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[MSN] GI-ENDO SYSTEM > Disturbance In Ingestion > Flashcards

Disturbance In Ingestion Flashcards

1
Q

Inflammation of the soft tissue of the oral cavity

A

Stomatitis

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2
Q

Cause of stomatitis give 3 of the five causes

A

Infection,mechanical trauma, chemical trauma, systemic disorder, mouth dryness

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3
Q

Signs and symptoms of stomatatis give 3 of 7 signs

A

1.Pain,sting and soreness
2.Mouth ulcers
3.Red patches
4.Blisters
5. Swelling
6. Oral dysaesthesia- a burning feeling in the mouth
7.Lesions

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4
Q

Give 3 Treatment for common forms of stomatitis among the 5 given

A

1.Avoid hot, salty, spicy and citrus based foods
2.Gargle cool water/ ice chips
3.Increase OFI
4. Rinse with salt water
5. Proper dental care

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5
Q

Give 3 pharmacologic treatment for stomatitis

A

1.Topical corticosteroids
2.Topical antibiotics
3. Topical anaesthetics

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6
Q

Give 3 nursing management for stomatitis inclueded in the 8 given samples

A

1.Maintain integrity of oral mucosa
2.Promote adequate food and oral intake
3.Minimize pain
4.Promote comfort
5.Promote nutrition
6.Avoid irritants
7. Relieve mouthdryness
8. Administer meds

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7
Q

A condition where absenr or ineffective peristalsis of the distal esophagus occurs, failure of esophageal sphincter. This condition progress slowly and occurs on people age ____ or older

A

Achalasia, 40

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8
Q

The cause of achalasia is well understood. True or False

A

False

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9
Q

This two causes of achalasia have been suspected to be the etiology

A

Infection and Autoimmune disorder/condition

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10
Q

Achalasia cant be caused by an inherited generic disorder or infection but is rare. True or false

A

False

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11
Q

Give 3 Clinical manifestation of achalasia included in the 5 given sample

A
  1. Dyspahgia
  2. Regurgitation
  3. Epigastric pain or chest pain
  4. Heartburn
  5. Secondary pulmonary complications
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12
Q

To diagnose achalasia give three diagnostic exams included in the 5 given sample

A

1.Xray
2.Barium Swallo
3.CT Scan
4.Endoscopy
5.Manometry

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13
Q

This tests measures the contractions as your food is pushed into the stomach. Also measure force coordination of esophageal muscles as food moves to stomach

A

Esophageal Manometry

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14
Q

Nursing management for achalasia is to instruct the patient to eat ______ and drink fluids with ______

A

Slowly, With meals

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15
Q

Give 3 Medical management for achalasia (3/4)

A
  1. Oral Calcium channel blockers
  2. Botox
  3. Pneumatic Dilation
  4. Esophagomyotomy ( Heller myotomy)
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16
Q

This is the cutting of affected esophageal muscle to allow better passage of foods and liquids (esophagus to stomach)

A

Esophagomyotomy

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17
Q

An anatomical abnormality where part of stomach protrudes through diaphragm and up into the chest wall

A

Hiatal Hernia or Diaphragmatic hernia

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18
Q

How many types of hernia are there

A

2

19
Q

This type of hernia is when the upper stomach and gastroesophageal junction have moved up and slide in and out of the thorax

A

Sliding hernia or type 1 hernia

20
Q

A type of hiatal hernia where all or part of the stomach pushes through the diaphragm next to the gastroesophageal junction

A

Rolling / paraesophageal hernia

21
Q

Give three cause of hiatal hernia (3/5)

A
  1. Age
  2. Congenital
  3. Obesity
  4. Trauma
  5. Persistent and intense pressure
22
Q

Give Dx test for hiatal hernia includes (2/2)

A
  1. Barium Swallow
  2. Plain film
23
Q

Give 3 symptoms of Hiatal hernia (3/7)

A
  1. Heartburn
    2.Swallowing difficulty
  2. Dyspnea
  3. Chest pain
  4. Abdominal pain
  5. N/V
  6. Belching
24
Q

Give 3 medical management for hiatal hernia (3/5) aside from Nissen fundoplication (Surgical procedure)

A
  1. Antacid
  2. Antiemetics
  3. Histamine
  4. H2 receptor
  5. Proton pump inhibitor
25
Q

Give 3 nursing management for hiatal hernia are (3/3)

A
  1. Relieve pain
  2. Modify diet
  3. Promote lifestyle
26
Q

A condition where backward flow of GI contents into esophagus occurs causing esophageal mucosa injury

A

GERD ( Gastroesophageal Reflux Disease)

27
Q

Causes of GERD are give three (3/3)

A

1.Incompetent LES
2. Pyloric Stenosis
3. Motility Disorder

28
Q

What are the three diagnostic test used for of GERD (3/3)

A
  1. Endoscopy
  2. 24-36 pH monitoring
  3. Barium Swallow
29
Q

Give three signs of GERD (3/7)

A

1.Pyrosis
2.Dysphagia
3.Odynophagia
4.Sore throat
5.Dental Erosions
6. Regurgitation
7. Hypersalivation

30
Q

In GERD, patient should avoid eating and drinking ___ hrs before bedtime

A

2

31
Q

In GERD, avoid tobacco and drinking these three :

A

Caffeine/coffee, milk and beer

32
Q

Weight control is needed to manage GERD. True or false

A

true

33
Q

This condition is caused by congenital, malfunction of sphincter sphinters on either end of the esophagus

A

Esophageal diverticulum

34
Q

Give 3 clinical manifestations of esophageal diverticulum (3/6)

A
  1. Dysphagia, feeling of fullness in the neck
  2. Regurgitation, gurgling noise after eating
    3.Nocturnal coughing
  3. Halitosis
  4. Halitosis
  5. Sour taste in the mouth
  6. Weight loss
35
Q

Sac-Like out pouching in one or more layers of the esophagus

A

Esophageal diverticulum

36
Q

Give three Dx exam for Esophageal diverticulum (3/3)

A
  1. Barium swallow
  2. Esophageal Manometry
  3. Endoscopy is C/I
37
Q

When foods are trapped in a diverticulum, local abscess occurs then will cause esophageal ________

A

Perforation

38
Q

What do you call a esophageal diverticulum in the upper esophagus

A

Pulsion (Zenker’s) Diverticulum

39
Q

What do you call a esophageal diverticulum in the lower esophagus

A

Traction diverticulum

40
Q

Give 2 medical management for esophageal diverticulum (2/4)

A
  1. Observe incision for leakage
  2. Observe the incision for developing fistula
  3. NPO until xrays shows no leakage at surgical site
  4. Diet, liquid then DAT
41
Q

Give 1 nursing management for esophageal diverticulum to patients with NG TUBE (1)

A
  1. Comfort and pain control
42
Q

Give 1 Surgical management for esophageal diverticulum

A
  1. Excision of the diverticukum and re anastamosis of esophageal mucosa
  2. Myotomy of the cricopharyngeal muscle
43
Q

Two types of stomatitis

A

Apthous ulcer, Herpes simplex

[MSN] GI-ENDO SYSTEM (7 decks)

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