HSC5093 ERCP Case

Question 1: Does our patient need to be nil by mouth (NBM)? If so for how long?

• No

• Yes

  No food for 8 hours

  No Clear fluids for 4 hours

• Yes

  No food for 6 hours

  No Clear fluids for 2 hours

• Yes

  No food or Drink for 8 hours

What is Routinely Checked Prior to an ERCP and why?

• Platelet Count- To assess blood clotting levels

• LFT- To assess liver function

• Potassium (K)- To assess risk of Cardiac Arrest

• I.N.R- To assess blood clotting levels in case of haemorraghe

Question 3: The patient cannot sign the consent form due to a lack of capacity, who can sign it on their behalf in a ‘best interests’ decision?

• Patients' Spouse (Wife/Husband)

• Patient's ward nurse

• Consultant from patient's medical team

• Individual with 'Power of Attorney'

What structure is labelled E?

• Cystic Duct

• Common Hepatic Duct

• Common Bile Duct

• Left Hepatic Duct

What structure is labelled A?

• Common Bile Duct

• Common Hepatic Duct

• Right Hepatic Duct

• Cystic Duct

Which of the results shown are abnormal?

• 02 SATS, BP, HR

• 02 SATS, BP, Temp HR

• SATS & BP

• All normal

What is represented by the red line?

• Arterial Blood Pressure

• Central Venous Pressure

• Non Invasive Blood Pressure

• O2 Saturations

Unfortunately you forgot to save the ERCP image L The surgeon therefore has to request an AXR documents stent position, what do you need to do?

• Perform the AXR

• Do not perform the AXR as it was checked when inserted

• Perform the AXR and complete an incident form

• Recall the patient to fluoroscopy and obtain a new image