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Med Surg 2 > Exam 3, ca & surg > Flashcards

Exam 3, ca & surg Flashcards

1
Q

The 2 primary risk of esophageal cancer in western society?

A
  1. Smoking

2. Heavy alcohol

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2
Q

How does GERD play a role in esophageal ca?

A

Barrett’s esophagus

Back flow of acid, irritation to the lining which causes damage & changes.

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3
Q

Non surgical management of esophageal ca

A

Esophageal dilation
Stents
Laser therapy

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4
Q

Preop care of pt undergoing surgery for esophageal ca

A

Stop smoking, npo after midnight, consent, explain procedure, what to expect after surgery

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5
Q

Postop care of pt after surgery with esopageal ca

A

Vitals, check incision, semi-high fowlers, check tubes- jp, t-tube
Npo advance as tolerated, then 6-8 meals/day

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6
Q

Esophagogastrostomy

A

Surgery to remove the esophagus and part of the stomach. The esophagus is then replaced in one of two ways: by moving the remaining portion of the stomach upwards, or by replacing it with a section of the large bowel.

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7
Q

Esophagectomy

A

Removal of part of the esophagus

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8
Q

Dumping syndrome

Causes

A

Condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested.

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9
Q

S/s of dumping syndrome

A 
Nausea
Vomiting
Abdominal cramping
Diarrhea (Sometimes explosive)
Dizziness
Belching and bloating
Fatigue
Racing heart rate
In late onset dumping syndrome, the following symptoms can occur:
Sweating
Fatigue
Dizziness
Trembling
Anxiety
Racing heart rate
Fainting
Confusion
Diarrhea (Sometimes explosive)
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10
Q

Things to do for dumping syndrome

A

having a balanced diet is important. Treatment includes changes in eating habits and medication. People who have gastric dumping syndrome need to eat several small meals a day that are low in carbohydrates, avoiding simple sugars, and should drink liquids between meals, not with them.

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11
Q

Discharge teaching for post esophageal surgery

A 
Incentive spirometer 
Ambulation
Protection from infection
Incision care
Meals & diet
Daily weights
Dysphasia 
Support groups
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12
Q

Pyloromyotomy

A

surgical procedure in which an incision is made in the longitudinal and circular muscles of the pylorus. It is used to treat hypertrophic pyloric stenosis

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13
Q

Vagotomy syndrome

A

Vagotomy is the surgical cutting of the vagus nerve to reduce acid secretion in the stomach.

When vagus nerve is damaged dumping syndrome can occur.

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14
Q

Odynophagia

A

painful swallowing, in the mouth (oropharynx) or esophagus. It can occur with or without dysphagia, or difficult swallowing.

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15
Q

Primary risk factors for gastric carcinoma

A

H-pylori & Barretts esphagus

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16
Q

The 2 primary risk of esophageal cancer in western society?

A
  1. Smoking

2. Heavy alcohol

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

How does GERD play a role in esophageal ca?

A

Barrett’s esophagus

Back flow of acid, irritation to the lining which causes damage & changes.

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

Non surgical management of esophageal ca

A

Esophageal dilation
Stents
Laser therapy

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

Preop care of pt undergoing surgery for esophageal ca

A

Stop smoking, npo after midnight, consent, explain procedure, what to expect after surgery

20
Q

Postop care of pt after surgery with esopageal ca

A

Vitals, check incision, semi-high fowlers, check tubes- jp, t-tube
Npo advance as tolerated, then 6-8 meals/day

21
Q

Esophagogastrostomy

A

Surgery to remove the esophagus and part of the stomach. The esophagus is then replaced in one of two ways: by moving the remaining portion of the stomach upwards, or by replacing it with a section of the large bowel.

22
Q

Esophagectomy

A

Removal of part of the esophagus

23
Q

Dumping syndrome

Causes

A

Condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested.

