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Pelicano > Pelicano Module 4 Digestive > Flashcards

Pelicano Module 4 Digestive Flashcards

1
Q

A complication after gastric surgery that is RAPID GASTRIC EMPTYING causing distention of duodenum & jejunum

A

Dumping Syndrome

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2
Q

Define Gastrectomy

A

Removal of the stomach, most of the time they do not remove all of the stomach

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3
Q

What are the two s&s of Dumping Syndrome

A

Epigastric Pain

Explosive Diarrhea

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4
Q

Nursing Care of Dumping Syndrome includes (5)

A

Monitor NG tube for decompression

Measure drainage and replace with IV fluids

6 small meals/day

Avoid fluid during meals

Recline for 1 hour after meals

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5
Q

When checking drainage in patients with Dumping syndrome it is important to check for ________

A

blood, coffee grounds

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6
Q

The primary purpose of the electrolyte solution called GoLytely

A

Stools become clear liquid, clean out the bowel

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7
Q

aching or gnawing pain in right epigastrium relieved by eating, however pain 2-4 hours after meals , and pain causing you to wake up are s&s of

A

Duodenal Ulcer

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8
Q

In order to make good RBCs patient needs an adequate amount of

A

Vitamin b12

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9
Q

After a gastrectomy, because the stomach is now smaller, _______ and ______ can occur

A

Diarrhea and Pain

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10
Q

What are the 3 most important things related to eating, about DUMPING SYNDROME

A

Eat small frequent meals

Lay down after meal

No fluid during meal

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11
Q

After gastric surgery patients are at high risk for ________ deficiency causing ___________. Doctor may prescribe ________

A

Vitamin b12 deficiency

Pernicious anemia

Vitamin b12 IM

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12
Q

Mets stands for

A

Metastatic disease

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13
Q

Usually an adenocarcinoma in the pyloric area; mets to the lymph nodes, liver, spleen or pancreas

A

Cancer or the stomach

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14
Q

Cancer of the stomach is caused by

A

Unknown, however pylori may be a factor

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15
Q

s&s of Cancer of the stomach includes (5)

A

asymptomatic early

epigastric discomfort

anorexia

weakness

weight loss

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16
Q

What are the 3 treatments for Cancers of the stomach

A

Gastrectomy

Chemo

Radiation

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17
Q

Best scenario for cancer of the stomach is that we ……. most times we get it confused with ……

A

Diagnose it early

confused with normal gastric distress

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18
Q

Post op Nursing interventions include (5)

A

Maintain NGT

Monitor drainage

Check bowel sounds

Start diet as ordered

Monitor nutritional status

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19
Q

Most intestinal disorders come from

A

Infections

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20
Q

Top two ways to get infections in the intestines is by

A

eating contaminated food

Fecal-oral route poor hand washing after elimination

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21
Q

3 things that produce toxins causing mucosal cells to secrete water & electrolytes

A

Clostridia

Salmonella

Shigella

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22
Q

Allowing Clostridia, Salmonella, and Shigella to get into the body causes

A

imbalance & diarrhea from mucosal cells secreting water & electrolytes

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23
Q

This results from inhibition of normal flora

A

C-difficile

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24
Q

What are the 4 main s&s of Intestinal Disorders

A

Diarrhea, cramps, fever, vomiting

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25
Q

Nursing interventions for Intestinal Disorders (5)

A

Fluid and electrolyte replacement

INTAKE AND OUTPUT

NO antidiarrheals

Give pepto bismol or Kaopectate

Contact precautions

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26
Q

IBS stands for

A

Irritable Bowel Syndrome

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27
Q

Motility disorder where CNS regulation of the motor & sensory functions of the bowel are altered

A

Irritable Bowel Syndrome

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28
Q

What are four factors that can affect intestinal motility

A

Eating , Stress, Hormones, and Drugs

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29
Q

IBS can cause sense of incomplete evacuation called

A

Tenesmus

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30
Q

s&s of IBS (5)

