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Med Surg 1 > Gastric Duodenal Ulcers > Flashcards

Gastric Duodenal Ulcers Flashcards

1
Q

gastritis

A

inflammation of the gastric mucosa

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2
Q

can gastritis be acute or chronic

A

both

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3
Q

acute gastritis
- onset

A

rapid

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4
Q

acute gastritis
- example

A

over consumption of alcohol

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5
Q

chronic gastritis
- example

A

H pylori

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6
Q

is acute gastritis always need meds

A

no most times it is self limiting and can heal in 2 days

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7
Q

gastritis
- non erosive cause

A

helicobacter pylori

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8
Q

gastritis
- erosive cause

A

NSAIDS/ ASA/ Steroids
alcohol
radiation therapy

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9
Q

erosive

A

ulcerative
bleeding
eating away

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10
Q

how do NSAIDS cause erosion

A

inhibits production of mucosa

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11
Q

gastritis
- manifesations

A

abdominal discomfort
dyspepsia
N/V
anorexia (way the body to heal itself)
fatigue (from anemia, chronic)

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12
Q

erosive may casue

A

bleeding

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13
Q

bleeding in vomit apperence

A

coffee ground (old)

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14
Q

bleeding in stool old/upper GI

A

black/tarry

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15
Q

bleeding in stool new/lower Gi

A

bright red

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16
Q

gastritis care is

A

supportive

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17
Q

before EGD we would do what and why

A

CBC
- noninvasive/inexpensive way to see if bleeding

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18
Q

would we give these patients NSAID or aspirin

A

NO

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19
Q

preparation for EGD

A

NPO
lidocaine spray
conscious sedation

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20
Q

if we are prepping for EGD and it is an emergency and no time to become NPO what do we do

A

NG tube, check by pulling back and then low intermittent suction

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21
Q

if we chose to start the NG on low intermittent suction just by a pull back, would we administer meds or fluids through this

A

no, we would wait until X RAY to put things down the NG tube

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22
Q

if H pylori is noticed what would our pharm treatment be

A

PPI and 2 antibiotics for 10-14 days

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23
Q

gastritis IV fluids

A

isotonic

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24
Q

gastritis meds

A

antacids
H2 blockers
PPI

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25
Q

chronic gastritis might need what vitamin

A

B12

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26
Q

chronic gastritis diet changes

A

no spicy foods

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27
Q

gastritis labs

A

CBC (bleeding)
type/screen/cross
INR/PT/PTT (clotting)

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28
Q

1 unit of blood is how many mL

A

350

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29
Q

what would we assess for fluid overload or depletion

A

mucous membranes
urine output
pulses
JVD
turgor
mental status

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30
Q

what would we assess for for bleeding

A

decrease BP
urine output
increase HR RR
hemoglobin
mental status
anxiety

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31
Q

what else should we know besides bleeding

A

estimate the quantity of loss
and color

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32
Q

peptic ulcer disease is more common where

A

duodenum

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33
Q

peptic ulcer definition

A

excavation (hallowed out area) that forms in the mucosal wall of the stomach

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34
Q

peptic ulcer causes

A

H pylori
NSAID
ASA
excess secretion of HCL
Type O blood
chronic kidney/lung disease
older adults

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35
Q

stress ulcer occurs after

A

acute medical crisis or trauma
- head injury
- major surgery
- burns
- respiratory failure
- shock
- sepsis

36
Q

what is key with stress ulcers

A

prevention

37
Q

gastric ulcer
- weight

A

loss

38
Q

gastric ulcer
- burning location

A

left epigastric area

39
Q

gastric ulcer
- food related to pain

A

food aggravates pain

40
Q

gastric ulcer
- pain at hour of sleep

A

no pain

41
Q

duodenal ulcers
- pain at hour of sleep

A

epigastric pain at hour of sleep

42
Q

duodenal ulcers
- pain type and location

A

burning, cramping, mid epigastric area

43
Q

duodenal ulcers
- food and pain

A

food decreases pain but it will flare up 2-4 hours after eating

44
Q

duodenal ulcers
- weight

A

gain

45
Q

duodenal ulcers
- N/V?

A

yes

46
Q

stress/ drug induced ulcers

A

asymptomatic

47
Q

what is the main thing we use to diagnosis

A

EGD

48
Q

when can a patient eat after a EGD

A

positive cough and gag, able to eat

49
Q

abdominal films are used for

A

ruling out peritonitis

50
Q

H pylori is diagnosed by

A

breath test or serum antibodies

51
Q

PUD goals

A

pain relief

52
Q

how do PUD get pain relief

A

change diet

53
Q

PUD new diet rules

A

avoid coffee, caffeine, stop smoking

54
Q

PUD meal regimen

A

small frequent meals

55
Q

meds for PUD

A

H2 blockers
PPi

56
Q

H pylori med regimen

A

10-14 days of triple therapy
- PPI and 2 antibiotics

57
Q

what is a PUD complication

A

hemorrhage
- erosin through blood vessel

58
Q

how will bleeding look like

A

hematemesis
melena
coffee grounds

59
Q

lab values for bleeding

A

CBC
INR/PT/PTT
type screen and cross (urgent bc it takes 45 mins to get results

60
Q

if there is hemorrhage what do you want for IV

A

2 large bore

61
Q

if someone is bleeding what might we give them

A

isotonic solutions
PRBC
platlets
fresh frozen plasma

62
Q

what should we monitor if we think bleeding is happening

A

H and H and coagulants

63
Q

what should we stop if we think bleeding is happening

A

stop meds that contribute
- ASA, heparin, warfarin

64
Q

what might we do for gastric bleeding after we administer an NG tube

A

gastric lavage

65
Q

why would we do a gastric lavage with room temp or ice water

A

vasoconstrict blood vessels

66
Q

hemorrhage HOB

A

head of the bed is up to decrease aspiration

67
Q

PUD complications

A

perforation
penetration

68
Q

perforation

A

erosion through the ulcer directly into peritoneum

69
Q

penetration

A

erosion through the gastric serosa into adjacent structures

70
Q

what are both perforation and penetration

A

abdominal catastrophes and require immediate surgery

71
Q

perforation and penetration
- slow or fast onset of pain

A

acute/fast onset of pain

72
Q

perforation and penetration
- where is the pain location in the abdominal

A

upper

73
Q

perforation and penetration
- tender or nontender

A

tender

74
Q

perforation and penetration
- rigid or not rigid

A

rigid

75
Q

perforation and penetration
- will the patient be protecting

A

yes

76
Q

perforation and penetration
- other signs and symptoms

A

N/V/D/C

77
Q

perforation and penetration
- bowel sounds

A

initial hyperactive and then hypoactive and then absent
- the reason the bowels slow is to minimize bacteria spread

78
Q

perforation and penetration
- late signs

A

hypotension
tachycardia
shock

79
Q

perforation and penetration
- distention or flat

A

distention

80
Q

perforation and penetration
- fever or no fever

A

fever
* elderly might not have a fever

81
Q

perforation and penetration
- treatment

A

antibiotics

82
Q

gastric cancer
- signs and symptoms

A

few symptoms in early stages

83
Q

gastric cancer
- pain

A

relieved by antacids

84
Q

gastric cancer
- worst case surgical management

A

total gastrectomy
radical partial gastrectomy

85
Q

gastric cancer
- gastrectomy issues

A

absorption of vitamins and minerals

Med Surg 1 (47 decks)

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