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
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2
Q

how to calculate BMI

A

height in inches vs. body weight in pounds

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3
Q

what are causes of a hiatial hernia?

A
  • weakened mescle
  • age-related changes
  • injury
  • persistent pressure (pregnant)
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4
Q

what is happening with a hiatial hernia?

A

stomach protrudes through diaphragm

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5
Q

labs/tests for hiatial hernia

A
  • x-ray
  • upper endoscopy
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6
Q

what meds can help hiatial hernia

A
  • antacids
  • H2 blockers
  • PPIs
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7
Q

what are complications of hiatial hernia?

A
  • very large = surgery
  • strangulation/ischemia
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8
Q

surgical intervention for hiatial hernia

A

nissen fundoplication (stomach around esophagus)

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9
Q

considerations for hiatial hernia

A
  • smaller frequent meals
  • avoid triggers
  • stay upright
  • maintain healthy weight
  • smoking cessation
  • med compliance
  • discuss complications
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10
Q

what are cuases of gastritis

A
  • h. pylori
  • NSAIDS
  • older age
  • excessive alcohol
  • stress
  • autoimmune
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11
Q

what condition is classified by…
* injury to gastric mucosa
* HCL damage/inflammation

A

gastritis

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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)
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13
Q

lab/test for gastritis

A
  • EGD (and biopsy)
  • H&H and CBC
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14
Q

what meds can help gastritis

A
  • antibiotics
  • PPI (omeprazole)
  • H2 (ranitidine)
  • antacids
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15
Q

is surgery done for gastritis

A

if severe enough

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16
Q

complications of gastritis

A
  • ulcers
  • bleeding
  • pernicious anemia
  • stomach CA
17
Q

hiw can nurses help gastritis

A
  • often self-resolving
  • eat smaller, more frequent meals
  • avoid alc/NSAIDS
  • h. pylori
  • assess for bleeding
18
Q

what are causes of peptic ulcer disease

A
  • h. pylori
  • long-term NSAID/ASA
  • other meds
19
Q

what is happening in peptic ulcer disease

A
  • increased acid/decreased mucous
  • stomachlining eroding
  • open sores
20
Q

how will a client with peptic ulcer disase present?

A
  • asymp.
  • gnaw/burn
  • bloat/belch
  • fatty food intolerance
  • pyrosis, nausea
21
Q

what kind of PUD is where eating hurts

A

gastric

22
Q

what kind of PUD is where eating relieves pain

A

duodenal

23
Q

labs/tests for PUD

A
  • occult stool tests
  • CBC/BMP
  • EGD with biopsy
  • fluoroscopy
24
Q

what meds can help PUD from h. pylori

A
  • triple antibiotic
  • PPI/H2/antacids
25
Q

what meds can help PUD not from h. pylori

A

PPI/H2/antacids
-not antibiotic

26
Q

what are complications of PUD

A

-internal bleeding
-infection
-obstruction
-refractory ulcers

27
Q

considerations for PUD

A
  • have antacids/H2s ready
  • avoid NSAIDS
  • avoid triggers
  • choose healthy diet
  • consider probiotics
  • emilinate milk
  • adequate sleep
28
Q

pharm management of obesity

A

orlistat (xenical)
lorcaserin (belviq)
sibutramine HCL (meridia)

29
Q

what is the most common bariatric surgery

A

roux-en-Y (gastric bypass)

30
Q

what are the risks of gastric bypass

A
  • same as general surgery
  • dumping syndrome
  • bowel obstruction
  • hypoglycemia
  • malnutrition
  • ulcer/gallstones
31
Q

how can nurses help with gastric bypass

A
  • counseling
  • pre-surgery weight loss goal
  • physical activity
  • tobacco cessation
  • progressive diet
  • 3-6 mo. of malaise