13+14 holt

Question 1

how does cisapride work

Answer 1

stimulated contraction and motility in GI tract

• works on smooth muscle cells and on cholinergic neurons

Question 2

how to fix colonic volvulus

Answer 2

untwist
put back in place
tact to L side body wall

Question 3

septic peritonitis can be caused by

Answer 3

bowel perf
urogenital infection- pyometra, prostatic abscess
biliary leak
penetrating wounds
contamination at surgery

Question 4

what happens to peritoneal capillaries during peritonitis

Answer 4

they dilate= release fluid, albumin, neutrophils into the peritoneal cavity

• fibrin will block lymphatics= fluid and proteins stuck= decreased cardiac output and decreased onconic pressure

Question 5

in peritonitis fluid and protein lost into peritoneum, — blocks return which reults in decreased — and —

Answer 5

fibrin
* decreased cardiac output
* inappropriate sepsis associated vasodilation rather than vasoconstriction

Question 6

BG and lactate can be used to diagnose peritonitis

Answer 6

peritoneal fluid > 20 lower than BG
peritoneal fluid lactate 2 higher than blood