital department that would perform provided procedures.would perform provided procedures.
• State two purposes of an State two purposes of an electroencephalogram.electroencephalogram.
• State what category of medication should State what category of medication should be noted on the requisition when an be noted on the requisition when an electroencephalogram is ordered.electroencephalogram is ordered.
• Explain the purpose of provided diagnostic Explain the purpose of provided diagnostic procedures.procedures.
• Identify the hospital department that Identify the hospital department that would perform provided procedures.would perform provided procedures.
• State two purposes of an State two purposes of an electroencephalogram.electroencephalogram.
• State what category of medication should State what category of medication should be noted on the requisition when an be noted on the requisition when an electroencephalogram is ordered.electroencephalogram is ordered.
Slide 3Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Objectives, continuedObjectives, continuedObjectives, continuedObjectives, continued
• State the difference between an invasive State the difference between an invasive procedure and a noninvasive procedure.procedure and a noninvasive procedure.
• Name two noninvasive diagnostic studies Name two noninvasive diagnostic studies related to the heart.related to the heart.
• Name two invasive diagnostic studies Name two invasive diagnostic studies related to the heart.related to the heart.
• State what category of medication should State what category of medication should be noted on the request when an be noted on the request when an electrocardiogram is ordered.electrocardiogram is ordered.
• State the difference between an invasive State the difference between an invasive procedure and a noninvasive procedure.procedure and a noninvasive procedure.
• Name two noninvasive diagnostic studies Name two noninvasive diagnostic studies related to the heart.related to the heart.
• Name two invasive diagnostic studies Name two invasive diagnostic studies related to the heart.related to the heart.
• State what category of medication should State what category of medication should be noted on the request when an be noted on the request when an electrocardiogram is ordered.electrocardiogram is ordered.
Slide 4Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Objectives, continuedObjectives, continuedObjectives, continuedObjectives, continued
• Name six endoscopies and the parts of the Name six endoscopies and the parts of the body visualized by each.body visualized by each.
• Discuss the importance of patient Discuss the importance of patient preparation before a sigmoidoscopy or a preparation before a sigmoidoscopy or a visual examination of the colon.visual examination of the colon.
• List two studies related to the List two studies related to the gastrointestinal (GI) system that are gastrointestinal (GI) system that are performed in the endoscopy department.performed in the endoscopy department.
• Name six endoscopies and the parts of the Name six endoscopies and the parts of the body visualized by each.body visualized by each.
• Discuss the importance of patient Discuss the importance of patient preparation before a sigmoidoscopy or a preparation before a sigmoidoscopy or a visual examination of the colon.visual examination of the colon.
• List two studies related to the List two studies related to the gastrointestinal (GI) system that are gastrointestinal (GI) system that are performed in the endoscopy department.performed in the endoscopy department.
Slide 5Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Objectives, continuedObjectives, continuedObjectives, continuedObjectives, continued
• List four diagnostic tests that are List four diagnostic tests that are performed by the cardiopulmonary performed by the cardiopulmonary (respiratory care) department.(respiratory care) department.
• State what category of medication should State what category of medication should be noted on the requisition when arterial be noted on the requisition when arterial blood gases are ordered.blood gases are ordered.
• Name two studies performed by the Name two studies performed by the cardiovascular department to diagnose cardiovascular department to diagnose vascular diseases.vascular diseases.
• List four diagnostic tests that are List four diagnostic tests that are performed by the cardiopulmonary performed by the cardiopulmonary (respiratory care) department.(respiratory care) department.
• State what category of medication should State what category of medication should be noted on the requisition when arterial be noted on the requisition when arterial blood gases are ordered.blood gases are ordered.
• Name two studies performed by the Name two studies performed by the cardiovascular department to diagnose cardiovascular department to diagnose vascular diseases.vascular diseases.
