Lower GI Problems
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each of the black spaces below before clicking
on it to display the answer.
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| What is Appendicitis? | Inflamation of the appendix possible caused by occlusion of appendix lumen (infection); Distention (venous engorgement) accumulates mucus and bacteria.
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| What are the diagnostic studies for Appendicitis? | Physical assessment; WBC; CT Scan; Utrasound
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| What are the Treatments for Appendicitis? | Surgical Removal.
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| What are some RN interventions for Appendicitis? | NO HEATING PADS, ENEMAS, LAXATIVES!!!!; Ice pack, NPO; Perioperative care; I&O's; VS; Pain
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| What are the manifestations of an Obstruction? | Location Dependent; N/V; High pitched, absent, or decreased BS; pain and distention.
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| What are the Diagnostic Studies for Intestinal Obstruction? | Abdm X-rays; CT; Lab tests.
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| What are the treatments for IO's | NGT; NPO; Fluid replacement; Measure abdm girth (same site); analgesics; surgery.
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| What are two types of Inflammatory bowel diseases? | Crohn's and Ulcerative colitis *** (look up in chart in book pg 1023)
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| What are some causes of Inflammatory bowel disease? | Autoimmune disease
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| What is Crohn's disease? | Inflammatory condition of any area of large or small intestine that can occur anywhere within the GI tract
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| What is Colitis? | Eroded areas of mucous membrane and tissues beneath it; Start in rectum and moves toward cecum.
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| What are the clinical Manifestations of IBD? | Diarrhea; bloody stools; weight loss; abdominal pain; fever; fatigue
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| What are the Diagnostic studies for IBD? | CBC; Electrolytes; Serum Albumin; Colonoscopy; Barium enema
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| What are the Treatments for IBD? | Medications (pg 1026); Surgery; Rest bowel (TPN)
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| What are the RN interventions for IBD? | Diet, high-protien; high-calorie, low fat, low fiber; Fluid and Electrolytes; promote rest; Education/ Support
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| What is an ostomy? | A resection and anastomosis of remaining ends of bowel and creation of outlet.
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| What is the difference between acute and chronic Pancreatitis? | Acute function is restored; Chronic includes fibrosis of pancreas and obstruction of ducts destroying pancreatic secreting cells.
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| What are the S/S of chronic Pancreatitis/ | Weight loss, jaundice, dark urine, DM.
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| What are some causative factors of Chronic Pancreatitis? | Cholelithiasis; Lupus; Cystic fibrosis; Cyst; Tumor; Alcoholism.
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| What are the Complications of Pancreatitis? | Pseudocyst or abscess; Plueral Effusion; Paralytic ileus; Hypovolemic or septic shock; Hypotension.
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| What are the diagnosis tests for Pancreatitis? | Serum amylase increased; Serum Lipase increase; Elevated liver enzymes; Triglycerides; Glucose elevated; CT scan.
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| What are some treatments for Acute Pan. ? | Pain meds; NPO, NGT; Antacids, PPI; Monitor electrolytes; Infection control; Watch for Hyperglycemia; TPN
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| What are some treatments for Chronic Pan. ? | Bland, low-fat diet, six meals; Oral enzyme replacement. PREVENTION NO ALCOHOL!!!!!
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