Invasive: ERCP

Question 1

Uses the endoscope in combination with x-rays to view the bile ducts, pancreatic ducts, and gallbladder

Answer 1

Endoscopic Retrograde Cholangio-Pancreatography (ERCP)

Question 2

Helpful in evaluating jaundice, pancreatitis, pancreatic tumors, common bile duct stones, and biliary tract diseases

Answer 2

Endoscopic Retrograde Cholangio-Pancreatography (ERCP)

Question 3

Endoscopic Retrograde Cholangio-Pancreatography (ERCP)

Current trends: used for

Answer 3

Therapeutic indications
1. Sphincterotomy
2. Stone removal
3. Biliary stenting

Question 4

Endoscopic Retrograde Cholangio-Pancreatography (ERCP)

Nursing implications

Answer 4

1. NPO (average 8hrs)
2. Medications
   - IV sedation
   - Glucagon/Atropine (anticholinergic agents)
3. Observe closely for signs of respiratory and CNS depression, hypotension, over sedation, and vomiting

Question 5

Endoscopic Retrograde Cholangio-Pancreatography (ERCP)

Nursing implications: Medications

Relaxation of smooth muscles

Answer 5

Glucagon or Anticholinergic agents (Atropine)