A

Abdominal pain and tenderness relieved by defecation

stool may have mucus

Tenesmus

Bloating and Flatulence

Alternating Constipation & Diarrhea

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31
Q

Treatment for IBS includes (4)

A

Provide Bulking agents (Fiber)

Anticholinergics

Drugs for Anxiety/Depression

Diet Management

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32
Q

After any G.I. Surgery patient will be (2) and we need to

A

NPO + NG tube

take all fluid out, then put the IV fluid in (check for bowel sounds) looking for blood in drainage (dumping syndrome)

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33
Q

Raw Clams are a big cause of Intestinal Disorder Infections because

A

They have feces in the water they are in

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34
Q

We can diagnose Infections of Intestines by

A

Sending stool for culture

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35
Q

Treatment for C-difficile includes

A

Antibiotics

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36
Q

With infections of intestinal disorders patient should be on …. precautions where nurse should have on

A

Enteric

Gown and Gloves

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37
Q

We cannot give any …… to patients with Intestinal Disorders, Infections because …….

A

Anti Diarreheals

We want stool to come out

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38
Q

Tenesmus is the

A

feeling of having to move bowels when there is nothing

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39
Q

We diagnose IBS by

A

ruling out any other diseases

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40
Q

IBS is successfully managed by

A

Having HIGH FIBER diet

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41
Q

TWO MAIN symptoms of IBS are

A

cramping and diarrhea

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42
Q

IBD stands for

A

Inflammatory Bowel Disease

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43
Q

Effects mucosa and submucosa of colon, usually extends upward from rectum, 2x more common than crohns disease

A

Ulcerative Colitis

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44
Q

Tiny abscesses form which grow & produce purulent drainage and sloughing of mucosa with ulcerations, capillaries bleed causing diarrhea containing mucous, pus and blood, Colon loses elasticity and ability to absorb

A

Ulcerative Colitis

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45
Q

In Ulcerative Colitis the stool is

A

BLOODY

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46
Q

Ulcerative Colitis means there is

A

Inflammation of the Colon that have ulcers in it

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47
Q

Ulcerative Colitis is more common in people that (4)

A

teens - 30s

Chronic disease

Women

Jewish

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48
Q

S&S of UC (5)

A

Diarrhea 15-20 day

Stool contains blood, pus, mucous

Toxic Megacolon

Anorexia

Abdominal Cramps

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49
Q

Toxic Megacolon is

A

When Colon becomes DISTENDED wall gets thin and is at risk for bursting

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50
Q

People who have been diagnosed with UC are at risk for

A

Colon Cancer

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51
Q

In UC Colon loses elasticity causing

A

Malnutrition

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52
Q

We can diagnose UC by (5)

A

Stool Specimen

CBC

Sigmoidoscopy

Colonoscopy

BE (Barium Enema) for an x-ray

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53
Q

3 medications most common for people with UC

A

Anti inflammatories

Steroids

Anti diarrheals

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54
Q

What should the diet be for someone with UC

A

Exclude Fiber, Caffeine, Spicy, Milk products,

Increase protein, Calories

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55
Q

What surgeries can be done for someone with UC (3)

A

Colon resection, ileostomy, Kock’s continent

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56
Q

In a patient with UC we want to get symptoms under control and we do that by

A

Getting patient into remission

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57
Q

In UC TWO MOST COMMON TESTS TO DIAGNOSE ARE

A

Stool culture

Sigmoidoscopy

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58
Q

If patient with UC cannot follow diet we can put them on ….. or we can put them on …… just to ……

A

TPN or we can put them on TPN to rest the bowels for a bit

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59
Q

When patient is on TPN we must monitor

A

Blood sugar levels

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60
Q

Surgery is preferred in people with UC when the ….

A

Colon becomes damaged

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61
Q

When ileostomy has been done no more …..

