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GI system-adult 1
| Question | Answer |
|---|---|
| gastric analysis | analysis of gastric fluids to assist in determining problems with the secretory activity of the gastric mucosa. |
| hydrogen breath test | involves collecting a breath sample before and at interval after ingestion of a carbohydrate solution. |
| peritoneum | a membrane that lines the inner abdomen, encloses the viscera and serous fluid it secretes. |
| lower GI series | used to identify pollyps, tumors, inflammation, strictures and other abnorms of the colon. |
| Gall Bladder series | identifies stones in the gallbladder or common bile duct, and tumors or other obstructions. |
| Villi | Finger-like folds of the small intestines; they increase the surface for absorption |
| What is the exocrine function of the pancreas? | Contributes to the process of digestion – secretes pancreatic enzymes |
| What is a lacto-ovo-vegetarian? | Eat plant foods and sometimes dairy products & eggs |
| What do you assess for pain r/t GERD? | When does it occur, Location, Duration, Intensity, Quality |
| Mallory-Weiss Tear | At the junction of esophagus & stomach |
| Kwashiorkor | Protein deficiency, Coexisting with a, catabolic stressor, -surgery, - obstruction, -CA |
| Dumping Syndrome | Occurs when food is dumped out of stomach quickly such as after gastric stapling or resection of stomach |
| If patient is NPO what is an easy, necessary nursing care? | Mouth Care – minimally every 2 hour |
| What nursing action best facilitates the passage of the NGT from the stomach through the pylorus and into the small intestines? | Gently advance the tube 1-4 inches at regular intervals, Postion patient on R side for 2 hours after initial insertion, Maintaining strict bedrest, Positioning patient flat (supine) |
| A 68 year old patient awakens at night with heartburn & belching. The nurse recognizes that these symptoms may occur when there is abnormal relaxation of the | lower esophageal sphincter |
| Pyorrhea | Recessed gums, purulent pockets |
| Tenesmus | Painful and ineffective straining of stool |
| Borborygmi | Waves of loud, gurgling sounds |
| Melena | Abnormal, black, tarry stool containing digested blood |
| Pilondial cyst | Opening of sinus tract, cyst in midline just above coccyx |
| Nursing considerations after small bowel series? | Encourage fluids to get rid of barium , Monitor BM – may be whitish d/t barium, Be observant for constipation, Stool softeners and laxatives as ordered |
| Purpose of EGD | To assess for sites of bleeding, Identify ulcerations/lesions, Detect strictures, masses or tears, Repair of acute bleed, Biopsy |
| Invasive Diagnostics can also be used to: | Remove gall stones obstructing bile duct, (if distal), Dilate strictures, Biopsy tumors, Diagnose pseudocysts |
| What should be on hand if someone has a tube feeding? | Oral suction at bedside in case of aspiration **should always be ready |
| How many calories in 1L of D5W? | 170 kcalories |
| Complications of TPN? | Air embolism, Pneumothorax, Clotted line, Catheter displacement, Phlebitis Hemorrhage |
| Facts about Oral Cancer | More common in men than women, More common after 40 years of age, 4th leading cause of death among Af Am men |
| Monitor BM after barium tests for | whitish color, constipation |
| Abd Ultrasound assesses for | cysts, abscesses, stones of gallbladder or kidney, masses or tumors |
| Gastric emptying | more on out pt. basis, radioactive chemical is ingested, levels are monitored for several hours, measures time of food movement out of the stomach |
| ERCP | Endoscopic Retrograde Cholangiopancreatography |
| How is a Gastric Analysis Performed? | NGT placed to extract gastric excretions; |
Created by:
barbaranamber
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