Flashcards in GI Deck (81)
Mouth- teeth, tongue, salivary glands
Esophagus- 10' carry food to stomach
Stomach- located in ULQ(LUQ) food turn to liquid called chyme, pyloric sphincter keep food from backing into esophagus
Small intestine- 3 parts, duodenum, jejunum,ilium
Large intestine- ascending, transverse, descending illeoCecal valve keeps food from backing into small intestine
Inspect- assess contour while pt. Laying supine
Auscultate-listen for bowel sounds 1 full min every quadrant UR, UL, LL,LR
Palpate-assess for destention and tenderness measure abdominal girth
Percussion- produces sound of organs performed by MD or advance nurse
Assess stole specimen
Check for blood, T.A.C.O
12-16/38-46 for women
Cancer marker, antigen determines cancer
Stool sample is collected 3 different times check for hidden blood
Blue color =positive using guaic test
Check for blood in stool
Ova & parasite
OMP, stool checked for intestinal infection. Bring to lab within 30 min of collecting for testing
Check for fat in stool, collect stool for 3 days
X ray K U B
Kidney urethra and bladder..flat plate of abdomen
Upper GI series
Looks at esophagus into jejunum. Check for iodine or shellfish allergies. Swallow barium. Detects strictures, ulcers, tumors. Have to give a laxative after. Stool may be clay colored for 3 days
Lower GI series
Visualize position, movement of filling in colon. Given go-Lytely. Check for return of gag reflexes
3 demential view of the abdominal structure. NPO prior to procedure. Check for iodine and shellfish allergies.
Viewing of oral cavity
View of the stomach, esophagus, and duodenum for inflammation cancer and bleeding. Place pt. On left side to prevent aspirations, check vs. NPO and check for fever, bleeding and pain.
Visualize sigmoid, rectum and anal canal for ulcer, punctures, lacerations, tumors and polyps. Give laxative night before. After position place in supine position to prevent orthostatic hypertension.
Looks at large intestine. Encourage pt to take deep breath, position on left side, with knees up. Monitor for hemorrhage or severe pain, vasovagil response.
Watch for below b/p
Measure secretions in stomach for duodenal ulcers cancer obstruction and pernicious
Basal cell secretion
Acid from stomach check ph and amount. NG tube in inserted in stomach, and hooked to a suction every 15min for 1 hour.. (4x)
Gastric acid stimulation
Measure gastric acid for 1 hour after SQ histamine is given
Performed via endoscope using sound waves to detect tumors
Magnetic resonance imaging (MRI)
Non invasive test to visualize everything. Contraindicated in obese, pt. Claustrophobic, pace maker, orthopedic hardware, internal metal, all Jewelry and medication patch with metal must be removed. Procedure takes 90 min. May heard loud clinging sounds but ear phones may be used.
Inflammation of the mouth. S/S pain burning ulcer bleeding gums bad odor.
Treatment- good oral hygiene, topical med, antibiotics,
Mild fungal infection( thrush). Treat with nystatin swish and swallow
Tortuous dilated veins in lower esophagus caused by portal hypertension. Treatment is sciorosing, placement of sengitation- Blackmore tube for tamponade. Keep scissors bed side in case gastric ballon dislodge.
Protrusion of a portion of the stomach through the diaphragm and into thorax. Possible causes, ascites, turn yellow, pregnancy.
S/S heart burn, difficulty swallowing, dysphasia. Treatment include anatacid, elevate bed for 1hr. Avoid caffeine, smoking, constricted clothing
Cancer of oral cavity
Occur anywhere in mouth or throat. S/S difficulty swallowing, chewing, experience hoarseness or cough, swollen cervical lymph nodes, filling of fullness, pain after eating
Cancer of the esophagus
Malignant tumors of the esophagus. Risk factors smoking, alcohol, poor oral hygiene,spicy food.