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NCLEX > Gastrointestinal > Flashcards

Flashcards in Gastrointestinal Deck (12):
1

upper GI what do we want to look at

esophagus and stomach

2

upper GI do we use dye

yes

3

upper GI no

smoking

4

Pancreatitis sx:

high lipase, amylase, blood sugar, bili, WBC, hb ht if dehydrated, AST, ALT, PT, PTT pain, grey turner, cullen, ascites, board like abdomen, mass, jaundice, novo, hypoTA

5

Pancreatitis trx:

diminish gastric secretions: NPO, NGT suction, aitch to dry up, steroids, maintains E+ and nut, insulin, bedrest, demerol, antacids

6

Cirrhosis sx:

ascites, splenomegaly, change in bowel habits, AST and ALT high, pain, large firm nodular liver, anemia, albumin low, chronic dyspepsia

7

Cirrhosis trx:

vit, diuretics, antacids, I\O, abdo girth, daily wights, low prot, low Na, prevent bleeding: no IM, no aspirin, monitor jaundice (sclera), no narcotics, rest

8

Hepatic coma trx:

not too much protein, neomycin sulfate, lactulose, cleansing enema (get rid of blood)

9

Bleeding esophageal varices increases BP in

liver= collateral circulation forms. 3 places: stomach, esophagus, rectum

10

Trx esophageal varices

replace bled, SV, CVP, O2, Sandostatin (decreases BP in liver), blakemore tube (holds pressure on bleeding varice), mg sulfate to get rid of blood, neomycin, saline lavage (get blood out of stomach)

11

Trx peptic ulcer

antacids (stomach empty, at bedtime), proton pump inhibitors, antibiotics for h pylori, carafate

12

central line: if air gets in

turn on left side