GI Flashcards

1
Q

recent surgery can lead to what GI issue

A

constipation

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2
Q

F’s that put people at risk for gallstones (6)

A
fat
over 40
fair skinned
female
fertile (estrogen levels)
flatulent
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3
Q

causes of metabolic acidosis

A
excessive diarrhea (D is a base-not an acid)
malabsorption syndromes
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4
Q

causes of metabolic alkalosis

A

vomiting

NGT suctioning

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5
Q

acidosis comes from (bottom or top)

A

bottom-diarrhea

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6
Q

alkalosis comes from (bottom or top)

A

top-vomiting

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7
Q

a weight loss of how much in how long is concerning

A

greater than 15 lbs in 3 months

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8
Q

if a pt is taking iron they should increase these (3)

A

fiber, vitamin C, water

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9
Q

a steadily decreasing BP can indicate what

A

internal bleeding

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10
Q

rebound tenderness is a paramount sign of what

A

peritonitis

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11
Q

frothy stool is what

A

fatty

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12
Q

stool that floats has what

A

high fat

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13
Q

normal bowel sounds

A

3-12 per min

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14
Q

hypoactive bowel sounds

A

1-2 in 2 mins

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15
Q

hyperactive bowel sounds

A

greater than 7 in 30 sec

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16
Q

a hgb of 6 & a hct of 18 indicates what

A

an active bleed

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17
Q

a hgb of 10 & a hct of 30 indicates what

A

a slow bleed

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18
Q

when does Na increase

A

dehydration

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19
Q

signs of increased sodium

A

mental changes & seizures

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20
Q

signs of decreased sodium

A

muscle weakness & confusion

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21
Q

signs of a slow bleed

A

dark tarry stool, coffee ground emesis

22
Q

what does amylase break down

A

carbs and starches

23
Q

where are amylase and lipase normally dumped

A

into the chyme or stool

24
Q

where are amylase and lipase dumped when they are overproduced

25
does amylase or lipase go up first
amylase
26
characteristics of stool with fecal fat
sweeter smell, bulky, shiny look
27
what percentage of fat is normal for stool
75%
28
no coumadin for how long before colonoscopy
7 days
29
dietary changes to reduce the risk of stones
decreased fat and cholesterol
30
increased levels of H2antagonists in the blood can cause what
arrhythmias & CNS effects
31
H2Antagonists (4)
Tagment, Pepcid, Axid, Zantac
32
side effects of PPI
increased bone loss, decreased Ca levels, c diff (doesn't allow acid to be formed
33
PPI (4)
Nexium, Prevacid, Prilosec, Protonix
34
Phenothiazines
Compazine & Phenergan
35
Non-phenothiazine
Reglan
36
5-HT3 Receptor Blockers
Anzemet & Zofran
37
what can Compazine & Reglan cause
tardive dyskinesthia
38
side effect of Reglan
drowsiness
39
PPIs increase the toxicity of these 3 things
benzos, dilantin, coumadin
40
action of Reglan
increases GI motility, empties stomach contents quicker
41
3 causes of bowel obstructions
mechanical, vascular, neurological
42
examples of mechanical bowel obstruction
tumors, adhesions
43
example of vascular bowel obstruction
side effect of mesenteric occlusion
44
example of neuro bowel obstruction
ileus
45
what is obstipation
no stools
46
which metabolic problem comes from a small bowel obstruction
metabolic alkalosis
47
which metabolic problem comes from a large bowel obstruction
metabolic acidosis
48
SBO or LBO: visible peristaltic waves, distention, N, profuse vomiting, obstipation, F&E imbalance, metabolic alkalosis
small bowel obstruction
49
SBO or LBO: cramping, distention, minimal or no V, ribbon like stools, metabolic acidosis
large bowel obstruction
50
a rigid board like abd is seen in what
peritonitis