GI

Question 1

Medication route that should be avoided for Acute Pancreatitis

Answer 1

PO…will cause further pancreatic secretions…IV pain meds should be used

Question 2

Mucus or blood in stool

Answer 2

IBS

Question 3

Desirable pH of stomach to reduce stress ulcer risk

Answer 3

3.5-5

Hydrochloric acid has pH 1-3

Question 4

Gastrin

Answer 4

Hormone that stimulates secretion of hydrochloric acid

Question 5

Necessary for absorption of fat soluble vitamins

Answer 5

Bile

Question 6

Fat soluble vitamins

Answer 6

A, D, E, K

Question 7

Necessary for absorption of Calcium

Answer 7

Vit D

Question 8

Specific description of peritoneal irritation

Answer 8

Lying still with knees flexed
Often seen with acute appendicitis/Bowel perf

Question 9

Length of time it takes to evealuate transfusion of PRBCs effect on HGB

Answer 9

6hrs
Immediate draw after transfusion is just to see if they’re still bleeding

Question 10

0-750cc Blood Loss

Answer 10

Class I
HR<100
BP unchanged
RR 14-20
UOP >30
Restless

Question 11

750-1500cc blood loss

Answer 11

Class II
HR>100
BP unchanged, decreased pulse pressure
RR 20-30
UOP 20-30
Anxious

Question 12

1500-2000cc blood loss

Answer 12

Class III
30-40% loss
HR>120
BP Reduced
RR 30-40
UOP 5-15
Anxious/comfused

Question 13

> 2000cc blood loss

Answer 13

Class IV
>40% loss
HR>140
BP reduced
RR >40
UOP anuric
Confused/lethargic

Question 14

Dietary component that should be restricted with hepatic encephalopathy

Answer 14

Protein…but only in encephalopathy
High protein and Calories im the diet are important with liver disease otherwise

Also Na due to increase in circulating aldosterone which can’t be broken down by liver

Question 15

Screening test for ABD trauma to

Answer 15

FAST
Can accurately predict need for laparotomy

Question 16

Chvostek sign

Answer 16

Hypocalcemia or hypomagnesemia
Twitch of facial muscle when tapping on cheek

Question 17

Trousseau Sign

Answer 17

HypoCa or HypoMg
Spasm of hand/wrist when assessing NIBP

Question 18

Transducer level for intra ABD pressure

Answer 18

Symphysis pubis

Question 19

Kehr Sign

Answer 19

Referred left shoulder pain from splenic rupture
Cullen sign can also be seen with splenic rupture

Question 20

Cullen sign

Answer 20

Bluish tint around umbilicus indicating intraperitoneal bleed

Question 21

Areflexia

Answer 21

Muscles don’t respond to stimuli

Question 22

Pancreatitis pain

Answer 22

Epigastric pain boring through to the back

Question 23

Increase in ABD girth of 1in equals ? cc blood accumulation

Answer 23

500-1L

Question 24

Diagnostic studies acute pancreatitis

Answer 24

HypoCa
Decreased albumin
Increased amylase and lipase

Question 25

Ways to decrease ammonia

Answer 25

Lactulose
Adequate calories p
Rifaxamin(decreases bacteria in gut that breakdown nitrogenous waste into ammonia)