Flashcards in Adult Health - Module 9 Deck (46)
Lack of Peristalsis
Absent bowel sounds for 5 minutes in each quadrant
Sunken abdomen indicates
Rebound tenderness indicates
RUQ pain indicates
Upper middle pain indicates
RLQ pain indicates
LLQ pain indicates
CMP (Complete metabolic panel)
Complete metabolic panel. Check K+, Na+, Mg+, BUN, Creatinine.
AST, ALT, alkaline phosphatase
Normal lab values for Liver Enzymes
AST: 0-35 units/L
ALT: 4-36 units/L
ALP: 30-120 units/L
Normal lab values for Pancreatic Enzymes
Amylase: 6.6-35.2 units/kg
Lipase: 0-160 units/L
Stool culture purpose
Assess blood, mucus, WBC, or parasites in feces.
Which disease is diagnosed with stool sample?
Upper GI diagnostic tests
Fluoroscopy and X-ray.
Interventions: Contrast Medium and patient should be NPO for 8 hours. Educate that stool may be white for 72 hours
Lower GI diagnostic tests
Fluoroscopy of colon and X-ray to find polyps, tumors, and lesions.
Interventions: Uses Contrast medium and administer laxatives/Barium enemas to clear the bowels. Elderly/Immobile do not tolerate this type of test well.
Identify size/configuration of organs, gallstones, and appendicitis.
Interventions: NPO for eight hours
Combo of X-ray machines/diff depth exposure.
Interventions: Iodine sensitivity and educate patient that contrast will make them warm and feel like they peed their pants.
Noninvasive and uses radiofrequency and magnetic waves to detect metastasis, bleeding, and distinguish tumors.
Interventions: SCREEN FOR METAL. obtain screening form
EGD/Colonoscopy. Patients receive MAC
Gives direct visualization of Esophagus Gastrium Duodenum (EGD).
Interventions: Signed consent, educate about anesthetic in throat/sedation to insert scope. After procedure, NPO until gag reflex returns and check vitals (sudden spike of temp indicates perforation which is LIFE THREATENING)
Direct visualization of the colon.
Interventions: Laxatives/enemas, NPO, and educate about sedation with scope inserted in rectum. After procedure, Check rectal bleeding, perforation, and vitals.
Peptic ulcer disease. Erosion of the mucosal surface and 80% are duodenal.
H. Pyloria and NSAIDs-induced injury
Anxiety, tenderness, pain, N/V and possible bleeding
Endoscopy. CBC, Liver enzymes (amylase), stool studies
DO NOT TAKE ASPIRIN/NSAIDS
Analgesics, H2 receptors, Antacids, Sulcralfate (short term use to protect stomach lining), and antibiotics (ONLY if caused by H. pylori)