Slide 6Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Lesson 16.1Lesson 16.1
Slide 7Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Neurodiagnostics (Neurologic and Neurodiagnostics (Neurologic and Neuromuscular System Electrodiagnostics)Neuromuscular System Electrodiagnostics)Neurodiagnostics (Neurologic and Neurodiagnostics (Neurologic and Neuromuscular System Electrodiagnostics)Neuromuscular System Electrodiagnostics)
• Neurodiagnostics may include several Neurodiagnostics may include several tests related to the function of the tests related to the function of the nervous system (brain and spinal cord)nervous system (brain and spinal cord)
• In smaller facilities, the In smaller facilities, the electroencephalography may be the only electroencephalography may be the only neurodiagnostic test performed neurodiagnostic test performed
• Neurodiagnostics may include several Neurodiagnostics may include several tests related to the function of the tests related to the function of the nervous system (brain and spinal cord)nervous system (brain and spinal cord)
• In smaller facilities, the In smaller facilities, the electroencephalography may be the only electroencephalography may be the only neurodiagnostic test performed neurodiagnostic test performed
Slide 8Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Neurodiagnostics, continuedNeurodiagnostics, continuedNeurodiagnostics, continuedNeurodiagnostics, continued
Neurodiagnostic testsNeurodiagnostic tests:: • Electroencephalogram (EEG) performed to Electroencephalogram (EEG) performed to
diagnose brain disease or to confirm brain death diagnose brain disease or to confirm brain death or cerebral silenceor cerebral silence
• Evoked potentialsEvoked potentials Visual evoked potential (VEP)Visual evoked potential (VEP)
• Auditory evoked response (AER) orAuditory evoked response (AER) or• Brainstem auditory evoked response (BAER)Brainstem auditory evoked response (BAER)
Somatosensory evoked potential (SEP)Somatosensory evoked potential (SEP)
Neurodiagnostic testsNeurodiagnostic tests:: • Electroencephalogram (EEG) performed to Electroencephalogram (EEG) performed to
diagnose brain disease or to confirm brain death diagnose brain disease or to confirm brain death or cerebral silenceor cerebral silence
• Evoked potentialsEvoked potentials Visual evoked potential (VEP)Visual evoked potential (VEP)
• Auditory evoked response (AER) orAuditory evoked response (AER) or• Brainstem auditory evoked response (BAER)Brainstem auditory evoked response (BAER)
Somatosensory evoked potential (SEP)Somatosensory evoked potential (SEP)
Slide 9Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Neurodiagnostics, continuedNeurodiagnostics, continuedNeurodiagnostics, continuedNeurodiagnostics, continued
Neurodiagnostic testsNeurodiagnostic tests: : • Electronystagmography (ENG) (electro-Electronystagmography (ENG) (electro-
oculography)oculography)• Electromyography (EMG) and nerve Electromyography (EMG) and nerve
conduction studies (NCS)conduction studies (NCS)• Caloric study (oculovestibular reflex Caloric study (oculovestibular reflex
study)study)
Neurodiagnostic testsNeurodiagnostic tests: : • Electronystagmography (ENG) (electro-Electronystagmography (ENG) (electro-
oculography)oculography)• Electromyography (EMG) and nerve Electromyography (EMG) and nerve
conduction studies (NCS)conduction studies (NCS)• Caloric study (oculovestibular reflex Caloric study (oculovestibular reflex
study)study)
Slide 10Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Electroencephalography (EEG)Electroencephalography (EEG)Electroencephalography (EEG)Electroencephalography (EEG)
From Chipps E, Clanin N, Campbell V: Neurologic disorders, St. Louis, 1992, Mosby.
