Flashcards in Nutrition & Elimination (Gas#9&10) Deck (107)
Major enzymes & secretions in the mouth
saliva, salivary amylase
Major enzymes & secretions in the stomach
Hydrochloric acid, pepsin, intrinsic factor
Major enzymes & secretions in the small intestine
Amylase, Lipase, Trypsin
When assessing eating habits of a pt, how many hours do you refer to?
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
What can you see when doing an endocopy?
esophagus, stomach, duodenum
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
Do you have to be NPO for an Endoscopy?
Yes 8-12 hrs
Post procedure Endoscopy
No eating/drinking until gag reflex returns, vs, observe for signs of perforation, expect belching, asses LOC
Signs of perforation after an Endoscopy
bleeding, elevated temp, pain, dyspnea, subcutaneous emphysema
What does an upper GI series show?
tumors, hernias, ulcers, diverticula in the esophagus, esophagus varices, strictures, rate of peristalsis
What kind of contrast media is used with an upper GI series?
why is a laxative & fluids given after a upper GI series?
to remove barium which can cause an obstruction
pre procedure upper GI series
low residual diet 2-3 days prior, NPO & no smoking 8-12 hrs prior, can take 1-2 hrs
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
When does a cleft lip usually occur?
2nd month in embryonic development
where does a cleft palate open into?
the nasal passage
when would you asses a cleft palate
with a gloved finger before first feeding
what problems do babies have with a cleft palate?
difficulty maintaining suction & swallowing
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
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
nipple selection for baby with cleft lip/cleft palate
easily compressed nipples (orthodontic, preemie, newborn nipples, haberman feeder, rechet feeder
bottle selection for baby with cleft lip/cleft palate
bottle can be squeezed
when would a cleft lip be repaired?
when would a soft cleft palate be repaired?
when would a hard cleft palate be repaired?
12-18 months; before speech affected
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!!
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
Biggest risk factor for CA?
tobacco & alcohol