Save
Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Chapter 42

from the powerpoint in D2L

QuestionAnswer
Six predisposing factors for oral cancer 1) tobacco use 2) excessive alcohol intake 3) diet low in fruits/vegetables 4) chronic irritation 5) constant overexposure to sun 6) recurrent herpectic lesions
What are some s/s of oral cancer? nonhealing sores, bleeding sores, persistent patches in mouth, hard raised lesions, lumps, crusts, eroded areas, unexplained bleeding, persistent pain, difficulty chewing, swallowing, speaking or moving tongue
s/s of GERD heartburn, chest pain, sore throat, hoarseness, frequent throat clearing, globus hystericus (lump in throat), water brash, regurgitation, coughing, loss of dental enamel
What is pyrosis? heartburn
What is dyspepsia? upper abdominal pain/discomfort
Three esophageal complications of GERD 1) the effect of gastric acid on esophageal mucosa 2) esophagitis (inflammation) 3) Barrett's esophagus (precancerous lesion)
What are some respiratory complications of GERD? cough, bronchospasm, laryngosapasm, possible asthma, bronchitis, pneumonia
What is GERD? Chronic symptoms or mucosal damage due to reflux of gastric contents into the lower esophagus
What is the most common upper GI problem in adults? GERD
Four goals of drug therapy for GERD 1) decrease volume and acidity of reflux 2) improve lower esophageal sphincter function 3) increase esophageal clearance 4) protect the esophageal mucosa
What do proton pump inhibitors (PPI) do for the patient with GERD? They reduce the amount of acid produced by the stomach
What do histamine-2 (H2) antagonists (receptor blockers) do for the GERD patient? They reduce the amount of acid produced by the stomach
What do antacids do for the GERD patient? Antacids neutralize acid
What do promotility (GI stimulants) do for the patient with GERD? Promotility drugs treat reflux by increasing lower esophageal sphincter (LES) tone and enhancing emptying of food from the stomach
How do cytoprotective drugs help the patient with GERD? they work by forming a material that adheres to the lining of the esophagus, providing a protective barrier against stomach acid. If irritation is already present, the barrier will coat the damage and allow it to heal.
What is the goal of cholinergic drugs in the GERD patient? To improve lower esophageal sphincter function
Source of 50% of upper GI bleeds? Stomach/Duodenum-peptic ulcers
What are the two types of upper gastrointestinal (UGI) bleeding? Obvious and Occult
What are the two types of obvious UGI bleeding? hematemesis and melena
hematemesis bright red or "coffee ground" emesis
melena black tarry stools
How do you detect occult blood? guaiac test
The longer the passage of blood through the intestines, the _______ the stool color darker
clinical important bleeding can result in: decreased BP, increased pulse, decrease in hemoglobin by more than 2g/dL
What would you assess if you suspect an upper GI bleed? BP, pulse, signs of shock, medications, previous episodes, liver disease
What could a tense, rigid, boardlike abdomen indicate? perforation or peritonitis
What labs would you expect to be monitoring for an upper GI bleed? CBC, electrolytes, LFTs, guaiac stools
Created by: ld23012
Popular Nursing sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards