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Flashcards in Gastrointestinal 2 Deck (269)
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1

Discomfort in epigastric & back of throat with conscious desire to vomit

Nausea

2

Powerful ejection of gastric contents through mouth

Vomiting

3

N&V related to a disease

Pathogenic

4

N&V stemming from a disease treatment
Ex. Chemo

iatrogenic

5

N&V resulting from psychological state

psychogenic

6

vomiting is caused by what?

the stimulation the chemo-receptor trigger which stimulates the vomiting center in the medulla by some type of stimulus

7

vomiting can cause what kind of imbalance

metabolic alkalosis

8

diahrrea can cause what kind of imbalance

metabolic acidosis

9

what kind of nursing management should you do for a pt with N&V?

NPO until able to tolerate oral intake (once vomiting has stopped), HOB elevated to prevent aspiration, replace fluids/electrolytes, NG tube, mouth care, clean enviornment

10

what kind of electrolyte imbalance will happen with vomiting

hypokalemia

11

when is it best to give antiemetics

before vomiting starts

12

what kind of diet shuold be given to a pt with N&V

NPO, then effervescent fluids, bland foods, avoid fats

13

if a pt is post op what should you check for if your pt is vomiting

wound dehiscence

14

Rx's for N&V are?

zofran, phenergan, reglan, CNS depressents

15

Reglan Rx does what

increases gastric emptying

16

Zofran and phenergan Rx does what

given to prevent nausea

17

inflammation in gastric mucosa

gastritis

18

hematoemesis

blood in vomit

19

how is gastritis diagnosed

H. Pylori testing & EGD

20

S/Sx of gastritis

malaise, N&V, hematemesis, epigastric pain, dyspepsia

21

recurrent inflammation of gastric mucosa, chief & parietal cells malfunction & disappear

chronic gastritis

22

what is associated with gastric cancer

chronic gastritis

23

S/Sx of chronic gastritis

N&V, indigestion, epigastric pain not relieved with antacids

24

Tx for chronic gastritis

avoid irritants, bland diet, B12 injections for pernicious anemia

25

if you have bright red blood in vomit it is from what

arterial

26

if you have slower oozing, dark emesis it is from what

venous or capillary

27

melena

tarry stools, slow bleeding from UGI

28

how long after the bleeding stops can you have blood in your stools

2-3 days

29

hematochezia

bright red blood in stool

30

how long after bleeding stops can you have a positive quiac test

8 days