24
Q

S/s of dumping syndrome

A 
Nausea
Vomiting
Abdominal cramping
Diarrhea (Sometimes explosive)
Dizziness
Belching and bloating
Fatigue
Racing heart rate
In late onset dumping syndrome, the following symptoms can occur:
Sweating
Fatigue
Dizziness
Trembling
Anxiety
Racing heart rate
Fainting
Confusion
Diarrhea (Sometimes explosive)
25
Q

Things to do for dumping syndrome

A

having a balanced diet is important. Treatment includes changes in eating habits and medication. People who have gastric dumping syndrome need to eat several small meals a day that are low in carbohydrates, avoiding simple sugars, and should drink liquids between meals, not with them.

26
Q

Discharge teaching for post esophageal surgery

A 
Incentive spirometer 
Ambulation
Protection from infection
Incision care
Meals & diet
Daily weights
Dysphasia 
Support groups
27
Q

Pyloromyotomy

A

surgical procedure in which an incision is made in the longitudinal and circular muscles of the pylorus. It is used to treat hypertrophic pyloric stenosis

28
Q

Vagotomy syndrome

A

Vagotomy is the surgical cutting of the vagus nerve to reduce acid secretion in the stomach.

When vagus nerve is damaged dumping syndrome can occur.

29
Q

Odynophagia

A

painful swallowing, in the mouth (oropharynx) or esophagus. It can occur with or without dysphagia, or difficult swallowing.

30
Q

Primary risk factors for gastric carcinoma

A

H-pylori & Barretts esphagus

31
Q

The 2 primary risk of esophageal cancer in western society?

A
  1. Smoking

2. Heavy alcohol

32
Q

How does GERD play a role in esophageal ca?

A

Barrett’s esophagus

Back flow of acid, irritation to the lining which causes damage & changes.

33
Q

Non surgical management of esophageal ca

A

Esophageal dilation
Stents
Laser therapy

34
Q

Preop care of pt undergoing surgery for esophageal ca

A

Stop smoking, npo after midnight, consent, explain procedure, what to expect after surgery

35
Q

Postop care of pt after surgery with esopageal ca

A

Vitals, check incision, semi-high fowlers, check tubes- jp, t-tube
Npo advance as tolerated, then 6-8 meals/day

36
Q

Esophagogastrostomy

A

Surgery to remove the esophagus and part of the stomach. The esophagus is then replaced in one of two ways: by moving the remaining portion of the stomach upwards, or by replacing it with a section of the large bowel.

37
Q

Esophagectomy

A

Removal of part of the esophagus

38
Q

Dumping syndrome

Causes

A

Condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested.

39
Q

S/s of dumping syndrome

A 
Nausea
Vomiting
Abdominal cramping
Diarrhea (Sometimes explosive)
Dizziness
Belching and bloating
Fatigue
Racing heart rate
In late onset dumping syndrome, the following symptoms can occur:
Sweating
Fatigue
Dizziness
Trembling
Anxiety
Racing heart rate
Fainting
Confusion
Diarrhea (Sometimes explosive)
40
Q

Things to do for dumping syndrome

A

having a balanced diet is important. Treatment includes changes in eating habits and medication. People who have gastric dumping syndrome need to eat several small meals a day that are low in carbohydrates, avoiding simple sugars, and should drink liquids between meals, not with them.

41
Q

Discharge teaching for post esophageal surgery

A 
Incentive spirometer 
Ambulation
Protection from infection
Incision care
Meals & diet
Daily weights
Dysphasia 
Support groups
42
Q

Pyloromyotomy

A

surgical procedure in which an incision is made in the longitudinal and circular muscles of the pylorus. It is used to treat hypertrophic pyloric stenosis

43
Q

Vagotomy syndrome

A

Vagotomy is the surgical cutting of the vagus nerve to reduce acid secretion in the stomach.

When vagus nerve is damaged dumping syndrome can occur.

44
Q

Odynophagia

A

painful swallowing, in the mouth (oropharynx) or esophagus. It can occur with or without dysphagia, or difficult swallowing.

45
Q

Primary risk factors for gastric carcinoma

A

H-pylori & Barretts esphagus

Med Surg 2 (2 decks)

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