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Patho Final
GI
| Question | Answer |
|---|---|
| What is the most common cause of Peptic Ulcer Disease? | H. pylori |
| Normal gastric secretion + delayed gastric emptying + increased diffusion of gastric acid back into the stomach tissues is one of the most common causes of ___? | PUD |
| Normal diffusion of gastric acid into stomach tissues + increased secretion of gastric acid + increased stomach emptying is one of the most common cause of ___? | PUD |
| What are the s/s of PUD? | asymptomatic or they include: A gnawing or burning pain in the middle or upper stomach between meals or at night; Bloating; Heartburn; Nausea or vomiting |
| What are the s/s of severe cases of PUD? | In severe cases, symptoms can include:Dark or black stool (due to bleeding; Vomiting blood (can have a "coffee-grounds" appearance); Wt loss; Severe pain in the mid to upper abdomen |
| Who is most likely to get PUD? | Are infected with the H. pylori bacterium; Take NSAIDs such as aspirin, ibuprofen, naproxen, and many others;Have a family hx of ulcers;Have another illness, such as liver, kidney, or lung disease; Drink alcohol regularly; Are 50 years old or older |
| Though ulcers often heal on their own, you shouldn't ignore their warning signs. If not properly treated, ulcers can lead to serious health problems, including: What? | Bleeding; Perforation (a hole through the wall of the stomach); Gastric outlet obstruction from swelling or scarring that blocks the passageway leading from the stomach to the small intestine. |
| Is Acute Inflammatory Bowel Disease the same as Irritable Bowel Disorder? | NO IT IS NOT THE SAME THEY ARE NOT INTERCHANGEABLE!!! |
| Appendicitis, Peritonitis, Ulcerative Colitis, Crohn's Disease and Diverticular Disease are all ____ disorders? | Inflammatory disorders |
| ____ is ulcers/open sores along the length of the sm and lg intestine. | Chrons Disease |
| Since ____ is along the length of the intestine surgery is no benefit. | Chrons Disease |
| With ___ it is usually in one specific location, lower Lg part of intestine usually | ulcerative colitis |
| In Chrons Disease pt may be given ___ or ____ and pt can develop ___ with the inflammation (rupture of the intestines). | In chrons Disease pt may be given steroids or immuran (blocks autoimmune response) antibiotics (flagile)and pt can develop fistulas with the inflammation (rupture of the intestines). |
| Both ___ & ___ are caused by an autimmune reponse, it might be genetic. | Chrons Disease and Ulcerative Colitis |
| ___ Begins in the rectum and proceeds in a continuous manner toward the cecum. | Ulcerative Colitis |
| ____ most often is in the terminal ileum, with patchy involvement through all layers of the bowel. | Chron's Disease |
| What is the etiology of Ulcerative Colitis and Chron's Disease? | Both are Unknown |
| What is the Peak incidence age for ulcerative colitis and Chrohn's Disease? | 15-25 and 55-65 yrs for Ulcerative Colitis and 15-40 for Chron's Disease |
| What is the number of stools per day and what does it look like for a pt who has ulcerative colitis? | 10-20 liquid, bloody stools per day |
| What is the number of stools per day and what does it look like for a pt who has Chron's Disease? | 5-6 soft, loose stools per day, rarely bloody |
| What are some common complications of Ulcerative colitis? | Hemorrhage; perforation; fistulas; nutritional deficiiencies |
| What are the two main nursing interventions for pts with IBD? | Diarrhea Management and Pain management |
Created by:
jmilbur4
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