Gastrointestinal

Question 0

Cirrhosis

Lab results?

Answer 0

Increased:
ALT: 10-30
AST: 8-40

Question 1

Pancreatitis
Cause?
S/Sx?
Tx?

Answer 1

ETOH + blocks in the pancreatic duct.
Increased pain when eating.
Bruising around umbilicus and pooling on back- bleeding
Liver damage
Tx-
NPO, NG Suctioning (watch for alkalosis), antacids

Question 2

Cirrhosis

Precautions

Answer 2

Bleeding

Decrease dietary protien

Question 3

Liver and protein

Answer 3

Protein is broken down to ammonia, liver breaks ammonia to urea, kidneys excrete urea. If liver is broken, ammonia will build up, causing decreased LOC, acts as a sedative.
Lactulose is used to decrease ammonia in blood.

Question 4

Upper GI and endoscopy

Smoking?

Answer 4

Increases stomach motility and secretions.

Question 5

Protein pump inhibitors

Suffix?

Answer 5

-Prozole

Question 6

Crohn’s disease
S/Sx
Tx

Answer 6

Rebound tenderness (means peritoneal inflammation)
Bloody stools
N/V

Low fiber diet
Antibiotics, steroids(for inflammation)
Removal of affected area

Question 7

Central line positioning

Answer 7

Trendelinberg and/or left

Feet elevated 30-40 degrees

Question 8

4 functions of liver

Answer 8

Drug metabolized
Clotting factors
Albumin production
Ammonia breakdown