Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
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
Normal Size Small Size show me how
GI/Enemas/Stomas
| Question | Answer |
|---|---|
| melena | dark colored stools, indicate bleeding in upper GI tract |
| hematochezia | bright red stool, indicates bleeding in lower GI |
| steatorrhea | fatty stool |
| how high do you hold the enema bag above patient's hips/anus | 12-18 inches |
| how long does an oil retention enema have to be held | at least 20 min |
| temperature of water for a cleansing enema | lukewarm 95-105 degrees |
| how far to insert the tip of a prepackaged enema into an adult | 3-4 inches |
| how much fluid is given for an adult cleansing enema | 500-1000 mL |
| position for enema | left side-lying Sim's with knees slightly flexed |
| effluent | liquid fecal drainage |
| size to cut a stoma wafer | 1/16 to 1/8 inch larger than the stoma opening |
| lavage | for pts with GI bleed or for removal of toxins or overdosed meds |
| gavage | tube feeding |
| levin tube | large bore NG tube, single lumen w/ holes near tip |
| Salem-Sump tube | large bore NG tube, double lumen, larger lumen drains gastric contents, has a blue pigtail for equalizing stomach pressure |
| Miller-Abbott tube | large bore NG tube, double lumen w/ 1 passageway for drainage, 1 connected to a balloon for addition/removal of mercury |
| PEG tube | tube placed directly into stomach for tube feeding |
| Cantor Harris tube | for intestinal decompression |
| solution to clean PEG tube sites with | 1/2 peroxide, 1/2 saline |
| bolus feedings | 100-240cc's, q4-8h |
| continuous feedings | 24 hrs, for pts who cannot tolerate large volume at one time for risk of aspiration |
| cyclical feedings | daytime/nightime, 8-18hrs |
| most common problem with tube feedings | diarrhea |
| how to remove an NG tube | pinch off tube, pull gently but quickly |
| gastrostomy | surgical creation of a gastric fistula through abdominal wall for purpose of feeding through stomach |
| lumen | space within an intestine |
| paracentesis | puncture of a cavity for removal of fluid |
| ascites | abnormal accumulation of fluid in abdominal cavity |
| which GI series test is done first (lower or upper) and why | Lower GI first b/c the barium takes longer to pass through GI tract when given orally |
| after endoscopy..? | pt is NPO until gag & cough reflexes return (assess vaso-vagal response by tapping back of throat) |
| position for a proctosigmoidoscopy | knee-chest position |
| before a hemoccult/guiac test.. | avoid iron & high-fiber foods for 1-3 days prior, NSAIDs, aspirin |
| ERCP (endoscopic retrograde cholangiopancreatography) - pretest N | NPO for 8 hours before test. posttest - monitor VS, NPO until gag reflex returns |
| barium swallow (pre/post) | before - NPO after midnight, after - assess for constipation, give fluids unless contraindicated, laxatives as ordered |
| liver scan (pre/post) | pre - NPO past midnight. Post - bedrest for 24 hrs post, keep pt on right side for 1-2 hours, monitor VS frequently |
| complications of liver scan | shock, hemmorhage, pneumothorax, peritonitis |
| gastric analyis - too much acid means..? | peptic ulcer |
| gastric analysis - too little acid means..? | CA or pernicious anemia |
| thoracentesis | inserting needle through chest wall & into pleural space to remove fluid for diagnostic or therapeutic purposes |
| position for paracenthesis | fowler's (sitting up) |
| paracenthesis (post) | check for S/S shock, check puncture site, measure abdomen daily, weight daily, observe for hypovolemic shock |
| reasons for an ileostomy | pts with cancer of the large intestine or inflammatory bowel disorders |
| otitis media | may occur when NG tube presses against eustachian tube, causing obstruction & edema. prevented by turning pt q2h, using smallest NG tube possible |
| liquid diet | before diagnostic tests or surgery, low in calories/nutrients, should only be used 3 days or less |
| soft/low residue diets | for pts w/ GI conditions, indigestion, diarrhea, gastritis |
| mechanical soft diet | for those w/ swallowing/chewing difficulties |
| high fiber diet | reduce constipation, lessen symptoms of diverticulitis |
| high kilocalorie/protein diet | trauma/cancer pts |
| low kilocalorie diet | for obese pts |
Created by:
1469838250
Popular Nursing sets