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capsule experience - MG Lorenzatto

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Chapter 2<br />

Figure 3.<br />

Post Examination Instructions Form<br />

You have just had a <strong>capsule</strong> endoscopy. This sheet contains<br />

information about what to expect over the next two days.<br />

Please call our office if you have severe or persistent<br />

abdominal or chest pain, fever, difficulty swallowing,<br />

or if you just have a question.<br />

1. Pain: Pain is uncommon following <strong>capsule</strong> endoscopy.<br />

Should you feel sharp or persistent pain, please call<br />

our office.<br />

2. Nausea: This is also very uncommon and should it occur,<br />

please notify the office.<br />

3. Diet: You may eat. There are no dietary restrictions.<br />

4. Activities: You may resume normal activities including<br />

exercise tomorrow.<br />

5. Medications: You may resume all medications<br />

immediately. Do not make up for doses you have<br />

missed, but rather just begin your normal dosage.<br />

6. Further Testing: Until the <strong>capsule</strong> passes, further testing<br />

that includes any type of MRI should be avoided. If you<br />

have a MRI scheduled for the next 3 days, this should<br />

be postponed.<br />

7. The Capsule: The <strong>capsule</strong> passes naturally in a bowel<br />

movement, typically in 24 hours. Most likely you will<br />

be unaware of its passage. It does not need to be<br />

retrieved and can safely be flushed down the toilet.<br />

Occasionally, the <strong>capsule</strong> lights will still be flashing<br />

when it passes.<br />

This is of no importance. Should you be concerned that<br />

the <strong>capsule</strong> did not pass, in the absence of symptoms,<br />

an abdominal x-ray can be obtained after 3 days to<br />

confirm its passage.<br />

Figure 4.<br />

Capsule Endoscopy Report Form<br />

The Performance of Capsule Endoscopy<br />

Patient Name:_______________________________<br />

Recorder ID#:________________<br />

Date:_______________________<br />

Capsule ID#_________________<br />

Pre-Exam Checklist:<br />

1. Overnight fast confirmed<br />

2. Consent obtained<br />

3. Battery pack fully charged<br />

4. Recorder powered and connected to workstation<br />

5. Recorder initialized<br />

6. Simethicone administered (4 drops in cup of water)<br />

7. Skin marked with stencil<br />

8. Sensor array applied to skin<br />

9. Belt applied<br />

10. Recorder and battery pack installed in belt pack<br />

11. Sensor array attached to Recorder<br />

12. Recorder connected to battery pack<br />

13. Continuous light appears and then stops<br />

14. Capsule blinking on removal from holder<br />

15. Recorder flashes<br />

16. Patient told no drinking for 4 hrs, no eating for 5 hrs<br />

Post-Exam Checklist:<br />

8. Recorder disconnected from battery<br />

9. Recorder disconnected from sensor array<br />

10. Belt removed<br />

11. Sensor array removed<br />

12. Recorder powered and connected to workstation<br />

13. Download begun<br />

14. Battery pack powered for charging<br />

19

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