Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Med Surg 2 > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

Subjective data for GI assessment

A

demographics, PMH, PSH, family hx, nutrition hx, socioeconomic status, chief complaint

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

Age related changes to GI

A

decreased peristalsis, loss of teeth, diminished salivary flow, decreased gastric motility, risk for dysphagia

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

diagnostic study that illuminates inside GI system

A

barium swallow

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

inflammation of oral cavity

A

stomatitits

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

How can you treat stomatitis

A

soft toothbrush, foam swabs, no alcohol rinses, warm saline, no hot foods, soft bland diet

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

What do you do with Nystatin?

A

swish drug around mouth before swallowing

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

inflammation of salivary gland

A

acute sialadenitis

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

reduces acid secretion in stomach by binding irreversibly to the enzyme H+. Inhibits final pathway involved in acid secretion– before meals

A

proton pump inhibitors

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

decrease gastric acid secretion– give with meals

A

H2 blockers

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

deactivating pepsin - can be given before or after meals

A

antacids

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

surgical management of GERD

A

nissen fundoplication

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

occurs from long standing untreated GERD

A

Barretts esophagus

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

Risk factors for esophageal cancer

A

obesity, smoking, untreated GERD, pickled foods, alcohol intake

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

What meds can cause gastritis?

A

steroids, aspirin, NSAIDS

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

rapid onset, N/V, hematemesis, dyspepsia, anorexia

A

acute gastritis

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

vague epigastric pain that is relieved by food- b12 deficiency

A

chronic gastritis

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

impaired mucosal barrier

A

peptic ulcers

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

gnawing sharp pain, bloody emesis, food ingestion makes pain worse

A

gastric ulcer

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

bloody stool, dull burning pain, relieved by eating food

A

duodenal ulcer

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

sudden severe pain, referred shoulder pain

A

perforation

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

unpleasant symptoms - when fluid and food move rapidly into the small intestines before proper absorption

A

dumping syndrome

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

prevention of dumping syndrome

A

frequent small meals, high fat high protein, love carb, no milk, avoid alcohol

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

what drugs can cause GI bleeding?

A

nsaids, naproxen

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

s/s of GI bleeding

A

coffee ground vomitus, occult blood, decreased BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What is important to do after a barium enema?
drink lots of water- stools will be chalky white
26
endoscopic view of large bowel starting at age 50
colonoscopy
27
protrusion through a weak abdominal wall
hernia
28
peritoneum sac formation
indirect inguinal
29
weak point in abdominal wall
direct inguinal hernia
30
protrusion through the femoral ring
femoral hernia
31
can be congenital or acquired
umbilical hernia
32
inadequate healing of the incision
incisional hernia
33
s/s include: abdominal distention, nausea and vomiting, pain , fever, tachycardia
strangulated hernia
34
swollen or distended veins in the anorectal region
hemorrhoids
35
what can trigger hemorrhoids
constipation, obesity, weight lifting, strenuous exercise, decreased fluid intake
36
hemorrhoid management
stool softener, exercise, sitz bath/ warm compresses, topical anesthetics
37
obstruction with compromised blood flow
strangulated obstruction
38
non mechanical obstruction: s/s - distention, absent peristalsis
paralytic ileus
39
intermittment colicky pain
mechanical obstruction
40
constant pain
nonmechanical
41
bowel blockage
mechanical obstruction
42
obstruction with compromised blood flow
strangulated obstruction
43
s/s of strangulated intestinal obstruction
fever, tachycardia, pain, rigid abdomen
44
Labs for intestinal obstruction
WBC ^ | H and H ^, BUN ^ = dehydration
45
what setting will the NGT be on for intestinal obstruction
low intermittent suction
46
risk factors for CRC
50+, smoking, polyps, genetics, family history of cancer, alcohol, diet
47
how often is a colonoscopy recommended?
every 10 years
48
how often is a barium enema recommended?
every 5 years
49
how often is fecal occult blood testing recommended?
every year
50
s/s of CRC
fatigue, full abdomen, vague pain, unintentional weight loss, bloody stool, CEA +
51
solid formation of stool
sigmoid/ descending colostomy
52
diarrhea, constipation, mucous in stool, belching, gas, bloated
IBS
53
interventions for IBS
increase fiber, fluids, chew slowly, stress reduction
54
what is a risk with appendicitis?
peritonitis--> sepsis
55
cramping pain, anorexia, rebound tenderness, N/V, RLQ pain, relief when hip or knee is bent is emergency
appendicitis
56
What lab is drawn to show appendicitis
elevated WBC with shift to the left
57
point of rebound tenderness
McBurneys point
58
when you palpate LLQ the pain is felt on the RLQ
Rovsings sign
59
inflammation of lining of abdominal cavity
peritonitis
60
What are the risks for peritonitis
sepsis, respiratory difficulty, poor kidney perfusion
61
classic sign of peritonitis
rigid boardlike abdomen, distended, n/v, decreased bowel sounds, fever, tachycardia, dehydration
62
treatment for peritonitis
oxygen, NPO, abx, infection control, IV fluids
63
abx associated diarrhea
c-diff
64
treatment for c-diff
abx, contact precautions, skin care, fluids, vs, electrolytes
65
intestinal mucosa becomes hyperemic, edematous and reddened- remissions and exacerbations
ulcerative colitis
66
s/s: lower abdominal colicky pain, bloody and mucousy stool, tenesmus
ulcerative colitis
67
chronic inflammatory disease
Crohns disease
68
s/s: diarrhea, abdominal pain, and low grade fever, steatorrhea, anemia
Crohns disease
69
complications of Crohns
hemorrhage, malnourishment, fistula formation
70
how often do you change the tubing for TPN?
every 24 hours
71
pouchlike herniations
diverticula
72
abnormal pouchlike herniations
diverticulosis
73
inflammation or infection of diverticula
acute diverticulitis
74
usually has no symptoms
diverticulosis

Med Surg 2 (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions