GI Flashcards
Colon cancer complication
large bowel obstruction
s/s: constipation, bloating, abdominal pain, diarrhea
What kind of diet should we teach to someone with colon cancer?
high protein
high fiber
moves along faster
upper GI bleed diagnostic procedure
EGD
most common culprit of upper GI bleed
h.pylori which causes stomach ulcers
lower GI bleed diagnostic test
colonoscopy
EGD
probably be given conscious sedation
will suppress gag reflex
may have hoarse speech
fever 100 or higher call a physician
colonoscopy
conscious sedation
flatulence
light bright red blood may be noted in stool or on toilet paper
notify physician if moderate to large amounts of bleeding and fever
Upper GI bleed s/s
dark tarry stools hypovolemia vomiting bright red epigastric tenderness dyspepsia
GERD
teach about their diet if it hurts, don't eat it don't lay down immediately avoid bedtime snacks don't eat right before bed
s/s
gastritis
inflammation of the gastric mucosa
gastritis manifestations
abdominal tenderness bloating hematemesis bloody stool shock vomiting diarrhea
What is the patient at risk for with gastritis?
fluid loss which can cause hypovolemia and shock
fluid and electrolyte imbalnce
h. pylori cause
gastritis
What vital signs are associated with shock?
blood pressure- low
HR- high
primary treatment of gastritis
identify and eliminate causative factors
Which electrolytes can cause the most significant issues due to fluid loss?
Potassium
lower GI bleed
brighter stools
blood drops may be in the toilet
For any UGI disease process including gastric ulcer, hiatal hernia, GERD it is important to know
the proper diet
educate patients
exercise on an empty stomach
small more frequent meals, do not eat within 2 hours of laying down
GERD s/s
dyspepsia regurgitation flatulence hypersalivation dysphagia bloating N/V chronic cough
PQRST
precipitating or pallitative quality and quantity region/radiation severity timing
a person with a hiatal hernia needs to avoid
straining and vigorous exercise
avoid nonbinding clothing
Hiatal Hernia s/s
heartburn regurgitation Pain dysphagia belching worsening symptoms after eating
Hiatal hernia
protrusion of the stomach through the diaphragm
Hiatal hernia
protrusion of the stomach through the diaphragm
Upper GI diseases mimic
each other