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SOPN GI Assessment

QuestionAnswer
What system begins at the mouth, esophagus, stomach, small intestines, large intestines, rectum, and anus GI Tract
Ingestion, Digestion, absorption, and elimination are all a function of what system GI Tract
What effect does the para-sympathetic nervous system have on the GI tract increased peristalsis
What effect does the sympathetic nervous system have on the GI Tract decreased peristalsis
What is the technical name for "swallowing" deglutition
What contains the nasopharynx, oropharynx, and the laryngeal pharynx pharynx
what is the lid of fibrocartilage that closes over the larynx during swallowing epiglottis
What starts behind the trachea, is a muscular tube, secretes mucus which lubricates the food bolus? Esophagus
What moves food through the esophagus from the mouth into the stomach? Peristalsis
What lies in the left upper part of the abdomen directly under the diaphragm Stomach
What stomach orifice is between the esophagus and the stomach. AHHH HEARTBURN! Cardiac Orifice
What stomach orifice guards the entrance and exit from the stomach? Pylorus Orifice
What organs function is the storage of nutrients, the start of digestion by HCL acid, and Pepsin and emptying contents into the small intestines? Stomach
What does the gastric mucosa secrete? Pepsin (protein digesting enzyme), HCL acid, and Renin
What organ absorbs only small amounts of water, alcohol, and weak acids; ie aspirin Stomach
What is the principal organ of digestion and absorption Small Intestine
Small intestine is made up of three seperate parts Duodenum, jejunum, and Illeum
What part of the small intestine receives CHYME a mixture of partially digested food and digestive secretions. Pancreatic and bile duct join up and dump more bile here through the "sphincter of Oddi" Duodenum
Hormones produced by the mucosa of this organ enters the bloodstream and stimulates contraction of the gallbladder and relaxation of the Sphincter of Oddi and this allows for flow from the common bile duct into the ..... duodenum
What is the middle segment of the small intestine.....it merges with the illeum Jejunum
What protion of the sm intestine connects with the lg intestine at the ileocecal valve, This is usually closed to prevent movement of bacteria from the large intestine to the small intestine YET it opens to allow the passage of chyme into the cecum. Ileum
What reabsorbs water and electrolytes NaCl and stores stool until defecation? Large Intestine
what are the four parts of the large intestine Cecum and appendix, colon, rectum, and anum
what are the parts of the colon ascending on the right, transverse center, descending on the left, and sigmoid colon
What lines the abdominal cavity wall parietal
what covers the abdominal organs visceral
what is the space between the parietal and visceral layers peritoneal space
Diagnostic procedures: x-ray study a floroscopy with contrast medium to examine the esophagus, stomach, and duodeum. Used to detect esophogeal tumors, varices, gastric ulcers, and gastric tumors. Allows visualization of strictures or swallowing disorders Upper GI Series
White chalky radioactive substance able to be x-rayed will require the use of stool softeners and increased fluids as is quite binding. Stools will be white-ish for up to 72 hours following procedure and you need to watch for stool to pass or IMPACTION Barium
Upper GI: This test allows for visualization of the esophagus, esophageal strictures, or swallowing disorders. This test cannot be taken UNLESS gag reflux is present Barium Swallow
Lower GI: series of x-ray films that visualize the colon, detects the presence of polyps, tumors, and diverticula as well as identifying Chron's Disease and inflammatory bowel disease Barium Enema
Stomach contents are examined for acidity and volume of gastric secretions, Is HCl present and how much; pH, pepsin, and electrolytes. Also known as Gastric Stimulation Test. Looks for presence of occult blood, bacteria, parasites, and malignant cells. Gastric Analysis
What will the Gastric Analysis aka Gastic stimulation test diagnose Ulcer Disease
During the gastric analysis how ofter are the gastic contents aspirated? 10 - 15 minute intervals for 1 to 2 hours
***In a gastric analysis: an increase in HCl indicates what*** peptic ulcer
***In a gastric analysis: little of no HCl indicates what*** gastric cancer, pernicious anemia, gastritis, or a gastric ulcer
***In a gastric analysis: If food is seen from the night before this would indicate what?*** Pyloric Obstruction
What test would allow for direct visualization of a body cavity thru a lighted scope. This allows pictures to be taken, polyps removed, forgein objects removed, biopsies taken, and cauterizaion for bleeding. SIGNED CONSENT & RISK FOR ASPIRATION Endoscopy
What drug can be sprayed at the back of the throat to decrease the gag reflux ie during an endoscopy lidocaine
what drug can be given to decrease secretions atropine
After an endoscopy your patient is NPO until gag reflex returns in 1-2 hours and you will check vitals how ofter? 15-30 minutes for 1-2 hours after the procedure and a spike in temp is a sign of perforation
Esophagoscopy looks at esophagus
gasroscopy looks at stomach
esophagogastroduodenoscopy looks at......not spellcheck esophagus, stomach, and the beginning of the duodenum.
What test allows for direct visualization of the colon thru a lighted scope. Used to diagnose or distinguish between inflammatory or neoplastic diseases; polyps, tumors, vs inflammation, dilated structures Colonoscopy
After a colonoscopy you would observe for rectal bleeding or complaints of pain: could indicate perforation and you would check vitals how often every 15-30 minutes over 12 hours
sigmoidoscopy looks at sigmoid
proctoscopy looks at rectum
anoscopy looks at anus
Any ------scopy procedure requires what before the procedure begins? informed consent
Test uses high frequency waves to form images of internal structures. Non-invasive. Ultrasound
test created a 3-dimensional image of the abdomen. Used to identify tumors and other diseases of the abdominal organs. Barium may interfer with this test must do 4 days before or after any barium test. Alleric to shellfish? Computed tomography CAT SCAN
Test looks at cross sections of the abdomen. Can study bloodflow to the abdomen or identify areas of infection or malignancy. Magnetic Resonance Imaging MRI
Test uses a disposable video camera capsule swallowed by the patient transmitted by radio frequency image of the intestines to check for GI Bleed. This requires bowel prep Capsule Endoscopy
Created by: Beezle
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