GI quiz 2 Flashcards

(43 cards)

1
Q

gastritis, gastrectomy, and gastric bypass all place a patient at risk for a deficiency in which nutrient

A

Vitamin B12

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2
Q

what is the complication from these surgeries above when food goes too quickly into the small intestine

A

Dumping syndrome`

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3
Q

what are symptoms of dumping syndrome

A

confusion, anemia symptoms (pernicious- no intrinsic factor)

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4
Q

what are ways to avoid this from happening

A

small meals, eat slowly, no water, lie down after meals, decrease carbs, increase protein

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5
Q

what are treatments for gastritis

A

bland diet, antacid, PPI, antiemetics

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6
Q

what are some teaching tips for a patient with a hiatal hernia

A

small meals, antacids, avoid bedtime snacks, spicy foods, smoking, caffeine, alcohol, elevate head of bed

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7
Q

why is vomiting especially dangerous to younger children

A

aspiration

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8
Q

what are symptoms of gastric cancer

A

abdominal pain, N/V, anorexia, hematemesis, belchinig, tender abdomen

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9
Q

if a patient has a radical neck dissection surgery what are some main post op concerns

A

airway management, nutrition, body image

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10
Q

what are some safety precautions when taking care of a client with a tube feed

A

semifowlers at all times

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11
Q

what is the most common cause of peptic ulcers

A

bacterium H. pylori

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12
Q

what are treatments fo ulcers

A

antibiotics, antacids, H2 receptor blockers, antiemetics bland diet

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13
Q

what is the most definitive way of diagnosing cancer and how is this usually done in the GI tract

A

biopsy -oscopy

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14
Q

what are common causes of esophageal cancer

A

irritation from tobacco and alcohol

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15
Q

what types of medications cannot be given through a tube feed

A

enteric coated - extended release

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16
Q

when checking residual of a tube feed how much is too much and the next feeding would be held and the Dr notified

A

100 mL or more

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17
Q

why is it important to do this2

A

not digesting tube feed - so don’t give more

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18
Q

bright blood in vomit

19
Q

dark blood in vomit

A

coffee grounds

20
Q

bright blood in stool

21
Q

dark blood in stool

22
Q

what are some treatments for constipation

A

fluids, fiber, stool softeners

23
Q

what are some symptoms of appendicitis

A

extreme pain, fever, guarding RLQ, increased wBC

24
Q

what are symptoms of peritonitis

A

RIGID ABDOMEN, pain, rebound tenderness, decreased peristalsis

25
what are symptoms of IBS
gas, bloating, constipation, depression, palpitations, diarrhea
26
what are treatments of IBS
increase fiber, small frequent meals, stress management, antidepressant, antispasmodics
27
when taking a corticosteroid what are some concerns
teach patient not to cold turkey it
28
what is a bulk forming laxative
absorb water - more fecal mass - slow action - magnesium sulfate, metamucil, methycellulose
29
what is a stimulant laxative
irritate bowel to increase peristalsis - cause cramping depletes fluid and electrolytes - senna , bisacodyl , castor oil
30
how does mineral oil work
lubricates stool - no absorption
31
what do NSAIDS do to the stomach lining
blocks prostaglandins - decrease the mucus lining of the stomach and could result in stomach ulcers.
32
what is the main problem when a large part of the small intestine is removed
can't absorb nutrients
33
what is needed from the stomach to absorb vitamin B12
intrinsic factor
34
what is the main post op concern with a liver biopsy
bleeding
35
why should antacids and laxatives be given separately from other meds
inhibits the absorption of other meds
36
what are symptoms of chron's disease
weight loss, fatigue, fever - caucasian, jewish, smoker
37
H2 receptor antagonist
ranitidine, famotidine, cimetidine, - decreases acid
38
proton pump inhibitor
omeprazole, pantoprazole, - blocks what produces HCL
39
antacids
tums, milk of magnesia, mylanta
40
emetics
syrup of ipecac, charcoal
41
anti-emetics
dexamethasone, promethazine, onodansetron
42
anti-diarrheal
bismuth subsalicylate(pepto bismol), loperamide
43
laxative
stimulant: bisacodyl, castor oil, senna | Bulk forming: psyllium mucilloid, methylcellulose, calcium polycarbophil