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Med Surg 1 > Gastric Duodenal Ulcers > Flashcards

Gastric Duodenal Ulcers Flashcards

1
Q

gastritis

A

inflammation of the gastric mucosa

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2
Q

can gastritis be acute or chronic

A

both

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3
Q

acute gastritis
- onset

A

rapid

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4
Q

acute gastritis
- example

A

over consumption of alcohol

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5
Q

chronic gastritis
- example

A

H pylori

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6
Q

is acute gastritis always need meds

A

no most times it is self limiting and can heal in 2 days

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7
Q

gastritis
- non erosive cause

A

helicobacter pylori

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8
Q

gastritis
- erosive cause

A

NSAIDS/ ASA/ Steroids
alcohol
radiation therapy

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9
Q

erosive

A

ulcerative
bleeding
eating away

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10
Q

how do NSAIDS cause erosion

A

inhibits production of mucosa

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11
Q

gastritis
- manifesations

A

abdominal discomfort
dyspepsia
N/V
anorexia (way the body to heal itself)
fatigue (from anemia, chronic)

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12
Q

erosive may casue

A

bleeding

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13
Q

bleeding in vomit apperence

A

coffee ground (old)

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14
Q

bleeding in stool old/upper GI

A

black/tarry

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15
Q

bleeding in stool new/lower Gi

A

bright red

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16
Q

gastritis care is

A

supportive

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17
Q

before EGD we would do what and why

A

CBC
- noninvasive/inexpensive way to see if bleeding

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18
Q

would we give these patients NSAID or aspirin

A

NO

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19
Q

preparation for EGD

A

NPO
lidocaine spray
conscious sedation

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20
Q

if we are prepping for EGD and it is an emergency and no time to become NPO what do we do

A

NG tube, check by pulling back and then low intermittent suction

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21
Q

if we chose to start the NG on low intermittent suction just by a pull back, would we administer meds or fluids through this

A

no, we would wait until X RAY to put things down the NG tube

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22
Q

if H pylori is noticed what would our pharm treatment be

A

PPI and 2 antibiotics for 10-14 days

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23
Q

gastritis IV fluids

A

isotonic

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24
Q

gastritis meds

A

antacids
H2 blockers
PPI

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25
chronic gastritis might need what vitamin
B12
26
chronic gastritis diet changes
no spicy foods
27
gastritis labs
CBC (bleeding) type/screen/cross INR/PT/PTT (clotting)
28
1 unit of blood is how many mL
350
29
what would we assess for fluid overload or depletion
mucous membranes urine output pulses JVD turgor mental status
30
what would we assess for for bleeding
decrease BP urine output increase HR RR hemoglobin mental status anxiety
31
what else should we know besides bleeding
estimate the quantity of loss and color
32
peptic ulcer disease is more common where
duodenum
33
peptic ulcer definition
excavation (hallowed out area) that forms in the mucosal wall of the stomach
34
peptic ulcer causes
H pylori NSAID ASA excess secretion of HCL Type O blood chronic kidney/lung disease older adults
35
stress ulcer occurs after
acute medical crisis or trauma - head injury - major surgery - burns - respiratory failure - shock - sepsis
36
what is key with stress ulcers
prevention
37
gastric ulcer - weight
loss
38
gastric ulcer - burning location
left epigastric area
39
gastric ulcer - food related to pain
food aggravates pain
40
gastric ulcer - pain at hour of sleep
no pain
41
duodenal ulcers - pain at hour of sleep
epigastric pain at hour of sleep
42
duodenal ulcers - pain type and location
burning, cramping, mid epigastric area
43
duodenal ulcers - food and pain
food decreases pain but it will flare up 2-4 hours after eating
44
duodenal ulcers - weight
gain
45
duodenal ulcers - N/V?
yes
46
stress/ drug induced ulcers
asymptomatic
47
what is the main thing we use to diagnosis
EGD
48
when can a patient eat after a EGD
positive cough and gag, able to eat
49
abdominal films are used for
ruling out peritonitis
50
H pylori is diagnosed by
breath test or serum antibodies
51
PUD goals
pain relief
52
how do PUD get pain relief
change diet
53
PUD new diet rules
avoid coffee, caffeine, stop smoking
54
PUD meal regimen
small frequent meals
55
meds for PUD
H2 blockers PPi
56
H pylori med regimen
10-14 days of triple therapy - PPI and 2 antibiotics
57
what is a PUD complication
hemorrhage - erosin through blood vessel
58
how will bleeding look like
hematemesis melena coffee grounds
59
lab values for bleeding
CBC INR/PT/PTT type screen and cross (urgent bc it takes 45 mins to get results
60
if there is hemorrhage what do you want for IV
2 large bore
61
if someone is bleeding what might we give them
isotonic solutions PRBC platlets fresh frozen plasma
62
what should we monitor if we think bleeding is happening
H and H and coagulants
63
what should we stop if we think bleeding is happening
stop meds that contribute - ASA, heparin, warfarin
64
what might we do for gastric bleeding after we administer an NG tube
gastric lavage
65
why would we do a gastric lavage with room temp or ice water
vasoconstrict blood vessels
66
hemorrhage HOB
head of the bed is up to decrease aspiration
67
PUD complications
perforation penetration
68
perforation
erosion through the ulcer directly into peritoneum
69
penetration
erosion through the gastric serosa into adjacent structures
70
what are both perforation and penetration
abdominal catastrophes and require immediate surgery
71
perforation and penetration - slow or fast onset of pain
acute/fast onset of pain
72
perforation and penetration - where is the pain location in the abdominal
upper
73
perforation and penetration - tender or nontender
tender
74
perforation and penetration - rigid or not rigid
rigid
75
perforation and penetration - will the patient be protecting
yes
76
perforation and penetration - other signs and symptoms
N/V/D/C
77
perforation and penetration - bowel sounds
initial hyperactive and then hypoactive and then absent - the reason the bowels slow is to minimize bacteria spread
78
perforation and penetration - late signs
hypotension tachycardia shock
79
perforation and penetration - distention or flat
distention
80
perforation and penetration - fever or no fever
fever * elderly might not have a fever
81
perforation and penetration - treatment
antibiotics
82
gastric cancer - signs and symptoms
few symptoms in early stages
83
gastric cancer - pain
relieved by antacids
84
gastric cancer - worst case surgical management
total gastrectomy radical partial gastrectomy
85
gastric cancer - gastrectomy issues
absorption of vitamins and minerals

Med Surg 1 (47 decks)

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