GI JOE Flashcards
When administering enema (soapsuds) then abdominal cramping occurs, what do you do?
This is common. Temporarily stop enema, allow cramp to ease then start again.
What is achalasia?
Loss of peristalsis in the lower portion of esophagus
How often do you change tube in tube feeding?
24 hours
The relation between enema, glaucoma, and ICP?
Enema is contraindicated for glaucoma cause it may increase pressure, same with increased intracranial pressure
Antacids and pregnancy?
No antacids during pregnancy
Urea breath test, what is nursing responsibilities.
Npo midnight before test.
When flushing PICC line
Use 10 ml water before and after. Flush with 5 ml Heparin only when PICC is not actively used. Replace dressing every 7 days or when soiled
Good sources of fiber?
Raw vegetables and fruits
Difference between melena and hematochezia and occult
Melena is black tarry stool from digested blood, hematochezia is bright red blood, and occult is undetectable without testing
Antacid and interaction with other oral medication
When taking antacids, like aluminum hydroxide, wait an hour before taking other oral meds.
Use of vasopresin
Can be used to constrict arterials and reduce inflow to portal vein
Heparin antidote
Protamine sulfate
Expected IRON range
Female is 60 to 160, Male is 80 to 180
Metoclopramide: if the dose is missed? Side effects? Notify if what happens?
Take a dose as soon as remembered unless close to the next dose.
Sedation.
Notify doc if facial involuntary and repetitive movements occur.
What does urea breath test for?
H. Pylori or peptic Ulcers
Serum amylase increases when?
Pancreatitis
In TPN solutions, how long can that be hung?
24 hours, after which you should replace
When trying to remove the NG tube, what should you tell the client?
Take a deep breath and hold it
What is contraindicated in the case of diverticulitis?
Barium enema and colonoscopy out of risk for perforation.
Hypoalbumin results in?
Ascites
What can cause false-negative test for H.pylori urea breath test
Omeprazole (PPI), ranitidine (H2 Blockers), bismuth.
What is the Obturator for?
A test performed for appendicitis. Patient’s lies on their back with hip and knee flexed 90 degrees
Describe silent aspiration
May display no coughing but may show aspiration pneumonia within 24 hours
Hyperemesis gravidarum, explain
It is N/V that occurs during pregnancy. This causes electrolyte and fluid imbalance. Patients with this condition are unable to digest nutrition in food and start using fat. This produces ketones.
Ascites and albumin relation.
In liver disorders, albumin going down releases causes fluid to shift out of intravascular space causing ascites. Ascites are mainly caused by portal hypertension.
When giving enteral nutrition feeding, how often do you check residual volume?
Every 4 - 8 hours
What does hot liquid do for constipation?
Causes increased peristalsis
NG tube care
Provide hygiene every 2 hours.
Irrigate and check placement every 4 hours
In the event of ostomy, when a blockage occurs what do you do?
Do liquid diet
