Ch. 29 Disorders of GI Function Flashcards Preview

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Flashcards in Ch. 29 Disorders of GI Function Deck (66)
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1

What are the most common GI congenital abnormalities?

Esophageal atresia and TEF

2

What are manifestations of Esophageal atresia and TEF?

-Frothing and bubbling at the mouth
-Episodes of coughing
-Cyanosis
-Respiratory Distress

3

What are interventions for Esophageal atresia and TEF?

-NPO
-Surgery
-Temporary goal with G-tube

4

Difficulty swallowing is called what?

Dysphagia

5

What are manifestations of dysphagia?

-Choking
-Coughing

6

What are interventions for dysphagia?

-Involve multidisciplinary team
-Mechanical dilation/surgery

7

What are longitudinal tears in the esophagus at the esophogastric junction called?

Tears- Mallory Weiss Syndrome

8

Mallory Weiss Syndrome is caused by what?

Chronic Alcoholism after severe retching/vomiting

9

What are manifestations of Mallory Weiss Syndrome?

-Abdominal Pain
-GI bleeding (large amount at a time)

10

A protrusion or herniation of the stomach through the esophageal hiatus of the diaphragm is called what?

Hiatal Hernia ("annoying")

11

How are hiatal hernias treated?

Medication or surgery

12

What are manifestations of GERD?

-Heartburn
-Chest pain
-Belching

13

What should be done when eating as an intervention for GERD?

-Eat small meals
-Sit up after eating
-Avoid fatty foods

14

Is losing weight an intervention for GERD?

Yes

15

What medication interventions can help with GERD?

-Antacids
-Histamine 2 receptor blocking antagonists
-Proton pump inhibitors

16

What are complications of GERD?

-Persistant reflux
-Barrett's esophagus

17

A self-limiting disorder that causes inflammation of the gastric mucosa is what?

Gastritis

18

What are the causes of gastritis?

-NSAIDs
-Alcohol
-Bacterial Toxins
-H. Pylori

19

What are manifestations of gastritis?

-Asymptomatic
-Nausea
-Abdominal Pain

20

What are gastritis interventions?

-Antacids
-Antibiotics (H. pylori)
-Proton pump inhibitors

21

Helicobacter pylori gastritis has a prevalence in more than 50% of American adults older than 50 years and is believed to be caused by a previous infection when the patient was younger. What can H.pylori cause?

Gastric atrophy

22

What does PUD stand for?

Peptic Ulcer Disease

23

What are the most common forms of PUD?

-Duodenal and gastic ulcers

24

What risk factors are there for developing PUD?

-H. pylori
-Use of aspirin

25

What are the manifestations of PUD?

-**Pain in relieved by food or antacids
-Burning, gnawing, and cramp like pain when stomach is empty

26

What are interventions for PUD?

-Antacids
-H2 receptor antagonists
-Proton pump inhibitors
-Avoid ASA and NSAIDs

27

The nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment finding would most likely indicate perforation of the ulcer?

A rigid, board like abdomen

28

Persistent and recurrent symptoms of abdominal pain, altered bowel function are signs of what?

IBS

29

What is the hallmark sign of IBS?

Abdominal pain relieved by defecation

30

Besides the hallmark sign, what are other manifestations of IBS?

-Flatulence
-Bloating
-Nausea
-Anorexia
-Constipation or diarrhea