Endoscopy
The procedures that I had the opportunity to watch in the Endoscopy department were: Bone marrow aspiration and Colonoscopy. The impression I had before about bone marrow aspiration was that this procedure is one of the most painful I have seen in my experience working in hospital. But after this one, I believe that bone marrow aspiration doesn't have to be painful, if the patient is well sedated and pain is under control. Then for the colonoscopy I watched, the patient was well sedated and in any moment he showed any discomfort. I am going to start by describing the bone marrow aspiration. This procedure was performed to a seventeen year-old Caucasian male, who was admitted to the hospital with complain of lower GI pain. In the lab work performed on him, the platelets count result was lower than normal, so the doctor order BMA to find out was is going on, since the patient denies any hematologic problem in the past. The procedure was performed in the posterior superior iliac spine, which is the preferred site. The site of puncture was cleansed with betadine solution, and a local anesthetic
The patient's wife was accompanying him to dive home afterward because of the sedatives; he was not allowed to drive. The incision site was covered with 4X4 gauze and taped. But Monday and Tuesday the pre-op room was very busy, which was good. The sedative and pain medicine keep the patient from feeling much discomfort during the exam. It may help determine if cancer is metastasized. Tuesday was a busy day in the pre-operative room. I had the opportunity to start some IV and assessments. The procedure is used to look for signs of cancer in the colon and rectum. The procedure was performed on this patient due to complain of GI pain and acidic stomach. The fluid was placed in a three different lab tubes for examination. At first, I was nervous to start an IV but after I started the first one I got more confidence and I did better. Also, during the procedure the physician can see inflamed tissue, and bleeding. The entire procedure took approximately 45 minutes. I got to start 5 IVs and primed IV tubing.
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