Assessment and Diagnostics for Gastrointestinal Disorders (Online Lecture) Flashcards

1
Q

where does the GI tract start and end

A

mouth
anus

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2
Q

peristalsis

A

propels food through the tract

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3
Q

accessory organs

A

liver
gallbladder
pancreas
bile ducts
vasculature

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4
Q

SNS action on GI

A

inhibitory effect

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5
Q

PNS action on GI

A

peristalsis
- rest and digest

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6
Q

function of GI tract

A
  • breakdown of for for digestion
  • absorption of nutrients
  • elimination of undigested foodstuff or other waste products
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7
Q

upper GI bleed appearance

A

dark red

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8
Q

lower GI bleed apperence

A

bright red

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9
Q

assess medications

A

NSAIDS
ASA
antihypertensive
laxative

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10
Q

assess current state of health

A

nasuea
vomitting
diarrhea
constipation
indigestion
swallowing
pain

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11
Q

assess previous health

A

past GI illness
ulcers
gallbladder disease
IBS
GERD
GI Bleed
abdominal trauma

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12
Q

order of assessment for the abdomen

A

inspection
auscultation
percussion
palpation

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13
Q

emergency signal

A
  • abdominal pain that is progressive or severe
  • severe pain with guarding
  • acute pain in elderly
  • vomit with fresh blood
  • bloody tarry stools
  • abdominal tenderness with rigidity
  • rebound tenderness
  • fever
    -hypotension
  • dehyration
  • tachycardia
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14
Q

Lab studies
- CBC

A

H&H
platelet

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15
Q

Lab studies
- CMP

A

BUN
CR
Electrolytes
albumin
protein levels

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16
Q

Lab studies
- PT/PTT

A

bleeding

17
Q

Lab studies
- triglycerides

A

fatty liver
pancreatitis

18
Q

Lab studies
- liver function test

A

cirrhosis
hepatitis
alcoholic

19
Q

C diff can occur if taking

A

antibiotics

20
Q

occult blood testing

A

blood in still that cannot be seen

21
Q

ultrasound pros

A

noninvasive
risk free
quick
no contrast
low cost

22
Q

when doing an upper/lower GI tract study we use

A

contrast

23
Q

Lower GI tract studies contraindications

A

active inflammatory disease of colon
obstruction or suspected perforation
active GIB (GI bleed

24
Q

MRI you need to assess for

A

metal devices

25
Q

can a upper GI endoscopy be bedside

A

yes

26
Q

upper GI endoscopy
-NPO and if not what else

A

Yes, if emergency an NG tube and stomach contents suctioned

27
Q

upper GI endoscopy
- assess for what post op

A

VS
oxygen
pain
gag reflex!! (will stay NPO until this returns)

28
Q

colonoscopy
- bowel prep

A

laxatives
enemas

29
Q
A