PROCTOSCOPY.pptx

Details on proctoscopy

1. PROCTOSCOPY ??......

2. INTRODUCTION… DEFINITION… ENDOSCOPIC EXAMINATION OF THE ANUS, RECTUM AND SIGMOID COLON USING A INSTRUMENT CALLED PROCTOSCOPE. SAFE AND WELL TOLERATED. PERFORMED BY PHYSICIAN. ALSO CALLED ANOSCOPY OR SIGMOIDOSCOPY.

3. WHAT IS A PROCTOSCOPE?...

4. PROCEDURE… A proctoscopy can be done at a hospital or outpatient clinic. Lie on your side with your knees bent . Firstly doctor will insert a gloved, lubricated finger into your rectum. This is called a digital exam. It’s done to check for any blockages or sore areas . Then the doctor will insert the proctoscope into your anus. Air will be pushed into your colon to help your doctor view the area . The doctor might remove a sample of tissue during the procedure. This is called a biopsy. It’s done using very small tools passed up through the proctoscope . You may feel some cramping and fullness during this test, along with an urge to empty your bowels. But the procedure shouldn’t be painful . The whole test takes about 10 minutes. Afterward, the doctor will remove the proctoscope .

5. INDICATIONS… RECTAL BLEEDING – HEMORRHOIDS, ANAL FISSURE, INFLAMMATORY BOWEL DISEASE, CANCER ABNORMAL BOWEL MOVEMENTS- DIARRHEA, CONSTIPATION, OBSTRUCTION SUSPECTED RECTAL OR ANAL CARCINOMA ULCERS, ABSCESSES, TUMOR, POLYPS, DISCHARGES ISCHEMIC COLITIS PERIANAL FISTULA CHRONS DISEASE BIOPSY

6. THERAPEUTIC USES… HEMORRHOID TREATMENT POLYP AND TUMOR REMOVAL FOREIGN BODY REMOVAL STRICTURE DILATION STENT REPLACEMENT

7. CONTRAINDICATIONS… PAIN SEVERE BLEED INFLAMMATION RECENT SURGERY FECAL IMPACTION PERFORATION OF COLON ANAL STENOSIS

8. NURSES RESPONSIBILITY… PRE PROCEDURE: CLIENT EDUCATION OBTAIN INFORMED CONSENT BOWEL PREPARATION MEDICATIONS PHYSICAL ASSESSMENT DIETARY MODIFICATION

9. INTRA PROCEDURE: POSITIONING MONITOR VITALS MAINTAIN STERILE FIELD POST PROCEDURE: REST HYDRATION PAIN MANAGEMENT MONITOR FOR COMPLICATION DIETARY MODIFICATION