Nutrition & Elimination (Gas#9&10) Flashcards Preview

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Flashcards in Nutrition & Elimination (Gas#9&10) Deck (107)
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1

Major enzymes & secretions in the mouth

saliva, salivary amylase

2

Major enzymes & secretions in the stomach

Hydrochloric acid, pepsin, intrinsic factor

3

Major enzymes & secretions in the small intestine

Amylase, Lipase, Trypsin

4

When assessing eating habits of a pt, how many hours do you refer to?

72 hours

5

When do you want to use a Guaiac test?

use this test for increased risk of stress ulcer, it detects the presence of fecal occult blood

6

What can you see when doing an endocopy?

esophagus, stomach, duodenum

7

Preparation for Endoscopy

sign consent, take out dentures, glasses, jewelry, NPO 8-12 hrs, throat spray, maybe IV conscious sedation, maybe narcotic analgesic, not scheduled after drinking barium for a min of 2 days

8

Do you have to be NPO for an Endoscopy?

Yes 8-12 hrs

9

Post procedure Endoscopy

No eating/drinking until gag reflex returns, vs, observe for signs of perforation, expect belching, asses LOC

10

Signs of perforation after an Endoscopy

bleeding, elevated temp, pain, dyspnea, subcutaneous emphysema

11

What does an upper GI series show?

tumors, hernias, ulcers, diverticula in the esophagus, esophagus varices, strictures, rate of peristalsis

12

What kind of contrast media is used with an upper GI series?

barium, air

13

why is a laxative & fluids given after a upper GI series?

to remove barium which can cause an obstruction

14

pre procedure upper GI series

low residual diet 2-3 days prior, NPO & no smoking 8-12 hrs prior, can take 1-2 hrs

15

Do you expect & not expect after an upper GI series

you expect light (grayish) stools for several days & if there is no BM in 2-3 days, call DR b/c that could mean the barium has caused an impaction

16

When does a cleft lip usually occur?

2nd month in embryonic development

17

where does a cleft palate open into?

the nasal passage

18

when would you asses a cleft palate

with a gloved finger before first feeding

19

what problems do babies have with a cleft palate?

difficulty maintaining suction & swallowing

20

Feeding instructions for parents with a baby with cleft lip/cleft palate

small frequent feedings, there will be a choking noise, burp often(after q ounce) because they swallow more air, don't feed longer than 45 minutes

21

Hygiene instructions for parents with a baby with cleft lip/cleft palate

give h20 after eating, use bulb syringe to remove formula from mouth, DO NOT PLACE ON ABDOMEN

22

nipple selection for baby with cleft lip/cleft palate

easily compressed nipples (orthodontic, preemie, newborn nipples, haberman feeder, rechet feeder

23

bottle selection for baby with cleft lip/cleft palate

bottle can be squeezed

24

when would a cleft lip be repaired?

2 wks-3months

25

when would a soft cleft palate be repaired?

3-6 months

26

when would a hard cleft palate be repaired?

12-18 months; before speech affected

27

Post op care for cleft lip/cleft palate repair

do NOT place on abdomen, HOB elevated to prevent aspiration, suction equip & endotracheal tube, careful feeding (place on unaffected side) guard suture line!!

28

what are parents with babies who have cleft lip/palates taught to use/o to guard suture lines?

elbow/vest restraints, logan bow or adhesive straps, minimize crying, clean suture line

29

Biggest risk factor for CA?

tobacco & alcohol

30

oral cancer manifestations

painless sore in mouth that doesn't heal, any lesion present for more than 2 wks:hard, difficulty chewing, speaking, blood tinged mucus