Slide 11Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Anticonvulsant medicationsAnticonvulsant medications::• PhenobarbitalPhenobarbital• DilantinDilantin• TegretolTegretol
Anticonvulsant medicationsAnticonvulsant medications::• PhenobarbitalPhenobarbital• DilantinDilantin• TegretolTegretol
Medications To Note When Ordering Medications To Note When Ordering Neurodiagnostic ProceduresNeurodiagnostic ProceduresMedications To Note When Ordering Medications To Note When Ordering Neurodiagnostic ProceduresNeurodiagnostic Procedures
Slide 12Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Neurology Diagnostic Downtime Neurology Diagnostic Downtime RequisitionRequisitionNeurology Diagnostic Downtime Neurology Diagnostic Downtime RequisitionRequisition
Slide 13Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Cardiovascular DiagnosticsCardiovascular DiagnosticsCardiovascular DiagnosticsCardiovascular Diagnostics
• The procedures carried out by this The procedures carried out by this department are related to the department are related to the performance of the heart and the vascular performance of the heart and the vascular systemsystem
• The results of these studies aid the The results of these studies aid the physician in making a diagnosis and will physician in making a diagnosis and will affect treatment providedaffect treatment provided
• The procedures carried out by this The procedures carried out by this department are related to the department are related to the performance of the heart and the vascular performance of the heart and the vascular systemsystem
• The results of these studies aid the The results of these studies aid the physician in making a diagnosis and will physician in making a diagnosis and will affect treatment providedaffect treatment provided
Slide 14Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Cardiovascular Diagnostics, continuedCardiovascular Diagnostics, continuedCardiovascular Diagnostics, continuedCardiovascular Diagnostics, continued
• NoninvasiveNoninvasive• ElectrodiagnosticsElectrodiagnostics• Nuclear cardiologyNuclear cardiology• Cardiovascular sonographyCardiovascular sonography• Peripheral vascular studiesPeripheral vascular studies
• InvasiveInvasive• Cardiac cath (catheterization) labCardiac cath (catheterization) lab
• NoninvasiveNoninvasive• ElectrodiagnosticsElectrodiagnostics• Nuclear cardiologyNuclear cardiology• Cardiovascular sonographyCardiovascular sonography• Peripheral vascular studiesPeripheral vascular studies
• InvasiveInvasive• Cardiac cath (catheterization) labCardiac cath (catheterization) lab
Slide 15Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Cardiovascular Diagnostics - Cardiovascular Diagnostics - NoninvasiveNoninvasiveCardiovascular Diagnostics - Cardiovascular Diagnostics - NoninvasiveNoninvasive
ElectrodiagnosticsElectrodiagnostics::• Electrocardiogram (EKG or ECG)Electrocardiogram (EKG or ECG)• Holter or cardiac monitorHolter or cardiac monitor• Impedance plethysmography (IPG)Impedance plethysmography (IPG)• Exercise electrocardiogram Exercise electrocardiogram
(treadmill stress test)(treadmill stress test)
ElectrodiagnosticsElectrodiagnostics::• Electrocardiogram (EKG or ECG)Electrocardiogram (EKG or ECG)• Holter or cardiac monitorHolter or cardiac monitor• Impedance plethysmography (IPG)Impedance plethysmography (IPG)• Exercise electrocardiogram Exercise electrocardiogram
(treadmill stress test)(treadmill stress test)
Slide 16Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Electrode Placement for 12-lead Electrode Placement for 12-lead Electrocardiogram (ECG)Electrocardiogram (ECG)Electrode Placement for 12-lead Electrode Placement for 12-lead Electrocardiogram (ECG)Electrocardiogram (ECG)
From Ignatavicius D, Workman L: Medical-Surgical Nursing, 5th ed., Philadelphia, Saunders, 2006.
Slide 17Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Patient Wearing a Holter MonitorPatient Wearing a Holter MonitorPatient Wearing a Holter MonitorPatient Wearing a Holter Monitor
From Canobbio MM: Cardiovascular disorders, St. Louis, 1990, Mosby.
Slide 18Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Patient Taking an Exercise Stress TestPatient Taking an Exercise Stress TestPatient Taking an Exercise Stress TestPatient Taking an Exercise Stress Test
From Canobbio MM: Cardiovascular disorders, St. Louis, 1990, Mosby.
Slide 19Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Cardiovascular/Nuclear Medicine Cardiovascular/Nuclear Medicine StudiesStudiesCardiovascular/Nuclear Medicine Cardiovascular/Nuclear Medicine StudiesStudies
Cardiovascular/nuclear medicine Cardiovascular/nuclear medicine studies)studies)::
• Thallium stress testThallium stress test• Sestamibi stress testSestamibi stress test
Cardiovascular/nuclear medicine Cardiovascular/nuclear medicine studies)studies)::
• Thallium stress testThallium stress test• Sestamibi stress testSestamibi stress test
Slide 20Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Cardiovascular/Ultrasound StudiesCardiovascular/Ultrasound StudiesCardiovascular/Ultrasound StudiesCardiovascular/Ultrasound Studies
Cardiovascular sonography Cardiovascular sonography (ultrasound/echography)(ultrasound/echography)::
• EchocardiogramEchocardiogram• Transesophageal echocardiogram Transesophageal echocardiogram
(TEE)(TEE)
Cardiovascular sonography Cardiovascular sonography (ultrasound/echography)(ultrasound/echography)::
• EchocardiogramEchocardiogram• Transesophageal echocardiogram Transesophageal echocardiogram
(TEE)(TEE)
Slide 21Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Cardiovascular CatheterizationCardiovascular CatheterizationCardiovascular CatheterizationCardiovascular Catheterization
Cardiac cath lab studies (cardiac Cardiac cath lab studies (cardiac catheterization)catheterization)::
• Coronary angiography (also discussed in Coronary angiography (also discussed in special procedures section of Chapter 15)special procedures section of Chapter 15)
• Coronary angioplasty (therapeutic Coronary angioplasty (therapeutic procedure discussed in Chapter 17)procedure discussed in Chapter 17)
• Electrophysiological studies (EPS)Electrophysiological studies (EPS)• Swan-Ganz catheter insertionSwan-Ganz catheter insertion
Cardiac cath lab studies (cardiac Cardiac cath lab studies (cardiac catheterization)catheterization)::
• Coronary angiography (also discussed in Coronary angiography (also discussed in special procedures section of Chapter 15)special procedures section of Chapter 15)
• Coronary angioplasty (therapeutic Coronary angioplasty (therapeutic procedure discussed in Chapter 17)procedure discussed in Chapter 17)
• Electrophysiological studies (EPS)Electrophysiological studies (EPS)• Swan-Ganz catheter insertionSwan-Ganz catheter insertion
Slide 22Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Cardiovascular Catheterization, continuedCardiovascular Catheterization, continuedCardiovascular Catheterization, continuedCardiovascular Catheterization, continued
From Ignatavicius D, Workman L: Medical-Surgical Nursing, 5th ed., Philadelphia, Saunders, 2006.
Slide 23Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Cardiovascular Catheterization, continuedCardiovascular Catheterization, continuedCardiovascular Catheterization, continuedCardiovascular Catheterization, continued
• Consent form requiredConsent form required• Scheduling with department and physician Scheduling with department and physician
may be requiredmay be required• Some preparation may be required (NPO)Some preparation may be required (NPO)
• Consent form requiredConsent form required• Scheduling with department and physician Scheduling with department and physician
may be requiredmay be required• Some preparation may be required (NPO)Some preparation may be required (NPO)
Slide 24Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Vascular Plethysmography/Ultrasound Vascular Plethysmography/Ultrasound StudiesStudiesVascular Plethysmography/Ultrasound Vascular Plethysmography/Ultrasound StudiesStudies
Peripheral vascular studiesPeripheral vascular studies::• Vascular plethysmographyVascular plethysmography• Vascular ultrasound Vascular ultrasound
• Duplex scanningDuplex scanning• Venous and arterial Doppler flow Venous and arterial Doppler flow
studies (e.g., carotid Doppler)studies (e.g., carotid Doppler)
Peripheral vascular studiesPeripheral vascular studies::• Vascular plethysmographyVascular plethysmography• Vascular ultrasound Vascular ultrasound
