Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

AH2 Exam 2 > Digestive (Saunders) > Flashcards

Digestive (Saunders) Flashcards

1
Q

cholecystitis is inflammation of what?

A

gallbladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

acute inflammation associated with gallstones is called what?

A

cholelithiasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is chronic cholecystitis

A

inefficient bile emptying and gallbladder muscle wall becomes fibrotic and contracts the gallbladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

S/S of cholecystitis

A

N/V
belching
flatulence
epigastric pain that radiates to right shoulder or scapula
guarding
rebound tenderness
murphy signs
high temp
tachycardia
jaundice
dark orange/foamy urine
steatorrhea/clay colored feces
pruritus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

where do you feel the pain for cholecystitis

A

RUQ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

interventions for cholecystitis

A

NPO until said so
antiemetics
analgesics
antispasmodic
SMALL, HIGH FIBER, LOW FAT MEALS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

cirrhosis is a progressive disease to what organ?

A

liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

cholecystitis is to what organ?

A

gallbladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

early signs of cirrhosis

A

weight loss
n/v
abdominal pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

causes for cirrhosis

A

hepatitis c
alcoholism
NAFLD (nonalcoholic fatty liver)
NASH (nonalcoholic steatohepatitis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

complications for cirrhosis

A

ascites
portal HTN
bleeding problems
jaundice
encepalopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

interventions for cirrhosis

A

elevate HOB
high protein and vitamins (if there’s no edema or coma)
vitamins (A,C,k,folic acid, thiamine)
restrict I and O/ fluids
daily weights
monitor for tremors/delirium
ASTERIXIS (duhhh hand)
give lactulose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is esophageal varices

A

bleeding from the dilated veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

causes for esophageal varices

A

portal HTN
liver cirrhosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

s/s for esophageal varices

A

melena
hematemesis
jaundice
dilated abdominal veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

interventions for esophageal varices

A

elevate HOB
02
NPO
monitor LOC
give IVF
monitor hgb,htc
insert Ng tube/balloon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

is hepatitis a treatable disease

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what hepatitis is most likely to cause liver dysfunction

A

Hep. B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what hepatitis has vaccines

A

A,B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

how can you get hep C

A

through blood/paraneterally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

complications of hep c

A

chronic liver disease
cirrhosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

how can you get Hep. D?

A

must need Hep. B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

how can you get Hep E

A

waterborne virus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what is pancreatitis

A

inflammation of the pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

s/s of acute pancreatitis

A

cullens sign
turners sign
LUQ pain
N/V
weight loss
pain aggrevated by fatty meal,alcohol
tachycardia
HOTN
hyperthermia
dyspnea
pleural effusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

where do you feel pain/mass for pancreatitis

A

LUQ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

interventions for acute pancreatitis

A

hold fluid, food
give opiates
NG tube feed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

s/s of chronic pancreatitis

A

LUQ mass
jaundice
ascites
s/s of DM
s/s of respiratory distress
weight loss
steaorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

interventions for chronic pancreatitis

A

avoid alcohol, caffeine
give insulin
avoid heavy meals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

complications of acute pancreatitis

A

HOTN
gi bleed
hyperglycemia
hypocalcemia
atelestasis, pneumonia, ards
anemia

31
Q

causes of acute pancreatitis

A

opiates
steroids
BC
thiazides
sulfas

32
Q

labs for acute pancreatitis

A

everything high except albumin and calcium and magnesium

33
Q

tx for acute pancreatitis

A

opioids
famotidine
pantoprazole
antibiotics
pulmonary hygiene
surgical management

34
Q

education for pancreatitis

A

low fat
high protein
moderate carbs
avoid spicy
educate s/s of jaundice, clay/pale poop, dark urine,

35
Q

chronic pancreatitis complications

A

stearorrhea
muscle waste
pUD
pancreatic pseudocust
pancreatic CA

36
Q

Tx for chronic pancreatitis

A

lifestyle diet/change
pain meds
PERT (pancreatic enzyme)
surgery PRN

37
Q

what are surgeries for pancreatic cancer

A

partial pancreatectomy (3cm or smaller)
radical pancreaticoduodenectomy (whipple)

38
Q

complications of whipple

A

MODS
ARDS
hemorrhage
DM
MI
deadly

39
Q

clinical management for whipple

A

NGT for decompression
TPN
blood glucose watch
drain tube

40
Q

what are the types of cirrhosis

A

post-necrotic (viral.toxins)
laennec (alcoholic)
biliary (obstructive)

