GI Med Emergencies Flashcards
Visceral Pain
hollow organs, difficult to localize described as burning, cramping, gnawing, or aching. usually felt superficial.
parietal pain/rebound pain
peritoneum-steady, achy pain. easier to localize than visceral pian. pain increases with movement.
somatic pain
peripheral nerve tracts-localized pian, usually felt deeply.
referred pain
peripheral nerve tracts-pain originating in the abdomen and causing the perception of the pain in distant locations. attributable to similar paths for the peripheral nerves of the abdomen and those in the distant location.
cholecystitis
inflammation of the gallbladder Pain. Right upper Quadrant pain. Nausea v omitting, low grade fever. tachycardia -pain response and infection Process
upper GI bleeds
causes melena-(dark, tarry stool). Coffee ground vomit [Bright red blood.
Lower GI bleeds
causes hematochezia (bright red blood in the stool)
How do you treat a GI bleed
Fluid resuscitation.
Esophagogastric Varices
caused by pressure increases in the blood vessels that surround the esophagus and stomach.
S&S of Esophageal Varices
fatigue, weight loss, jaundice, anorexia, an edematous abdomen, pruritus, abdominal pain, nausea, and vomiting of bright red blood.
hematemesis
vomit with blood
someone complaining of bloody stool.
alterive colitis
how should pts with esophageal varices be transported?
in a position of comfort.
what is a bowl obstruction?
a blockage of stool. Pain described as intermittent and crampy. Constipation. nausea and vomiting, decreased stool production. Decreased stool production, distended abdomen.
Diverticulitis
weak area in the colon Consist of two Cronic intestinal disorders alterative colitis: Abdominal pain. Chronic Pain, Chronic diarrhea, anorexia, fevers, bleeding With defecation.
Pancreatitis
inflammation of the pancreas.
pancreatitis S&S
localized pain, sharp pain, retroperitoneal, nausea, vomiting, fever, tachycardia, hypotension, and muscle spasms. ridged abdomen and laying still. (moving will cause pain)
where does a bowl perforation go?
peritoneum
IBS
irritable bowl syndrome-constant need to go to the bathroom for unexplained reasons.
IBS S&S
Possible constipation, diarrhea, anxiety.
Cholecystitis
Gall bladder attack
Cholecystitis S&S
Kheer’s signs-referred pain, pain after eating, systemic response, RUQ pain.
How do you treat a pt with signs and symptoms of dehydration?
A fluid bolus is given over an antiemetic.
What pts have hypoglycemia?
type one diabetics who are insulin dependent.
How do you treat a insulin dependent diabetic?
if they can eat make them eat. If they aren’t alert give D10 or D50, if you can’t get and IV give IM.
Hyperglycemia
most likely going to be the first sign that they undiagnosed diabetes.
what are the signs and symptoms of hyperglycemia?
Polyuria, Poly dyspnea, and polyphagia, excessive weight gain.