digestive

Question 1

GERD

Answer 1

stomach acid moves into the stomach

Question 2

what can gerd lead to?

Answer 2

esophagitis, barrets esophagus, and cancer

Question 3

Risk factors?GERD

Answer 3

obesity, smoking, ascites, hiatal hernia, older age

Question 4

Signs?GERD

Answer 4

dyspepsia, bitter taste, chronic cough, burning

Question 5

how is diagnosed?GERD

Answer 5

EGD, barium swallow, esophageal manometry

Question 6

treatment?GERD

Answer 6

antacids, H2 receptor antagonists, PPIs

Question 7

what surgery is used to treat GERD?

Answer 7

nissen fundoplication which is when they wrap the funds across the esophagus

Question 8

This is when the stomach protrudes through the diaphragm into the thoracic cavity

Answer 8

hiatal hernia

Question 9

symptoms? HIATAL HERNIA

Answer 9

heart burn, chest pain after meals, dysphagia

Question 10

diagnosis? HIATAL HERNIA

Answer 10

EGD, barrium swallow

Question 11

treatment and teaching HIATAL HERNIA

Answer 11

same as gerd which is what

Question 12

inflammation of stomach mucosa?

Answer 12

gastritis

Question 13

what are the risk factors? GASTRITIS

Answer 13

H.PYLORI, NSAIDs, alcohol, stress ,smoking

Question 14

signs?GASTRITIS

Answer 14

dyspepsia, N/V, stomach pain, bloating, lack of appetite, anemia, ulcers

Question 15

How is diagnosed?GASTRITIS

Answer 15

EGD, fecal cult blood, urea breath test

Question 16

Treatment/teachingGASTRITIS

Answer 16

PPIs, H2 antagonists, antacids,
-avoid alcohol/ stress/smoking

Question 17

peptic ulcer disease

Answer 17

-erosion in mucosa of stomach, esophagus, and duodenum

Question 18

risk factors?PUD

Answer 18

H.Pylori, NSAIDS and corticosteroids

Question 19

Signs?PUD

Answer 19

epigastric pain, N/V, bloating, melena, hematemesis

Question 20

gastric vs duodenal ulcers

Answer 20

-pain after 15 mins of eating, worse during day
-no pain while eating, happens 2-3 hrs after and worse at night

Question 21

meds?PUD

Answer 21

same as gerd, and gastritis except for sucrolfate

Question 22

to make symptoms better, pt’s can have caffeine PUD

Answer 22

FALSE

Question 23

what happens if ulcer protrudes through stomach?

Answer 23

-gastric fluid will leak into body causing severe pain/fever, board like abdomen

Question 24

what is it called when enzymes become activated in the pancreas?

Answer 24

pancreatitis; the enzymes autodigest

Question 25

risk factors? PANCREATITIS

Answer 25

-alchol abuse, gallstones, bile tract disease, GI surgery

Question 26

signs?PANCREATITIS

Answer 26

-LUQ pain which radiates to left shoulder -cullen sign (purple discoloration to belly button) -turner sign (blue color to back) -N/V, jaundice, tetany

Question 27

labs?PANCREATITIS

Answer 27

high amylase, lipase, WBS, glucose low Ca,Mg, platelets

Question 28

teachings? nursing care?PANCREATITIS

Answer 28

-place on NPO, low fat diet -Provide fluid/electrolytes, insulin -admin opioid anagesics, pancreatic enzymes

Question 29

ulcerative colitis vs crohns? signs?

Answer 29

-colitis: stool urgency, increased movement, noncturnal movement -crohns: rectal bleeding, decreased appetite,

Question 30

diverticulitis vs celiac disease

Answer 30

-N/V, abdomen pain, high temp, tenderness, fistulas -diarrhea, fatigue, weight loss, anemia, mouth ulcers, joint pain, decreased spleen function

Question 31

IBS manifestations need to happen how often to be considered IBS?

Answer 31

- must happen weekly for 3 months of less often for 6 months.

Question 32

cholecystitis

Answer 32

-inflammation of gallbladder which happens because of gallstones

Question 33

risk factors? CHOLE

Answer 33

-high fat diet, genes, obesity, older age, female

Question 34

signsCHOLE

Answer 34

-RUQ pain; radiates to right shoulder -pain when eating fatty foods -N/V, bloating, dyspepsia

Question 35

what would be signs if the liver is involved?

Answer 35

jaundice, dark urine, clay stool

Question 36

LabsCHOLE

Answer 36

-high WBCs, AST, pancreatic enzymes

Question 37

treatment/ nursing careCHOLE

Answer 37

-analgesics, lithotripsy, cholecystectomy -pancreatitis, peritonitis, low fat fat

Question 38

Gastroparesis

Answer 38

- chronic disorder why delays stomach emptying due to paralysis of muscle

Question 39

what is a bezoar?

Answer 39

harden undigested food

Question 40

what are the causes of the paralysis?

Answer 40

damage to vagus nerve or pacemaker cells, or POOR CONTROLLED DIABETES, opioids, TCAs

Question 41

signs?Gastroparesis

Answer 41

early satiety, N/V, abdominal pain, lac of appetite, acid reflux

Question 42

who else can get this disease?Gastroparesis

Answer 42

anorexia, bulimia

Question 43

how is it diagnosed?Gastroparesis

Answer 43

-EGD, gastric emptying breath test, scintigraphy

Question 44

meds/ teaching Gastroparesis

Answer 44

-antidopaminergic, abx -avoid opioids, eat small meals, low fat foods, steamed veg., avoid carbonated drinks and DO NOT LIE DOWN AFTER EATING

Question 45

what types of hepatitis are transferred through fecal oral?

Answer 45

A, E

Question 46

which is transferred through sharing needles and sexual contact?

Answer 46

C