A

stool through anus

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62
Q

Stoma on abdomen should be ….. in color and have ……

A

Pinkish/ Reddish

Watery stool

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63
Q

Nursing interventions for UC people that have just had ileostomy include (3)

A

Prevent skin breakdown

Empty bag frequently

Keep stoma clean and dry

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64
Q

UC usually starts in

A

Sigmoid colon

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65
Q

Nursing care for people with UC include (3)

A

Check bowel elimination

Maintain hydration

Maintain diet that helps them the most

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66
Q

When Ostomy bag has bad circulation (Stoma) the color is

A

Dusky

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67
Q

Pre-op care for UC (2)

A

Bowel Prep GoLytely

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68
Q

Post-op care for UC (3)

A

Check bowel sounds

Monitor drainage

Check color of ostomy

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69
Q

Crohns disease is a (2)

A

Inflammatory Bowel Disease

Chronic Disease

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70
Q

UC is a

A

Inflammatory Bowel Disease

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71
Q

Not as common as ulcerative colitis, affects people 15-30, Autoimmune, Can occur anywhere in GI tract. Can lead to Fistulas and Fissures

A

Crohns Disease

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72
Q

abnormal tunnels that connects parts of the body

A

Fistulas

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73
Q

Cracks in body where stool can come out

A

Fissures

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74
Q

Autoimmune disease basically ATTACKING YOU OWN BILE

A

Crohns Disease

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75
Q

Main goal of patient care of Crohns disease is too

A

prevent them from getting FISTULAS

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76
Q

Crohns disease is not just in the colon it is …..

A

always in the ileum when it occurs, but can find it anywhere else in the g.i.tract

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77
Q

The ileum is located in the

A

RLQ

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78
Q

s&s of Crohns disease (4)

A

abdominal cramps
K, Na, b12 malabsorption
steatorrhea
RLQ pain

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79
Q

Excess fat in feces is called

A

Steatorrhea

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80
Q

Some Crohns disease patient can have symptoms ……. the g.i. tract

A

Outside

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81
Q

Treatment for patients with Crohn’s disease includes (4)

A

Pre-digestive foods (elemental foods)
Immunosuppressants
Folic Acid
Increased protein

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82
Q

Elemental foods are also called

A

Pre-digestive foods

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83
Q

Crohns disease patients with fistulas will have

A

IV immunosuppressants

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84
Q

Surgery for Crohn’s disease patients include (2)

A

Resection

Bypass

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85
Q

Nursing care for patients with Crohn’s disease includes (3)

A

MONITOR FLUID AND ELECTROLYTE BALANCE,
Check anal region for excoriation
give emotional support

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86
Q

Similarity of Crohn’s and UC is that they both have

A

Ulcers

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87
Q

When patient begins to vomit bright red blood after a total gastrectomy, priority action is to

A

Place patient on side

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88
Q

In patients with IBS the diet should be

A

High Fiber, low gas forming foods

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89
Q

In patients with Dumping Syndrome the diet should be

A

decreasing fluid during meals

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90
Q

Patients with UC should avoid (diet)

A

Fresh Fruit

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91
Q

Medical term for black, tarry stool

A

Melena

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92
Q

Test for stool to look for hidden blood is called the

A

Guaiac test

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93
Q

Inflammation of the appendix is called

A

Appendicitis

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94
Q

Inflammation of the appendix can lead to

A

Perforation and Peritonitis

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95
Q

Perforation is when Appendix

A

Bursts

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96
Q

Peritonitis is when Appendix

A

has a major infection

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97
Q

Appendicitis is common in

A

Males and teenagers

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98
Q

s&s of Appendicitis includes

A

Constant pain in RLQ, REBOUND TENDERNESS, anorexia, and low grade fever

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99
Q

Where is the Appendix located

A

RLQ

Very bottom of ascending colon

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100
Q

Surgery for Appendix is called

A

Appendectomy

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101
Q

When hand pressing is suddenly release and there is pain this is called

A

Rebound tenderness

102
Q

What is a huge risk factor of Appendicitis

A

Constipation

103
Q

Nursing care for Appendicitis includes (3)