• Duplex scanningDuplex scanning• Venous and arterial Doppler flow Venous and arterial Doppler flow
studies (e.g., carotid Doppler)studies (e.g., carotid Doppler)
Slide 25Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Medications To Note When Ordering Medications To Note When Ordering Cardiac StudiesCardiac StudiesMedications To Note When Ordering Medications To Note When Ordering Cardiac StudiesCardiac Studies
Cardiovascular medicationsCardiovascular medications::• Lanoxin (digoxin)Lanoxin (digoxin)• Nitroglycerin (NTG)Nitroglycerin (NTG)• QuinidineQuinidine• Lidocaine Lidocaine • Any other cardiovascular medicationAny other cardiovascular medication
Cardiovascular medicationsCardiovascular medications::• Lanoxin (digoxin)Lanoxin (digoxin)• Nitroglycerin (NTG)Nitroglycerin (NTG)• QuinidineQuinidine• Lidocaine Lidocaine • Any other cardiovascular medicationAny other cardiovascular medication
Slide 26Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Cardiovascular Diagnostic Downtime Cardiovascular Diagnostic Downtime RequisitionRequisitionCardiovascular Diagnostic Downtime Cardiovascular Diagnostic Downtime RequisitionRequisition
Slide 27Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Lesson 16.2Lesson 16.2
Slide 28Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
• The word endoscopy is a general The word endoscopy is a general term used to indicate the visual term used to indicate the visual examination of a body cavity or examination of a body cavity or hollow organhollow organ
• It is a diagnostic procedure It is a diagnostic procedure performed by a doctor performed by a doctor
• During some endoscopic procedures, During some endoscopic procedures, biopsies are performedbiopsies are performed
• The word endoscopy is a general The word endoscopy is a general term used to indicate the visual term used to indicate the visual examination of a body cavity or examination of a body cavity or hollow organhollow organ
• It is a diagnostic procedure It is a diagnostic procedure performed by a doctor performed by a doctor
• During some endoscopic procedures, During some endoscopic procedures, biopsies are performedbiopsies are performed
EndoscopyEndoscopyEndoscopyEndoscopy
Slide 29Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Endoscopy, continuedEndoscopy, continuedEndoscopy, continuedEndoscopy, continued
• A consent is needed for endoscopy A consent is needed for endoscopy examinationsexaminations
• When a visual examination of the stomach When a visual examination of the stomach and/or intestines is ordered, the patient and/or intestines is ordered, the patient would need to be prepared for the would need to be prepared for the procedureprocedure
• Barium should not be given before a Barium should not be given before a gastrointestinal visual examinationgastrointestinal visual examination
• A consent is needed for endoscopy A consent is needed for endoscopy examinationsexaminations
• When a visual examination of the stomach When a visual examination of the stomach and/or intestines is ordered, the patient and/or intestines is ordered, the patient would need to be prepared for the would need to be prepared for the procedureprocedure
• Barium should not be given before a Barium should not be given before a gastrointestinal visual examinationgastrointestinal visual examination
Slide 30Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Endoscopy, continuedEndoscopy, continuedEndoscopy, continuedEndoscopy, continued
Types of endoscopiesTypes of endoscopies• AnoscopyAnoscopy• BronchoscopyBronchoscopy• EsophagoscopyEsophagoscopy• GastroscopyGastroscopy• Endoscopic Endoscopic
retrograde retrograde cholangio-cholangio-pancreatography pancreatography (ERCP)(ERCP)
Types of endoscopiesTypes of endoscopies• AnoscopyAnoscopy• BronchoscopyBronchoscopy• EsophagoscopyEsophagoscopy• GastroscopyGastroscopy• Endoscopic Endoscopic
retrograde retrograde cholangio-cholangio-pancreatography pancreatography (ERCP)(ERCP)
Organ examinedOrgan examined• Anal canalAnal canal• BronchiBronchi• EsophagusEsophagus• StomachStomach• Biliary and Biliary and
