GI quiz 2 Flashcards

1
Q

gastritis, gastrectomy, and gastric bypass all place a patient at risk for a deficiency in which nutrient

A

Vitamin B12

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2
Q

what is the complication from these surgeries above when food goes too quickly into the small intestine

A

Dumping syndrome`

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3
Q

what are symptoms of dumping syndrome

A

confusion, anemia symptoms (pernicious- no intrinsic factor)

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4
Q

what are ways to avoid this from happening

A

small meals, eat slowly, no water, lie down after meals, decrease carbs, increase protein

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5
Q

what are treatments for gastritis

A

bland diet, antacid, PPI, antiemetics

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6
Q

what are some teaching tips for a patient with a hiatal hernia

A

small meals, antacids, avoid bedtime snacks, spicy foods, smoking, caffeine, alcohol, elevate head of bed

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7
Q

why is vomiting especially dangerous to younger children

A

aspiration

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8
Q

what are symptoms of gastric cancer

A

abdominal pain, N/V, anorexia, hematemesis, belchinig, tender abdomen

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9
Q

if a patient has a radical neck dissection surgery what are some main post op concerns

A

airway management, nutrition, body image

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10
Q

what are some safety precautions when taking care of a client with a tube feed

A

semifowlers at all times

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11
Q

what is the most common cause of peptic ulcers

A

bacterium H. pylori

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12
Q

what are treatments fo ulcers

A

antibiotics, antacids, H2 receptor blockers, antiemetics bland diet

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13
Q

what is the most definitive way of diagnosing cancer and how is this usually done in the GI tract

A

biopsy -oscopy

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14
Q

what are common causes of esophageal cancer

A

irritation from tobacco and alcohol

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15
Q

what types of medications cannot be given through a tube feed

A

enteric coated - extended release

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16
Q

when checking residual of a tube feed how much is too much and the next feeding would be held and the Dr notified

A

100 mL or more

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17
Q

why is it important to do this2

A

not digesting tube feed - so don’t give more

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18
Q

bright blood in vomit

A

hematemisis

19
Q

dark blood in vomit

A

coffee grounds

20
Q

bright blood in stool

A

hematochezia

21
Q

dark blood in stool

A

melena

22
Q

what are some treatments for constipation

A

fluids, fiber, stool softeners

23
Q

what are some symptoms of appendicitis

A

extreme pain, fever, guarding RLQ, increased wBC

24
Q

what are symptoms of peritonitis

A

RIGID ABDOMEN, pain, rebound tenderness, decreased peristalsis

25
Q

what are symptoms of IBS

A

gas, bloating, constipation, depression, palpitations, diarrhea

26
Q

what are treatments of IBS

A

increase fiber, small frequent meals, stress management, antidepressant, antispasmodics

27
Q

when taking a corticosteroid what are some concerns

A

teach patient not to cold turkey it

28
Q

what is a bulk forming laxative

A

absorb water - more fecal mass - slow action - magnesium sulfate, metamucil, methycellulose

29
Q

what is a stimulant laxative

A

irritate bowel to increase peristalsis - cause cramping depletes fluid and electrolytes - senna , bisacodyl , castor oil

30
Q

how does mineral oil work

A

lubricates stool - no absorption

31
Q

what do NSAIDS do to the stomach lining

A

blocks prostaglandins - decrease the mucus lining of the stomach and could result in stomach ulcers.

32
Q

what is the main problem when a large part of the small intestine is removed

A

can’t absorb nutrients

33
Q

what is needed from the stomach to absorb vitamin B12

A

intrinsic factor

34
Q

what is the main post op concern with a liver biopsy

A

bleeding

35
Q

why should antacids and laxatives be given separately from other meds

A

inhibits the absorption of other meds

36
Q

what are symptoms of chron’s disease

A

weight loss, fatigue, fever - caucasian, jewish, smoker

37
Q

H2 receptor antagonist

A

ranitidine, famotidine, cimetidine, - decreases acid

38
Q

proton pump inhibitor

A

omeprazole, pantoprazole, - blocks what produces HCL

39
Q

antacids

A

tums, milk of magnesia, mylanta

40
Q

emetics

A

syrup of ipecac, charcoal

41
Q

anti-emetics

A

dexamethasone, promethazine, onodansetron

42
Q

anti-diarrheal

A

bismuth subsalicylate(pepto bismol), loperamide

43
Q

laxative

A

stimulant: bisacodyl, castor oil, senna

Bulk forming: psyllium mucilloid, methylcellulose, calcium polycarbophil