A

No narcotics pre-op

ice bag for pain

NO HEAT

104
Q

We give no Narcotics pre-op because we don’t want to

A

Mask pain

105
Q

Giving heat to patient with Appendicitis can cause it to

A

rupture

106
Q

what happens to WBC count with appendicitis

A

goes up

107
Q

Inflammation of the abdominal peritoneum

A

Peritonitis

108
Q

Usually comes from feces bacterial contamination

A

Peritonitis

109
Q

S&S of Peritonitis include (5)

A

Severe abdominal pain

Board like rigidity

leukocytosis

increased pulse

decreased BP

110
Q

Treatment for Peritonitis includes (4)

A

NGT for decompression

Antibiotics x3 !!!!!

Surgery

NPO

111
Q

Nursing care for patients with Peritonitis includes (3)

A

place patient in semi-fowlers

Surgical asepsis

No heavy lifting

112
Q

Perforation or anything that bursts in your abdomen can cause

A

Peritonitis

113
Q

If Peritonitis is left untreated patient can go into

A

Septic Shock

114
Q

Better to …… Peritonitis than …….

A

Prevent than treat

115
Q

Diverticulosis is the …… while Diverticulitis is the ……..

A

Disease

Inflammation

116
Q

pouch-like herniations through the muscle layer of colon

A

Diverticulosis

117
Q

inflammation of one or more diverticula

A

Diverticulitis

118
Q

When you have Diverticulosis your main goal is to

A

prevent Diverticulitis

119
Q

Diverticulitis is usually located in

A

Descending colon

120
Q

When fecal matter enters diverticula …… occurs

A

inflammation and abscess

121
Q

Perforation and Peritonitis lead to

A

obstruction of colon

122
Q

Obstruction of colon leads to

A

hemorrhage

123
Q

Risk factor for Diverticulosis / itis (3)

A

age > 50
low fiber diet
chronic constipation

124
Q

S&S of Diverticulosis / itis (5)

A 
PAIN IN LLQ
Fever
constipation 
abdominal distention
blood in stool
125
Q

We are naturally not supposed to have _______ in the muscle layer of colon

A

pouches

126
Q

Diverticulosis / itis is MAINLY CAUSED BY

A

chronically constipated

127
Q

Any complication that is low in Diverticulosis / itis there is

A

Blood in Stool

128
Q

Treatment for Diverticulosis / itis is (3)

A

Prevent Constipation

SOFT FOOD HIGH IN FIBER
prevent gas and cramps (nuts and foods with small seeds)

Stool softeners

129
Q

If person with Diverticulosis / itis is not following up with diet plan it can lead to need for

A

Bowel Surgery

130
Q

Muscle weakness that results in a portion of the GI tract protruding through the muscle of the abdomen

A

Abdominal Hernia

131
Q

When Abdominal Hernia can be pushed back into body cavity it is called

A

Reducible

132
Q

When Abdominal Hernia cannot be pushed back it is called

A

Irreducible

133
Q

When Abdominal Hernia had intestines that its peristaltic flow is obstructed it is called

A

Incarcerated

134
Q

When Abdominal Hernia requires immediate surgery because blood flow is interrupted resulting in tissue necrosis it is called

A

Strangulated

135
Q

Reducible Abdominal Hernia is not …… and patient can ….

A

protruding

patient can lie down

136
Q

Irreducible Abdominal Hernia is more …. and …..

A

more protruding and may need operation

137
Q

s&s of Abdominal hernia includes (3)

A

asymptomatic

protruding bulge at umbilicus

inguinal area

138
Q

Treatment of Abdominal Hernia includes (3)

A

Herniorrhaphy, manual reduction, truss

139
Q

Naturally we don’t want a Herniorrhaphy so have patient

A

Not do any heavy lifting

140
Q

Herniorrhaphy is

A

Repair

141
Q

Binder that they put over hernia to keep it in place is called

A

A Truss

142
Q

Teach patient after Herniorrhaphy to

A

NOT COUGH JUST DEEP BREATHE

143
Q

We would like to perform a Herniorrhaphy before hernia becomes …… where it becomes a …….

