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Nursing 2 Test 4 > GI 1 > Flashcards

GI 1 Flashcards

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1
Q

symptoms include reflux, heartburn, feeling full, bleaching, indigestion, substernal chest pain

A

hernia

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2
Q

wear a devise to check ph

A

ambulatory espohageal pH monitoring

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3
Q

NPO, numb throat

A

upper endoscopy

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4
Q

lab and diagnostic tests for endoscopy

A

RBC, hemoglobin, hematocrit, serum and pre albumin, AST, ALT, and ALP

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5
Q

GI hernia meds

A

antacids, histamine 2, H2 recepter blockers, PPI

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6
Q

GI hernia medical management

A

restrict certain foods, small frequent meals, don’t lay down after eating

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7
Q

mild to severe heartburn, sour taste in mouth, regurgitation, coughing, belching, chest pain, asthma or cough

A

GERD

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8
Q

most common GERD procedure

A

Nissen fundoplication

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9
Q

if chronic heartburn is not properly treated it can increase the risk for

A

esophageal cancer

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10
Q

risk factors for gastric and duodenal ulcers

A

NSAIDS, cigarette smoke, ETOH

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11
Q

when removed stomach why do you need B12 shots

A

lack of intrinsic factor

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12
Q

RLQ pain, rebound tenderness, guarding

A

appendicitis

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13
Q

impairment of the forward movement of intestinal contents

A

intestinal obstruction

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14
Q

abnormal saclike outpouchings of intestinal wall and can occur anywhere in the GI tract except rectum

A

diverticular disease (diverticulosis and diverticulitis)

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15
Q

IBS that is limited to intestine (colon and rectum)

A

ulcerative colitis

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16
Q

IBS that is inflammation and may develop anywhere in the GI tract. May appear in patches commonly at the end of the small intestine

A

Chron’s disease

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17
Q

in ulcerative colitis symptoms develop

A

over time rather than suddenly

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18
Q

disease that usually affects the jejunum and ileum

A

chrone’s disease

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19
Q

heartburn, sour taste in the morning, regurgitation, laughing, belching, chest pain (atypical are asthma or cough)

A

GERD

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20
Q

factors that contribute to GERD

A

obesity, pregnancy, hiatal hernia

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21
Q

GERD lab and diagnostic procedures

A

upper endoscopy, esophageal pH, and barium studies

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22
Q

GERD meds

A

antacids, histamine 2 receptor blockers, PPI, Reglan (don’t use long term)

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23
Q

most common GERD surgery

A

Nissen fundoplication

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24
Q

GERD lifestyle changes

A

tight fitting clothing, obesity, meds, H. Pylori, too much exercise, wrong posture, smoking, pregnancy, hernia

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25
Q

what is risk of Barrett’s esophagitis

A

cancer

26
Q

reflux, heartburn, feeling full, belching, indigestion, substernal chest pain

A

hiatal hernia

27
Q

two major types of hiatal hernia

A

Sliding (direct) and rolling (Paresophageal)

28
Q

diagnostic tests of hiatal hernia

A

ambulatory esphageal pH monitering, upper endoscopy, barium swallow, esophageal manometry (man = muscle), CT, MRI

29
Q

lab and diagnostic procedures for hiatal hernia

A

RBC, H/H, albumin, AST, ALT, ALP (these three are liver)

30
Q

surgery for incarcerated hernia

A

nissen fundoplication

31
Q

pain located in upper abdomen, intermittent pain, knowing and burning and aging pain, hunger like pain when stomach is empty, older adults may have chest pain or anemia, relieved with food or antacids, weight loss

A

Gastric and duodenal ulcers

32
Q

risk factors are ETOH, NSAIDS, cit smoke and H pylori

A

Gastric and duodenal ulcers

33
Q

you take 4 different classes of meds for?

A

H. Pylori

34
Q

complications with gastric and duodenal ulcers

A

bleeding, hemorrhage, pyloric or gastric outlet obstruction, perforation

35
Q

pharm for stress ulcers

A

H2 receptor blockers, PPI, sucralfate (for prophylaxis)

36
Q

rarely any symptoms, weight loss as it progresses

A

stomach cancer

37
Q

risk factors for gastric cancer

A

H. Pylori infection, heredity, age, smoking, gastric polyps, nitrates (smoked foods), diets low in veggies and fruit

38
Q

Risk factors are IBD (Iflamm. Bowel disease), family history, age, diet, smoking, ETOH

A

colon cancer

39
Q

most common symptoms are change in bowel habits or caliber of stools. Constipation is predominant symptom and obstruction is common

A

colon cancer

40
Q

diagnostic tests for colon cancer

A

colonoscopy with tissue biopsy, CT, C-reactive protein and carcinoembryonic antigen (CEA): inflammation and as tumor maker

41
Q

lab marker that says most likely cancer tumor but don’t know where

A

C-reactive protein

42
Q

common surgeries for colon cancer

A

polypectomy, colectomy, resection,

43
Q

Obstruction of the intestine due to paralysis of the intestinal muscles.

A

Paralytic ileus

44
Q

can be caused by meds, crohn’s disease, diverticulitis, adhesions

A

paralytic ileus

45
Q

RLQ pain, N/V, rebound tenderness, guarding, McBurney’s point

A

appendicitis

46
Q

usually infectious and often life-threatening. It’s caused by leakage or a hole in the intestines, such as from a burst appendix. Even if the fluid is sterile, inflammation can occur.

A

perionitis

47
Q

two types of IBS

A

ulcerative colitis and Chrohn’s disease

48
Q

limited to large intestine (colon and rectum), inflammation of innermost lining of the intestine, symptoms develop over time, long lasting inflammation and ulcers

A

ulcerative colitis (IBS)

49
Q

can occur in any portion of the GI tract, involves all layers of the intestinal wall, usually affects the jejunum and ileum

A

Crohn’s disease (IBS 2)

50
Q

medical management of IBS 1 and 2

A

eliminate inflammation, meds and diet changes, surgery dpending on which type of IBD,

51
Q

what is the best way to determine bowel obstruction

A

measure girth

52
Q

abnormal saclike outpoucings of intestinal wall

A

diverticulitis and diverticulosis

53
Q

if ________ form with diverticular disease, ischemia and perforation can occur

A

fecalith

54
Q

___________ form where weak points exist in intestinal wall

A

diverticula

55
Q

what kind of diet for diverticulitis

A

high fiber

56
Q

psyllium

A

fiber

57
Q

positive with gallbladder inflammation

A

murphy’s sign

58
Q

epigastric and/or RUQ pain, nausea and fatty food intolerance, flatulence, bloating, abdominal distention, diarrhea, light COLORED STOOL, jaundice, fever and chills,

A

cholelithiasis

59
Q

labs test for cholelithiasis

A

ultrasound of gallbladder, nuclear studies

60
Q

medical management of cholelithiasis

A

lifestyle and diet, open or laparoscopic, T-Tube, meds, ultrasound therapy,

Nursing 2 Test 4 (6 decks)

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