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BE EXAM PROCESS NOTES
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BE EXAM PROCESS NOTESWhat is the patient prep? - Answers- Low residue diet for 2 days prior to study
NPO for 12 hours- no gum or tobacco use
Cathartic to clean out colon
Fleets enema 1 he prior to arriving for exam
What are the steps for a BE regarding patient arrival? - Answers- Change patient into
gown- everything off except shoes/socks- helpful to provide socks with treads
Have patient use restroom before exam
Provide stockinette for elderly patients
Take patient history- confirm patient followed prep
Perform scout KUB (CR at crest to include all bowel gas)
Send scout to radiologist
Place overhead tube in park
Put Bucky tray at top on table- set control panel on fluoro
Radiologist will review scout and determine single or air contrast
Explain procedure to patient
What should you do if you're having difficulty inserting the tip? - Answers- Let
radiologist know and they will do this under fluoroscopic guidance
During the fluoro procedure what do you do when the radiologist days barium on? -
Answers- Take the lower clamp off the tubing and slide open the upper clamp and
repeat back barium on to the radiologist
If using single contrast how far will the radiologist fill the bowel? - Answers- They will fill
to the cecum and try to get the appendix to be visualized
If using air contrast how far will the radiologist fill the bowel? - Answers- They will fill the
bowel to the level of the splenic flexure
What do you do when the radiologist asks you to turn the barium off? - Answers- Slide
the upper clamp on tubing closed and take the bag off the IV pole and put it in the floor
and repeat barium off
Once the bag is on the floor what do you do? - Answers- Reopen the clamp so the
excess barium is drained back into the bag
Once the radiologist is satisfied they will ask you to reclamp the bag and place it on the
table near the foot board
What overheads are performed in a single
Column study and the purpose for each? - Answers- AP (general overview)
RPO (visualize left colic flexure and descending colon)
LPO (visualize right comic flexure and ascending colon)
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