A

Strangulated

Complication

144
Q

Protrusion of stomach through an opening in the diaphragm into the lower portion of the thorax

A

Hiatal Hernia

145
Q

Causes of Hiatal Hernia includes (4)

A

Coughing
Straining at stool
Lifting heavy objects
Obesity

146
Q

s&s of Hiatal Hernia includes

A

GE Reflux, Heartburn, Feeling of fullness

147
Q

GE in GE Reflux stands for

A

Gastroesophageal

148
Q

Treatment of Hiatal Hernia includes (6)

A

Antacids

Small Frequent Meals

Avoid citrus, spicy, fatty foods, alcohol, smoking

Sit up after meals

Raise HOB

Lose the weight

149
Q

When intestinal contents cannot pass through G.I. tract it is called

A

Intestinal Obstruction

150
Q

Causes of Intestinal Obstruction include (5)

A

adhesions, impacted feces, intussusception, volvulus, high fiber diet

151
Q

A paralytic ileus can cause an

A

Intestinal Obstruction

152
Q

s&s of Intestinal obstruction include (6)

A 
high pitched tinkling bowel sounds 
distention
vomiting 
dehydration
hypovolemia
shock
153
Q

Treatment for Intestinal Obstruction include (2)

A

NG ot NJ tube for decompression

Remove obstruction / Surgery

154
Q

Colon Cancer is most common in

A

60 or older

155
Q

Risk factors for Colon cancer include (3)

A

UC, Polyps, Family history

156
Q

s&s of Colon cancer (5)

A 
Change in bowel habits
Anemia
Rectal bleeding
Tenesmus
Cachexia
157
Q

Treatment of Colon cancer includes (3)

A

Surgery
RT
Chemo

158
Q

Varicose veins that occur outside the anal sphincter (external) or inside (internal)

A

Hemorrhoids

159
Q

Factors of Hemorrhoids include (4)

A

constipation
diarrhea
pregnancy
prolonged sitting/standing

160
Q

s&s of hemorrhoids include (2)

A

prolapse

bleeding with BM

161
Q

Treatment for Hemorrhoids (4)

A

Stool softeners, topical creams, sitz bath or surgery (hemorrhoidectomy)

162
Q

Best treatment for Hemorrhoids

A

Sitz bath

163
Q

Nursing care for Hemorrhoids (3)

A

Check for bleeding

Bulk forming foods

8-10 glasses fluid/day

164
Q

After an appendectomy the Nurse should provide these 4 steps to prevent RESPIRATORY complications

A

Pain control

Early ambulation

Coughing, Deep breathing

Incentive Spirometer

165
Q

Patient shows understanding when he says….. after a hernia repair

A

I will deep breathe every hour when awake not cough

166
Q

A patient diagnosed with Hiatal Hernia should (diet)

A

avoid eating 2 hours before bedtime

167
Q

For a patient with Small-bowel obstruction, that is NPO, what 5 important things should the nurse constantly collect

A 
Intake and Output
Pain level
Bowel Sounds
Pulse rate
Temperature
168
Q

It is very important to report a ………. regarding a new colostomy bag (stoma)

A

DUSKY COLOR

169
Q

Chronic degenerative disease of the liver. Lobes are infiltrated with fat & fibrous tissue. Scar tissue restricts blood flow to liver.

A

Cirrhoisis

170
Q

Cirrhosis is a

A

Liver disorder

171
Q

Liver produces …… and stores …. and manages ….

A

Bile

glucagon

blood coagulation

172
Q

Veins in esophagus are called

A

Varices

173
Q

Varices and Ascites is classified as

A

fluid back up

174
Q

Obstruction of portal vein results in ……. and it is …….

A

portal HTN

irreversible

175
Q

Portal HTN causes (2)

A

Varices and Ascites

176
Q

Varices is in the …. a while Ascites affects the ….

