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 on warfarin develops melena 5 days after sphincterotomy with INR 4.2. What is the priority?
Answer: Administer vitamin K and FFP, correct INR, assess for repeat endoscopy
Correct coagulopathy with vitamin K and FFP while preparing for possible endoscopic intervention.
What is the significance of Mackler's triad (vomiting, lower thoracic pain, subcutaneous emphysema)?
Answer: Boerhaave syndrome (spontaneous esophageal rupture)
Mackler's triad is the classic presentation of Boerhaave syndrome.
During sedation monitoring, the capnography waveform becomes flat. What does this indicate?
Answer: Apnea — the patient has stopped breathing
A flat capnography waveform indicates apnea requiring immediate intervention.
A patient develops acute cholangitis after failed ERCP. What is the management priority?
Answer: Urgent biliary drainage with IV antibiotics
Acute cholangitis requires urgent biliary drainage combined with IV antibiotics.
What is the most effective pharmacologic measure to prevent post-ERCP pancreatitis?
Answer: Rectal indomethacin 100 mg
Rectal indomethacin 100 mg is the gold standard pharmacologic PEP prophylaxis.
An endoscope was used without completing the full reprocessing cycle. What steps should be taken?
Answer: Remove from service, notify patient and infection control, initiate risk assessment, file incident report
An incompletely reprocessed endoscope requires immediate removal from service, patient notification, infection control involvement, and incident reporting.