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68c ph2 exam6

Gastrointestinal System

QuestionAnswer
What makes up the digestive tract? Mouth, pharynx, esophagus, small intestine, large intestine, and anus.
Why is it important for a patient to expel barium? The patient is at risk for constipation/impaction
What is the term that describes a hand flapping tremor associated with liver disease? Asterixis
What two functions does the pancreas perform? Endocrine and Exocrine
All of the following laboratory values are often abnormal in a patient with liver pathology, except: a)PT b)AST/ALT c)Alkaline phophatase d)Total bilirubin e)Albumin f)CA125 CA125 (it's a cancer antigen)
What is the primary symptom of achalasia? Dysphagia
Define pyrosis Burning sensation in the esophagus.
Patients with gastritis should be instructed to avoid what types of foods? Avoid irritating foods and medications such as alcohol, spicy foods, high-fat foods, caffeine, and NSAIDs
What two medications have been associated with PUDs? Aspirin and NSAID, i.e. Motrin
Current treatment for peptic ulcer disease focuses on eradicating what bacteria? H. pylori
Cimetidine (Tagamet) is an example of: histamine (H2)-receptor antagonist.
: Drug therapy aimed at reducing gastric acid secretions might include which of the following? (Select all that apply.) a)Prokinetic agents b)Antacids c)H2 antagonists d)Proton pump inhibitors e)Coating agents c & d are used to reduce gastric acid secretions.
An example of a PPI is? Esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec, Prilosec OTC), rabeprazole (Aciphex).
what is the best way to administer H2-Antagonists? With Meals and at Bed time
When should you give Antacids? 1-3 hrs after meals
Common side effects of all Anti-infectives? Nausea, vomiting, diarrhea
What does the Antacid Sucralfate (Carafate) do? Sucralfate creates a barrier over the stomach lining (the ulcer)
The H2- receptor antagonist Ranitidine bismuth citrate may temporarily cause ___________ stools and tongue to appear gray-black
Unique side effect of the Anti-Infective Tetracycline (dosycycline)? Photosensitivity
a patient is receiving an aluminum-containing antacid. the nurse will inform the patient to watch for which possible adverse effect? Constipation
Antacids containing magnesiumneed to be used cautiously in patients with which condition? Renal Failure
what potential problem might occur with overdose of sodium bicarbonate? Metabolic Alkalosis
The nurse expects for what drug to be ordered for a patient with Helicobacter Pylori cause Gastritis? An antibiotic
why are calcium antiacids not used as often as other antiacids? Becasue Ca antiacids might result in kidney stones
why can the H2 receptor antagonist, cimetidine (Tagament) be contraindicated in geriatric patients? A common side effect is Confusion. This drug can cause sever confusion.
What are some types of cirrhosis? Alcoholic/Laennec’s, Post-necrotic, Biliary, Cardiac,
WHAT ARE SOME CLINICAL MANIFESTATIONS OF CIRRHOSIS? ANOREXIA, NAUSEA/VOMITING, CHANGES IN BOWEL HABITS, ASCITES, SPLENOMEGALY, TISSUE WASTING
What is the principle aim of managing a patient with cirrhosis? to prevent further deterioration by abolishing underlying causes and preserving whatever liver function remains.
What are two nursing interventions for a patient with hepatitis? Promote rest, maintain adequate hydration and nutrition
Clinical maifestations of Acites? Clay colored stools, Deep orange color urine, Visible jaundice (eyes, skin), Dyspepsia, Gradual weight loss, Spider telangiectases
Created by: AEGO