A

Esophagus

Rectum / Abdomen

177
Q

In Cirrhosis the Liver cannot ….. causing ….

A

metabolize protein properly causing blood ammonia levels to rise

178
Q

Blood ammonia levels rising will cause

A

Hepatic Encephalopathy

179
Q

Hepatic Encephalopathy puts patient at risk for

A

seizures

180
Q

Causes of Cirrhosis include (4)

A

Alcohol abuse, Drugs, Chemicals, Obstructed bile flow

181
Q

In Cirrhosis we need to decrease ….. intake because …..

A

Sodium because it retains fluid

182
Q

s&s of Cirrhosis (5)

A

Ascites, Jaundice, Varices, Hepatic Encephalopathy, dyspnea

183
Q

Jaundice means bile levels have

A

increased

184
Q

Treatment of Cirrhosis includes (4)

A

Have liver rest

Restrict proteins, fluids

No alcohol

Paracentesis

185
Q

Paracentesis is

A

putting needle in stomach to remove fluid

186
Q

When conducting a Paracentesis it is best for the patient to

A

sit up

187
Q

Increased bile can cause

A

dry + itching under the skin

188
Q

Nursing care for Cirrhosis include (5)

A

Semi fowlers

Manage Pruritus

monitor abdominal girth I/O

Check mental status

Blood transfusions

189
Q

It is most important as a nurse to check patients …… when patient has cirrhosis

A

Mental Status

190
Q

Pruritus is the

A

itching

191
Q

Hepatitis is a

A

Liver Disorder

192
Q

Infection / Inflammation of Liver caused by a virus, alcohol, toxins, or GB disease, can be acute or chronic

A

Hepatitis

193
Q

s&s of Hepatitis include (5)

A

Malaise

Jaundice

Dark amber urine

Clay colored stools

photophobia

194
Q

Clay colored stools can be from patients with ..(3)

A

Hepatitis
Cirrhosis
GallBladder disorders

195
Q

Treatment for patients with Hepatitis (3)

A

Rest

Maintain nutritional intake

Avoid alcohol

196
Q

Nursing care for patients with Hepatitis (2)

A

Skin care

Prevent transmission

197
Q

Presence of stones in Gall Bladder

A

Cholelithiass

198
Q

Stones in Gall bladder block ….. stopping

A

bile stopping its flow

199
Q

inflammation in the gall bladder

A

Cholecystitis

200
Q

Causes of Cholecystitis include (3)

A

Obstruction
Gallstones
Tumors

201
Q

Preventing bile from leaving Gall Bladder will cause …. and it may rupture or become

A

inflammation

Gangrenous

202
Q

Our MAIN GOAL with patients with Gallbladder Disorders is to

A

PREVENT RUPTURE

203
Q

s&s of GallBladder disorder (6)

A 
Colicky pain in RUQ
Elevated WBCs 
Clay colored stools 
Steatorrhea
Dark urine
Jaundice
204
Q

The GallBladder is located in the

A

RUQ

205
Q

Colicky pain is

A

Stabby pain

206
Q

Steatorrhea is

A

Fat in stool

207
Q

Treatment for Cholecystitis includes (5)

A

NGT to lower suction

Lithotripsy

Cholecystectomy

Laparoscopy

T-Tube

208
Q

Shock waves given through water or cushion that breaks up stones

A

Lithotripsy

209
Q

Where we wouldn’t have to open up the abdomen, using a scope with knives

A

Laparoscopy

210
Q

Goes into the common bile duct, to make sure it doesn’t get occluded and to keep it open, allows for drainage until edema resolves

A

T-Tube

211
Q

If patient refuses surgery for Gall Bladder stone surgery we can give

A

Oral bile Acids to dissolve stones

212
Q

Nursing care for people with Cholecystitis (3)

