gastric & duodenal disorders (final) Flashcards
1
Q
what are all of the BMI values
A
- <18.5 = underweight
- 18.5-<25 normal weight
- > 25-<30 is overweight
- > 30=obese
- > 40 = morbidly obese
2
Q
how to calculate BMI
A
height in inches vs. body weight in pounds
3
Q
what are causes of a hiatial hernia?
A
- weakened mescle
- age-related changes
- injury
- persistent pressure (pregnant)
4
Q
what is happening with a hiatial hernia?
A
stomach protrudes through diaphragm
5
Q
labs/tests for hiatial hernia
A
- x-ray
- upper endoscopy
6
Q
what meds can help hiatial hernia
A
- antacids
- H2 blockers
- PPIs
7
Q
what are complications of hiatial hernia?
A
- very large = surgery
- strangulation/ischemia
8
Q
surgical intervention for hiatial hernia
A
nissen fundoplication (stomach around esophagus)
9
Q
considerations for hiatial hernia
A
- smaller frequent meals
- avoid triggers
- stay upright
- maintain healthy weight
- smoking cessation
- med compliance
- discuss complications
10
Q
what are cuases of gastritis
A
- h. pylori
- NSAIDS
- older age
- excessive alcohol
- stress
- autoimmune
11
Q
what condition is classified by…
* injury to gastric mucosa
* HCL damage/inflammation
A
gastritis
12
Q
how will a client present with gastritis
A
- asymptomatic
- gnawing/pyrosis
- n/v anorexia
- “full” after small food
- if severe, hematochezia (bright blood), hematemesis, melena (dark blood)
13
Q
lab/test for gastritis
A
- EGD (and biopsy)
- H&H and CBC
14
Q
what meds can help gastritis
A
- antibiotics
- PPI (omeprazole)
- H2 (ranitidine)
- antacids
15
Q
is surgery done for gastritis
A
if severe enough