Gastrointestin Flashcards

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1
Q

What causes a gastric ulcer

A

pylori
overuse of NSAIDS

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2
Q

symptoms of gastric ulcer

A

pain 1-2 hours after a meal
abdominal pain aggravated by eating
vomiting
weight loss
hematemesis if hemorrhage occurs

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3
Q

treatment of gastric ulcer

A

treat h pylori
reduce stomach acid
-h2 recepto blocker
-proton pump inhibitor

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4
Q

causes of duodenal ulcer

A

h pylori
overuse of NSAID

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5
Q

symptoms of duodenal ulcer

A

pain 2-4 hours after meals
food may relive pain
weight gain
Selena if hemorrhage occurs

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6
Q

treatment of duodenal ulcer

A

treat h pylori
reduce stomach acid

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7
Q

types of H2 receptor blockers

A

famotidine
cimetidine
nizatidine

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8
Q

what do H2 receptors do? How are they taken?

A

decrease gastric acid secretion by binding to histamine receptors
take with food
takes 30-90 minutes to start working

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9
Q

types of proton pump inhibitors

A

omeprazole
lansoprazole
pantoprazole

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10
Q

what do proton pump inhibitors do

A

block gastric acid secretion by binding to and inhibiting hydrogen potassium ATPase pump
take 30 minutes before first meal of the day

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11
Q

what does sucralfate do

A

sticks to damaged tissue protecting it
allows healing to take place
take on and empty stomach 2 hours after or 1 hour before food
take at least 30 minutes apart fro antacids

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12
Q

What is ulcerative colitis

A

inflammation of the large intestines

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13
Q

what is crohns disease

A

inflammation and erosion of the ileum and anywhere throughout the small and large intestines

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14
Q

signs of ulcerative colitis and chrons

A

rebound tenderness
cramping
diarrhea
vomiting
dehydration
weightloss
rectal bleeding
bloody stools
anemia fever

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15
Q

Treatment of chroms and ulcerative colitis

A

low fiber diet
avoid color hot foods
no smoking
antidiarrheals
antibiotics
steroids
ileostomy
colostomy

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16
Q

assessment finding of appendicitis

A

abdominal pain
nausea
vomiting
decreased appetite
fever
elevated WBC
elevated CRP

17
Q

Preop appendectomy considerations

A

no heat, can aggravate or cause rupture
position on right side, low fowlers for comfort

18
Q

post op appendectomy

A

IV fluids
IV ABX
pain management
NPO until return of bowel sounds
wound care

19
Q

number one cause of panreatitis

A

alcoholism

20
Q

finding of pancreatitis

A

pain
abdominal distention
ascites
abdominal mass
rigid abdomen
cullens sign
gray turners sign
fever
nausea
vomiting
jaundie
hypotension

21
Q

treatment of pancreatitis

A

NPO
NGT to suction
bed rest
pain management
steroids
GI protectants
monitor I&O
daily weight
no alcohol

22
Q

HEP a, transmission, prevention and treatment

A

contaminated food and water
improve hygiene and vaccination
none

23
Q

heb b, transmission, prevention and treatment

A

contact with infected body fluids
blood screening, improved hygiene, vaccination
nucleotide analogs

24
Q

hep c, transmission, prevention and treatment

A

IV drug use, unsterilized medical
blood screening, sterile needles sanitary health setting
direct-acting antiviral agents

25
Q

hep d, transmission, prevention and treatment

A

contact with infected blood and unsafe injections and transfusions
blood screening, sterile needles
interferon

26
Q

hep E, transmission, prevention and treatment

A

spread through blood to blood contact and unsafe sex, child birth
improve hygiene food sanitation, safe sex
ribavirin

27
Q

What is the liver supposed to convert ammonia into

A

urea

28
Q

what causes hepatic coma

A

increased ammonia levels

29
Q

findings for hepatic coma

A

altered level of conscoiusness
difficult to awake
hyperrelexia
asterisks
fetor

30
Q

Treatment of hepatic comma

A

lactose
cleansing enema
decreased protein
monitor serum ammonia

31
Q

finding in cirrhosis

A

firm liver
abdominal pain
dyspepsia
decreased serum albumin
ascites
spenomegaly
increaseaded ALT, AST
Bleeding risk
anemia

32
Q

treatment of cirrhosis

A

antacids
vitamins
diuretics
paracentesis
low protien, low sodium diet
strict I&O
daily weight
bleeding precautions
skin care
be careful with narcotics and tylenol