Misc. From Review Flashcards

1
Q

What medications should be avoided for GERD/PUD?

A

steroids or NSAIDs

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2
Q

What is key for bacterial diarrhea?

A

hydration

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3
Q

GERD vs PUD Evaluation

A
  • GERD: subjective data

- PUD: scope, H. pylori test

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4
Q

Things that make IBDs worse

A
  • stress
  • dairy
  • uncooked raw food

Eat small nutritious meals, supplements

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5
Q

Important notes about obesity

A
  • empty calories

- sick easily and poor healing

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6
Q

What should be avoided in IBDs?

A
invasive procedures (rectal enemas)
-high risk of perforations
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7
Q

IBDs Interventions

A
  • dietary teaching
  • watch for: weight loss and signs of malnourishment/dehydration
  • stool studies
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8
Q

What is a major difference between IBS and IBD?

A

IBS can be medicated

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9
Q

Murphy’s sign

A

sign of acute cholecystitis

-if pain occurs on inhalation = positive

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10
Q

How to fix kinked or clogged NG tube?

A

gently aspirate the tube and remove the blockage

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11
Q

Notify HCP when patient has:

A
  • 10/10 abdominal pain
  • hypoactive BS
  • rigid abdomen
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12
Q

Pancreas Signs

A
  • Grey-Turner (flank)

- Cullen (navel)

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13
Q

Cirrhosis Important points

A
  • from Hep B & C
  • discourage alcohol, Tylenol, fatty diets
  • complications: hypoglycemia, bleeding easily, ascites, bloating, encephalopathy
  • diagnosed by biopsy
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14
Q

Liver Function Tests

A
  • ALT
  • AST
  • Bilirubin
  • Ammonia
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15
Q

What is the number one risk of liver biopsy?

A

bleeding

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16
Q

Cholecystitis Risk Factors

A
  • fair
  • fat
  • forty
  • female
  • fatty meals
17
Q

Pancreatitis

A
  • hypo/hyperglycemia (coma)
  • made worse after eating/drinking
  • shock, peritonitis, bleeding
  • tests: amylase & lipase
18
Q

RA

A
  • pain better with movement
  • attacks ends of bones
  • swan neck and boutonniere
  • T: immunosuppressants
  • I: frequents breaks, hot morning shower, gentle stretching
19
Q

OA

A
  • worse with activity
  • no systemic manifestations
  • pain relieved with heat/ice, aspirin/aleve
  • Herberen’s and Bouchard’s nodes
  • less weight bearing activity
20
Q

Fractures

A

-priority: blood flow (distal pulses)

21
Q

Osteomyelitis

A
  • bacteria in bone
  • pain, systemic manifestations
  • long term antibiotics
22
Q

Osteoporosis

A

weak bones due to increased osteoclast activity

  • normal aging process
  • accelerated in women due to menopause
  • height loss
23
Q

Paget’s

A

same as osteoporosis

-autoimmune disease

24
Q

Osteoporosis/Malacia/Paget’s Interventions

A
  • calcium/Vitamin D supplements

- weight bearing exercises