Managing Adverse Events Flashcards
6 cards from real CGRN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Managing Adverse Events flashcards as text
A patient develops subcutaneous emphysema in the neck after upper endoscopy. What complication should be suspected?
Answer: Esophageal perforation
Subcutaneous emphysema in the neck after EGD is a classic sign of esophageal perforation.
What is the recommended reversal agent for midazolam oversedation during endoscopy?
Answer: Flumazenil
Flumazenil is the specific benzodiazepine antagonist for midazolam-induced oversedation.
A patient develops severe abdominal pain, rigidity, and free air on X-ray after colonoscopy with polypectomy. What is the diagnosis?
Answer: Colonic perforation
Free air (pneumoperitoneum) with peritoneal signs after colonoscopy indicates colonic perforation.
During ERCP, the patient develops severe epigastric pain radiating to the back with elevated lipase. What complication has occurred?
Answer: Post-ERCP pancreatitis
Post-ERCP pancreatitis is the most common significant ERCP complication, occurring in 3-10% of cases.
A patient desaturates to 85% during moderate sedation. What is the appropriate nursing response?
Answer: Perform jaw thrust, increase O2, stimulate the patient, and notify the physician
Stepwise approach: airway positioning, increase O2, stimulate, and alert the endoscopist.
Which electrolyte imbalance is most common after bowel preparation?
Answer: Hyponatremia
Hyponatremia is the most clinically significant electrolyte disturbance after bowel preparation, especially in elderly patients.
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