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NRSG 200: Med Surg 3 > [Exam 1/Final] Chapter 46 - Management of Patients with Gastric and Duodenal Disorders > Flashcards

[Exam 1/Final] Chapter 46 - Management of Patients with Gastric and Duodenal Disorders Flashcards

1
Q

Functions of the Digestive Tract: What are some of the different functions?

A

Breakdown for food/digestion

Absorption of nutrients

Elimination of undigested foodstuffs and other waste products

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2
Q

Quadrants of Abdomen: RUQ contains what?

A

The liver

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3
Q

Quadrants of Abdomen: LUQ contains what?

A

The Stomach

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4
Q

Gastric Cancer - Risk Factors: What are the biggest risk factors for this?

A

Smoked, salted, pickled foods

Decreased fruits/vegetables

H. Pylori

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5
Q

Gastric Cancer: Why is this a poor prognosis?

A

Because it is largely asymptomatic in early stages

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6
Q

Gastric Cancer: This is typically adenocarcinomas, which arises from what?

A

Mucus producing cells of the inner-most lining of the stomach.

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7
Q

Gastric Cancer - CMs: Symptoms that is seen in early stages?

A

Indigestion, Early Satiety, Weight Loss, Abdominal Pain, Bloating after Meals, Decreased Appetite, N/V

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8
Q

Gastric Cancer - Assessments: What may we be able to assess later on?

A 
Palpable Mass (Late)
Ascites (Metastasis) (caused by portal hypertension)
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9
Q

Gastric Cancer - Diagnosis: How will this be diagnosed in an individual?

A

Through an EGD, Barium X-Ray, and CBC

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10
Q

Gastric Cancer - Treatment: Non-Surgical includes whaht?

A

Chemo, but there is a decreased chance of a cure so this is more palliative to make the patient more comfortable.

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11
Q

Gastric Cancer - Surgical Tx: What is a Billroth 1?

A

They take a portion of the duodenum and connect it to the body of the stomach.

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12
Q

Gastric Cancer - Surgical Tx: What is removed in a Billroth I?

A

A portion of the lower stomach is removed.

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13
Q

Gastric Cancer - Surgical Tx: What is a BillRoth II?

A

A portion of the lower stomach is removed, but is now connected to the jejenum.

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14
Q

Gastric Cancer - Surgical Tx: Billroth II is likely to cause what?

A

Dumping Syndrome, which is the result of patient eating a lot of fluid and drawing fluid to the small intestine. Abdominal cramping with N/V is experienced.

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15
Q

Nursing Process for Patient with Gastric Surgery - Diagnosis: This includes what?

A

Imbalanced Nutrition due to dumping syndrome. Can be coutneracted with small, frequent meals

Acute Pain: Pts given opioids or may be on PCa.

Knowledge Deficit on how to take care of themselves. so educate

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16
Q

Nursing Process for Patient with Gastric Surgery - Diagnosis:Why may grieving be a problem?

A

Because they have had surgery due to having gastric cancer. Cancer diagnosis can be very hard emotionally.

17
Q

Nursing Process for Patient with Gastric Surgery - Goals: This includes what?

A

Solving nutrition, acute pain, knowledge deficit problems

18
Q

Nursing Process for Patient with Gastric Surgery - Nursing Interventions: THis will focus on what?

A

Controlling pain, small frequent meals, controlling anxiety.

Also trying to prevent complications

19
Q

Nursing Process for Patient with Gastric Surgery - Complications: What problems may they have after surgery?

A

Hemorrhage, and this can be seen when checking vital signs. Could also see expanded size

20
Q

Nursing Process for Patient with Gastric Surgery - Complications: Dietary deficiencies can be fixed how?

A

They may need to take Vit B supplements and can be seen with gastrectomies.

21
Q

Nursing Process for Patient with Gastric Surgery - Complications: Bile Reflux occurs why

A

Due to dysfunctional pyloric sphincer. which may cause it to be thrown up

22
Q

Nursing Process for Patient with Gastric Surgery - Complications: Major complication of Billroth II procedure?

A

Dumping Syndrome. Have rapid gastric emptying. Body releases rapid insulin which leads to hypoglycemia. And will also have diarrhea and bloating.

23
Q

Nursing Process for Patient with Gastric Surgery - Complications: How quickly does dumping syndrome occur?

A

15-30 mins after eating

24
Q

Nursing Process for Patient with Gastric Surgery - Complications: What are some signs of dumping syndrome?

A

Weakness, dizziness, vertigo, abdominal cramping, and epigastric fullness

25
Q

Nursing Process for Patient with Gastric Surgery - Complications: How to prevent dumping syndrome?

A

No fluids with meals, no high carbs (bread, potatoes)

26
Q

Nursing Process for Patient with Gastric Surgery - Complications: How long will dumping syndrome last?

A

Anywhere from months to being a long-term issues.

NRSG 200: Med Surg 3 (46 decks)

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