pancreatic ducts pancreatic ducts
Organ examinedOrgan examined• Anal canalAnal canal• BronchiBronchi• EsophagusEsophagus• StomachStomach• Biliary and Biliary and
pancreatic ducts pancreatic ducts
Slide 31Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Endoscopy, continuedEndoscopy, continuedEndoscopy, continuedEndoscopy, continued
Types of endoscopiesTypes of endoscopies• Esophagogastro-Esophagogastro-
duodenoscopy duodenoscopy (EGD)(EGD)
• ColonoscopyColonoscopy• SigmoidoscopySigmoidoscopy• ProctoscopyProctoscopy
Types of endoscopiesTypes of endoscopies• Esophagogastro-Esophagogastro-
duodenoscopy duodenoscopy (EGD)(EGD)
• ColonoscopyColonoscopy• SigmoidoscopySigmoidoscopy• ProctoscopyProctoscopy
Organ examinedOrgan examined• Gastrointestinal Gastrointestinal
tracttract
• Large intestineLarge intestine• Sigmoid colonSigmoid colon• RectumRectum
Organ examinedOrgan examined• Gastrointestinal Gastrointestinal
tracttract
• Large intestineLarge intestine• Sigmoid colonSigmoid colon• RectumRectum
Slide 32Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Endoscopy Downtime RequisitionEndoscopy Downtime RequisitionEndoscopy Downtime RequisitionEndoscopy Downtime Requisition
Slide 33Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
BronchoscopyBronchoscopyBronchoscopyBronchoscopy
From Pagana KD, Pagana TJ: Mosby’s manual of diagnostic and laboratory tests, ed 3, St. Louis, 2006, Mosby.
Slide 34Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Some gastrointestinal (GI) studies areSome gastrointestinal (GI) studies areperformed in the endoscopy department,performed in the endoscopy department,usually on an outpatient basis, while usually on an outpatient basis, while others may be performed at the bedside others may be performed at the bedside by the nurse by the nurse
Some gastrointestinal (GI) studies areSome gastrointestinal (GI) studies areperformed in the endoscopy department,performed in the endoscopy department,usually on an outpatient basis, while usually on an outpatient basis, while others may be performed at the bedside others may be performed at the bedside by the nurse by the nurse
Gastrointestinal Studies (GI Lab)Gastrointestinal Studies (GI Lab)Gastrointestinal Studies (GI Lab)Gastrointestinal Studies (GI Lab)
Slide 35Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Gastrointestinal (GI) studies that may beGastrointestinal (GI) studies that may beperformed in the endoscopy department:performed in the endoscopy department:• Gastric analysisGastric analysis• Esophageal manometry/motility and Esophageal manometry/motility and
refluxreflux• Secretin testSecretin test
Gastrointestinal (GI) studies that may beGastrointestinal (GI) studies that may beperformed in the endoscopy department:performed in the endoscopy department:• Gastric analysisGastric analysis• Esophageal manometry/motility and Esophageal manometry/motility and
refluxreflux• Secretin testSecretin test
Gastrointestinal Studies (GI Lab), Gastrointestinal Studies (GI Lab), continuedcontinuedGastrointestinal Studies (GI Lab), Gastrointestinal Studies (GI Lab), continuedcontinued
Slide 36Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
• The cardiopulmonary department (also The cardiopulmonary department (also called the respiratory care department) called the respiratory care department) performs diagnostic tests to determine performs diagnostic tests to determine lung function as well as treatments for lung function as well as treatments for respiratory disease and conditionsrespiratory disease and conditions
• Treatment orders performed by the Treatment orders performed by the cardiopulmonary (respiratory care) cardiopulmonary (respiratory care) department will be discussed in Chapter department will be discussed in Chapter 1717
• The cardiopulmonary department (also The cardiopulmonary department (also called the respiratory care department) called the respiratory care department) performs diagnostic tests to determine performs diagnostic tests to determine lung function as well as treatments for lung function as well as treatments for respiratory disease and conditionsrespiratory disease and conditions