A

Gradually incorporate fats, cold meals, low fats, small meals

NPO

Checking NGT

213
Q

In hepatitis B,C,D virus is found in

A

Blood and Body Fluids

214
Q

In hepatitis B,C,D we should use

A

Standard Precautions

215
Q

In hepatitis A we should use

A

Enteric Precautions

216
Q

Hepatitis A is from

A

contaminated food (clams)

217
Q

Hepatitis C is the worst because it can

A

progress to death

218
Q

Acute or chronic inflammation of the pancreas causes occlusion of pancreatic duct; pressure builds & duct ruptures releasing enzymes that digest in the pancreas

A

Pancreatitis

219
Q

Pancreatitis is caused by

A

MAINLY ALCOHOL

220
Q

Pancreatitis can be very

A

PAINFUL

221
Q

s&s of Pancreatitis (5)

A

Abdominal pain, jaundice, anorexia, low grade fever, vomiting

222
Q

Pancreatitis is diagnosed by

A

ABD CT & Ultrasound checking for Amalyse

223
Q

Treatment of Pancreatitis (7)

A 
BR
NPO
IVF
NGT
Pain meds 
TPN
Antacids
224
Q

What should the diet be for someone with Pancreatitis

A

Bland, low fat, high protein, no alcohol

225
Q

Difficult to diagnose in early stages, occurs in middle age, cause unknown. Metastasizes to stomach, duodenum, colon, invades blood vessels, lymph system

A

Cancer of Pancreas

226
Q

Cancer of Pancreas is usually inoperable however it is a

A

very long operation 8-9 hours

227
Q

What deficiency puts a patient with Cirrhosis most at risk for bleeding

A

Low vitamin K

228
Q

Why would we cautiously use sedatives in a patient with Cirrhosis

A

Sedatives are potentially toxic to the cirrhosis patient

229
Q

Acute hepatitis A patients are most likely to express what s&s

A

Headache, Nausea, and Flu-like symptoms

230
Q

Highest priority with patients with Pancreatitis is

A

Pain Control

231
Q

After a Cholecystectomy what are 3 things we can do maintain effective breathing pattern

A

Provide analgesics for relief
Encourage coughing and deep breathing
Assist with splinting during coughing

232
Q

Before we palpate we should

A

listen to bowel sounds

233
Q

When patient is given a barium our priority is to

A

get it out

234
Q

To get Barium out doctor may order (2)

A

Force Fluids laxatives

235
Q

Amylase levels …. in Pancreatitis

A

increases

236
Q

After Liver Biopsy, we should (2)

A

lay patient in right side for 2 hours to prevent bleeding, make sure they did not nick lung

237
Q

Most carcinomas come from (2)

A

Alcohol and Smoking

238
Q

Inflammation of esophagus will cause

A

trouble swallowing

239
Q

More stool goes through colon more …… it gets

A

formed

240
Q

Patients with Ulcers avoid (diet) (7)

A 
Beans
Carbonated Beverages
Milk
Certain vegetables
Peas
Onions
Gassy foods
241
Q

What should we use to clean stoma

A

mild soap and water

242
Q

We give bariums to test

A

G.I. tract for a contrast

243
Q

Barium will come out in stool as a

A

chalky looking substance

244
Q

Sigmoidoscopy goes into ….. and Colonoscopy goes into ….

A

1

3

245
Q

Billy Rubin

A

Measures bile

246
Q

High bilirubin level = … = ….

A

Jaundice = High bile levels

247
Q

Cancer in the mouth and esophagus is most common in

A

drinkers, smokers

248
Q

Erosion of lining in the stomach or intestine, can come from medication, smoking, alcohol, stress

A

Peptic Ulcer

249
Q

Hematemesis is

A

Blood in vomit / coffee ground like

250
Q

When vomiting we want to

A

turn patient to side to prevent aspiration, get vital signs

251
Q

Pain in duodenum is best relieved by a

A

antacid

252
Q

Diet for Diverticulosis includes

A

HIGH FIBER, SOFT FOODS, INCREASE IT SLOWLY

Pelicano (6 decks)

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