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