• Treatment orders performed by the Treatment orders performed by the cardiopulmonary (respiratory care) cardiopulmonary (respiratory care) department will be discussed in Chapter department will be discussed in Chapter 1717
Cardiopulmonary (Respiratory Care) Cardiopulmonary (Respiratory Care) Cardiopulmonary (Respiratory Care) Cardiopulmonary (Respiratory Care)
Slide 37Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Examples of diagnostic tests performedExamples of diagnostic tests performed::• Arterial blood gases (ABG)Arterial blood gases (ABG)• Capillary blood gases (CBG)Capillary blood gases (CBG)• Pulmonary function tests (PFTs)Pulmonary function tests (PFTs)• SpirometrySpirometry• Oximetry (pulse oximetry, ear oximetry, Oximetry (pulse oximetry, ear oximetry,
oxygen saturation)oxygen saturation)
Examples of diagnostic tests performedExamples of diagnostic tests performed::• Arterial blood gases (ABG)Arterial blood gases (ABG)• Capillary blood gases (CBG)Capillary blood gases (CBG)• Pulmonary function tests (PFTs)Pulmonary function tests (PFTs)• SpirometrySpirometry• Oximetry (pulse oximetry, ear oximetry, Oximetry (pulse oximetry, ear oximetry,
oxygen saturation)oxygen saturation)
Cardiopulmonary (Respiratory Care) Cardiopulmonary (Respiratory Care) Cardiopulmonary (Respiratory Care) Cardiopulmonary (Respiratory Care)
Slide 38Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
AnticoagulantsAnticoagulants::• HeparinHeparin• LovenoxLovenox• CoumadinCoumadin• Aspirin (ASA)Aspirin (ASA)
AnticoagulantsAnticoagulants::• HeparinHeparin• LovenoxLovenox• CoumadinCoumadin• Aspirin (ASA)Aspirin (ASA)
Medications To Note When OrderingMedications To Note When OrderingCardiopulmonary Diagnostic ProceduresCardiopulmonary Diagnostic ProceduresMedications To Note When OrderingMedications To Note When OrderingCardiopulmonary Diagnostic ProceduresCardiopulmonary Diagnostic Procedures
Slide 39Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Cardiopulmonary (Respiratory Care) Cardiopulmonary (Respiratory Care) Diagnostic Downtime RequisitionDiagnostic Downtime RequisitionCardiopulmonary (Respiratory Care) Cardiopulmonary (Respiratory Care) Diagnostic Downtime RequisitionDiagnostic Downtime Requisition
Slide 40Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
The sleep study department performs The sleep study department performs
studies to assess a patient’s sleep studies to assess a patient’s sleep
patterns to:patterns to:• Determine nature and severity of insomniaDetermine nature and severity of insomnia• Reveal presence of obstructive sleep apnea Reveal presence of obstructive sleep apnea
(OSA) and the severity of the condition(OSA) and the severity of the condition• Assist in the diagnosis of narcolepsyAssist in the diagnosis of narcolepsy
The sleep study department performs The sleep study department performs
studies to assess a patient’s sleep studies to assess a patient’s sleep
patterns to:patterns to:• Determine nature and severity of insomniaDetermine nature and severity of insomnia• Reveal presence of obstructive sleep apnea Reveal presence of obstructive sleep apnea
(OSA) and the severity of the condition(OSA) and the severity of the condition• Assist in the diagnosis of narcolepsyAssist in the diagnosis of narcolepsy
Sleep StudySleep StudySleep StudySleep Study
Slide 41Copyright © 2009, 2004 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Examples of sleep studies performedExamples of sleep studies performed::• Polysomnography (PSG)Polysomnography (PSG)• Inductive plethysmography for apneaInductive plethysmography for apnea• Multiple sleep latency testsMultiple sleep latency tests• Multiple wake testsMultiple wake tests
Examples of sleep studies performedExamples of sleep studies performed::• Polysomnography (PSG)Polysomnography (PSG)• Inductive plethysmography for apneaInductive plethysmography for apnea• Multiple sleep latency testsMultiple sleep latency tests• Multiple wake testsMultiple wake tests
Sleep Study, continuedSleep Study, continuedSleep Study, continuedSleep Study, continued