Exam 5 Flashcards
(48 cards)
How should a client with GERD eat meals and modify lifestyle?
- low fat diet
- small meals with fluid between
- sit upright 2-3hrs after meals
- AVOID milk and eating before bedtime
- HOB 30 degrees or heater
- weight reduction
When should meds for GERD (like -prazole) be taken concerning meals?
Take BEFORE meals
Barrett’s esophagus is a complication of GERD. Some more examples are….
Teeth decay, aspiration, bleeding from strictures of blood vessels
Manifestations of hiatal hernia include…
Heartburn (pyrosis), dyspepsia, regurgitation, chest pain, respiratory symptoms
***symptoms similar to GERD
What are serious complications of hiatal hernias?
Hemorrhage, stenosis, strangulation, aspirational
**also GERD, ulcers, esophagitis
What should be monitored in clients taking PPIs for GERD or Hernias?
Monitor for hypocalcemia, hypomagnesemia, vitamin b12 deficiency, pneumonia, osteoporosis-related fractures
What food intake should you teach clients on PPIs?
Magnesium-rich foods like spinach, almonds, yogurt and avocados
A patient with arthritis that takes NSAIDs may have…
GI bleeding
What medication is taken instead of NSAIDs to avoid GI complications?
Celebrex (celecoxib)
What population is more at risk for PUD?
Older clients that are taking NSAIDs (may be asymptomatic)
What is a good treatment option for patients struggling with nutrition due to ulcers?
Sucralfate
-give 1-2 hrs before or after antacid
-coats lining
This complication of ulcers is a medical emergency…
Perforation
What is the main symptom of peritonitis?
Rigid abdomen
What should patients with ulcers monitor at home?
Blood in stool, change in stool appearance
What are the predisposing factors of stomach cancer?
- SMOKED FOODS, salted fish and meat, pickled vegetables
- H.pylori infection
How is dumping syndrome prevented?
Rest after eating!!! Also, increase fluid
If a patient had a GI surgery and is using an NG tube, what should you never do if the tube is misplaced?
NEVER reinsert or reposition
*you can irrigate
What is the main concern in C.diff patients?
Infection control precautions, preventing spread
*second is fluid volume loss
What is a risk of taking alosetron for IBS?
Ischemic colitis
Manifestations of Crohn’s disease (and ulcerative colitis) include….
Diarrhea, cramping
Weight loss
Abdominal pain
Fever
Fatigue
Some rectal bleeding
What is the key difference in symptoms of Ulcerative colitis and Crohn’s disease?
Bloody diarrhea in ulcerative colitis
What complications can be seen in both ulcerative colitis and Crohn’s disease clients?
Hemorrhage
Abscess and fistulas
Toxic megacolon (common in UC)
What complication is more seen from Crohn’s disease?
Small bowel obstruction
What tests are used to tell of inflammation in the body?
Erythrocyte sedimentation rate and C-reactive protein