41
Q

what is the most common cause of cirrhosis worlwide

A

hep b and D

42
Q

leading cause of cirrhosis in US

A

hep C

43
Q

cirrhosis tx for meds

A

lactulose
moisturizer
corticosteroids
electrolyte replacement

44
Q

Tx for esophageal

A

vasopressin
BB
somatostatin
elastic bands
pressure on varices

45
Q

what is the name for esophageal varices tx

A

sengstaken-blakemore tube

46
Q

sengstaken-blakemore tube three openings

A

gastric suction
inflating esophageal balloon
inflating esophageal balloon to compress vein
inflating gastric balloon applies pressure to fundul veins

47
Q

what are health promotions for hepatitis

A

vaccines for A and B
healthcare workers
standard precautions
needleless systems
proper handwashing (especially after fish)
avoid contaminated food/water

48
Q

hepatitis management

A

high carb, low fat
small frequent meals
increase kcal
tell women for extra BC because of drugs fo hepatitis
emotional support

49
Q

s/s of hepatic encephalopathy

A

altered LOC
confusion
somnolence
insomnia
impaired mentation

50
Q

how does hepatic encephalopathy happen

A

liver failure

50
Q

what happens in stage 4 hepatic encepatholagy

A

accumulation of toxins in bloodstream (ammonia)
seizures
positive babinski sign
muscle rigidity
unresponsiveness

51
Q

what med for hepatic encepathology

A

lactulose

52
Q

side effects for lactulose

A

gas
bloating
burping
stomach pain
nausea
cramps

53
Q

stage 1 hepatic encephalopathy

A

subtle manifestations
drowsy
inability to concentrate
slurred speach
sleep pattern disturbance

54
Q

what worsens hepatic encephalopathy

A

high protein
infection
hypovolemia
hypokalemia
constipation
gi bleed
drugs

55
Q

stage 2 hepatic encephalopathy

A

asterixis
disorientated

56
Q

stage 3 hepatic encephalopathy

A

asterixis
more duhhhh

57
Q

How does Hepatitis affect Metabolism of medications?

A

increases drug toxicity bc the liver is not working meaning the liver enzymes can’t break down shit

58
Q

What are some hepatotoxic medication?

A

tylenol
nsaids
statins
antibiotics
antifungal
methotrexate

59
Q

S&S of increase ammonia level in patients /management

A

mental status change
n/v
breath odor

60
Q

management for hyperammonia

A

lactulose
antibiotics (rifaximin)
low protein
high carbs

61
Q

Appropriate DIET for patients with Hepatitis A B C

A

diet high in veggies, fruits, whole grains (anything healthy)
limit fat and cholesterol
avoid alcohol
limit salt
stay hydrated
monitor protein intake be careful

62
Q

modes of transmission of hepatitis

A

A,E: food and water
B,C,D,G: blood or bodily
C: sex or needle stick

63
Q

Patient education for Hep. ABCDEG

A

modes of transmission
prevention tacts
s/s (jaundice, fatigue, n/v, clay colored stools

64
Q

Medical management for chronic Hep

A

antiviral
regular liver function test (AST,ALT, INR, bilirubin,albumin)

65
Q

antiviral meds for hepatitis B

A

entecavir, tenofovir
disoproxil

66
Q

antiviral meds for hep c

A

direct acting antiviral (DAA)sofosbuvir
ledipasvir
glecaprevir

67
Q

complications for pancreatic cancer

A

VTE (bc of thrombolytic factor)
rapid and difficult to treat
metastatic disease

68
Q

associated factors for pancreatic cancer

A

dm
fat
old
cigs
male
cirrhosis
red meat
chronic pancreatitis

69
Q

diagnosis for pancreatic cancer

A

amylase
lipase
cholesterol
ERCP

70
Q

s/s for pancreatic cancer

A

DVT/VTE/PE
weight loss
weakness
fatigue
N/V
jaundice (dark urine, clay poop)
ascites
new onset of DM

71
Q

surgery for Pancreatic cancer

A

partial pancreatectomy (3cm or smaller)
radical pancreaticofuodenectomy (whipple)

72
Q

complications for whipple

A

infection
fistula
bowel obstruction
DM
MI
ARDS
MODS
hemorrhage

73
Q

nurse care for post op pancreatic cancer surgery

A

NGT (decompression)
drainage
TPN (jtube)
strict i and o
fluid and electrolyte
emotional support

AH2 Exam 2 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions