GI # 1 low yield Flashcards
Starvation-related malnutrition
chronic starvation without inflammation. Examples are anorexia nervosa, chronic starvation.
K, BUN, Cr, albumin, CRP, lymphocytes high or low in malnutrition
hyperkalemia
low BUn and Cr
low albumin
high CRP
low lymphocytes
6 effects of malnutriton
Assessment of the obese/overweight patient begins with
self assessment
oral supplements for malnutrition
in between meals, NOT a meal replacement
Adjustable gastric banding
application of inflatable band, can be adjusted/reversed, no malnutrition/dumping syndrome, more limited weight loss
Sleeve gastrectomy
75% of stomach removed, irreversible, risk for leakage at suture line, more limited weight loss
Gastric plication
stomach size is reduced by folding/suturing, nausea and risk for leaking at suture line
Gastric balloons
noninvasive, endoscopic placement of an inflatable balloon, only left in place for 6 months, risk for nausea, vomiting, indigestion, pain, gastric ulcer
3 electrolyte imbalances of vomitting
hypokalemia, hyponatremia, and hypochloremia
what is GERD
Chronic symptoms of mucosal damage caused by reflux of stomach acid into the lower esophagus
management of hiatal hernia
GERD tx
5 s/s of esophageal disorder
dysphagia, severe heartburn, difficulty passing food, discomfort with swallowing, and weight loss
PUD is
erosion of the GI mucosa (lower esophagus, stomach, duodenum) from digestive action of HCl acid and pepsin in an acidic environment
diverticulosis vs diverticulitis
Diverticulosis is the presence of saccular dilations or outpouchings of the mucosa of the colon (diverticula)
Diverticulitis is diverticulosis with inflammation (may lead to perforation, abscess, and bleeding)