Diarrhea/Gastroenteritis Flashcards

1
Q

> 90% of water is absorbed where in the GI Tract?

A

Small intestine

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2
Q

Which portion of the small intestine is the major site for water resorption?

A

Jejunum

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3
Q

Which organ transforms liquid fecal stream into well-formed solid stool?

A

Large intestine (colon)

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4
Q

Acute diarrhea is also known as?

A

Acute gastroenteritis

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5
Q

What defines acute gastroenteritis?

A

3 or more episodes per day or at least 200g of stool per day w/ rapid onset of less than 2 weeks

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6
Q

Community outbreaks are commonly caused by what kind of acute gastroenteritis?

A

Viral gastroenteritis

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7
Q

What acute gastroenteritis is caused by a bacterial infection?

A

Acute bacterial gastroenteritis

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8
Q

How are infectious sources of gastroenteritis transmitted and what is the incubation period?

A

Fecal-oral contact, food and water
Incubation period between 12-72 hours

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9
Q

Food poisoning is caused by what?

A

Pre-made toxin in ingested

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10
Q

What is the onset and incubation of pre-formed toxins in food poisoning?

A

VERY acute onset with shorter incubation periods

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11
Q

When the organism is present in food and produces toxins due to longer incubation period (8-16hours), what sx are present?

A

Vomiting is less prominent, abdominal cramping is frequent and fever is absent

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12
Q

Do all infectious agents cause acute diarrhea?

A

No, but almost all acute diarrhea is caused by infectious agents

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13
Q

What is the chronicity for chronic diarrhea?

A

2 weeks

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14
Q

What are osmotic causes of chronic diarrhea?

A

Medications
Zollinger-Ellison

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15
Q

What happens to a patient’s bowel sounds with diarrhea?

A

Increased bowel sounds

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16
Q

Orthostatic BP (tilts) may be what depending on fluid loss with diarrhea?

A

Positive

17
Q

What labs should be done for patients with diarrhea?

A

CBC/diff

18
Q

What could happen if you stop a patient’s diarrhea?

A

Could prolong sx if causes are ingested

19
Q

If attempting oral rehydration, what should the fluids contain?

A

Glucose, Na+, K+, Cl- and bicarbonate or citrate

Ex: 1/2tsp salt (3.5g), 1tsp baking soda (2.5g NaHCO3), 8 tsp sugar (40g), 8oz orange juice (1.5gKCl) diluted to 1L with water

20
Q

What foods should a patient with diarrhea avoid?

A

High fiber, fats, milk products, caffeine and alcohol

21
Q

What diet is recommended for patients with diarrhea?

A

BRAT
Bananas, applesauce, rice, toast