Adult 1 GI site Group 1 Mr. Justice (Tamara, Anissa)
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show | Swollen, twisted veins
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show | Muscular wave-like movement that transports food through the digestive system
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Amylase | show 🗑
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What are the 4 main functions of the GI system? | show 🗑
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Villi | show 🗑
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Which is the only organ in the body that has both endocrine and exocrine functions? | show 🗑
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show | Contributes to the process of digestion – secretes pancreatic enzymes
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What nerve is involved in “bearing down” to have a bowel movement? | show 🗑
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What are the functions of the liver? | show 🗑
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show | The esophagogastric junction remains in the normal position, but the fundus and greater curvature of the stomach roll up through the diaphragm forming a pocket alongside the esophagus
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Ulcer | show 🗑
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Dyspepsia | show 🗑
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show | Bulge or nodule in abdomen, usually appearing on straining
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show | Thromboses veins in rectum and anus
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Fissure | show 🗑
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What do you assess for pain r/t GERD? | show 🗑
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show | 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
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show | Abdominal Ultrasound, CT scan, MRI-MRCP, Gastric emptying
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EGD (Esophagogastroduodenoscopy) | show 🗑
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show | To assess for sites of bleeding, Identify ulcerations/lesions, Detect strictures, masses or tears, Repair of acute bleed, Biopsy
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Invasive Diagnostics can also be used to: | show 🗑
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Lab Work | show 🗑
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show | Occurs when food is dumped out of stomach quickly such as after gastric stapling or resection of stomach
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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 | show 🗑
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show | keep the patient NPO until the gag reflex returns
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show | acetaminophen
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show | slow the feeding flow rate
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A patient with chronic GERD is experiencing increasing discomfort. During assessment of pt's current management of the problem, the nurse determines that further teaching is needed when the patient states | show 🗑
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show | coffee, tea and chocolate
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show | Structural abnormalities in the esophagus, stomach, & duodenum
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Nrsg. Considerations for barium tests | show 🗑
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show | whitish color, constipation
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Abd Ultrasound assesses for | show 🗑
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show | Abdominal US, CT scan, MRI/MRCP, and gastric emptying
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NPO status with most GI tests | show 🗑
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show | sites of bleeding, identifies ulcerations/lesions, detects strictures, masses or tears, repair of acute bleeding, biopsy
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show | Under MAC, "twilight sleep", pt. able to communicate if needed, can be done outside the OR
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show | into the esophagus through the stomach and into the duodenum of the small intestine
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Liver functions tests include | show 🗑
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If ammonia level is elevated, patient will show s/s of | show 🗑
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show | potassium
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show | RBC Hgb
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show | Bowel sounds; Normal GI tract functioning
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show | If NPO for longperiod; need to bypass stomach due to disease,surgery,trauma,or lack of emptying;any sit. where need more nutrition than able to retain orally(chem,rad,burns,dysphagia),at risk for aspiration,anorexia, orofacial fx ,head/neck surg
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What should the nurse be assessing while first introducing fluid into the GI tract? | show 🗑
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show | when food is dumped out of the stomach quickly such as after gastric stapling or resection of the stomach
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show | start with more dilute feeding & increase concentration as tolerates; if symptoms occur, get orders for more dilute concentration; lie down after bolus feeding in case have BP drop, etc.,
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How do you maintain patency of gastric feeding tube | show 🗑
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Feedings should hang no longer than? | show 🗑
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Thrush | show 🗑
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show | Nystatin or Amphotericin B
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Stomatitis | show 🗑
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What should you do with suction when performing abd assessments | show 🗑
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What is GERD | show 🗑
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show | milk, antacids & water (milk feels better, but inc. HCl production makes it worse)
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show | Hx, endoscopy (shows edema & erosion), Ambulatory pH monitoring
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Complications of GERD | show 🗑
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show | Life style changes, Diet changes, avoid nicotine because it decreases bicarbonate prod., loose weight if obese, do not eat in pm, upright for 2 hours after eating, elevate HOB 6-8 inches
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show | chocolate, peppermint, caffeine, onions, fatty foods, alcohol
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What foods should GERD patients avoid that cause inc. acid production | show 🗑
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When should a patient with GERD take an antacid | show 🗑
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What do antacids do | show 🗑
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Types of antacids | show 🗑
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show | Same as GERD, Belching, possible GI bleed,
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show | barium swallow, endoscopy, CXR
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Complication of Hiatal Hernias | show 🗑
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Tx of Hiatal Hernias | show 🗑
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show | Antacids for reflux
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show | Nissen Fundoplication; Angelchik prosthesis
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Dysphagia results from | show 🗑
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Tx of dysphagia | show 🗑
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Gastritis | show 🗑
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show | med or chem related; self healing; minimal damage to mucosal lining
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Chronic gastritis | show 🗑
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S/S of Gastritis | show 🗑
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show | Gastroscopy, Bx, Gastric secretion evaluation
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show | small meals, soft/bland diet, avoid alcohol & aspirin, take B12 supplement
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show | erosion of the mucous membrane of the GI tract from digestive action of HCl & pepsin
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Sites of peptic ulcers | show 🗑
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show | gnawing epigastric pain with pain -food relief patterns, may radiate to back, relieved by antacids, worse when lean forward, worse when stomach empty
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show | barium swallow, endoscopy, gastrin level studies, H.pylori detection
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Complication of ulcers | show 🗑
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S/S of a small vessel bleed from an ulcer | show 🗑
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S/S of a large vessel bleed from an ulcer | show 🗑
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show | loud peristalsis with large visible waves, pain worse as eats more, vomit contains food long after eating, belching or vomiting dec. pain
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show | NG tube for decompression, f/e replacement, surgery to open pyloric sphincter
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show | rigid abd., sever abd pain, pain radiating to R shoulder, absent bowel sounds, signs of shock
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show | relieve pain, heal ulcer, prevent complications, educate in lifestyle changes
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show | Antacids, Proton Pump Inhibitors, Histamine receptor blockers, Cytoprotective agents
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What s/s occur with dumping syndrome | show 🗑
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Measures to avoid dumping syndrome | show 🗑
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