GI tract

Question 1

Patient assessment

Answer 1

A-E assessment
Dehydration
Pain (location, type of pain pattern)
Current weight- loss/gain
Intake and appetite
Passing urine (assess urinary problem or GI)
Passing stool
Vomits

Question 2

Investigations for diagnosis

Answer 2

Ultrasound
Abdominal X-ray
Biopsies
Contrast studies
Samples (stool)
Blood tests
Surgeries
Endoscopies
pH abd impedance studies

Question 3

Initial management

Answer 3

NBM
Fluid management and electrolyte management
Pain management
Consider need for gastric decompression - NG tube/free drainage
Strict input and output monitoring

Question 4

Signs and symptoms

Answer 4

Abdominal pain
Distended abdomen
Dark stool
Weight loss/poor weight gain
Blood stool
Pale stool
loose stool
Change in appetite
Pain/irritable post eating
Constipation
Vomittinf-bilious
Lethargic

Question 5

Stomas

Answer 5

Opening

can be looped,end or double barrel

Jejunostomy
Ileostomy
Colostomy

Question 6

Caring for those on stomas

Answer 6

Strict output monitoring

Skin care

Refeeding

Question 7

Total parental nutrition

Answer 7

Provide TPN if NBM or malabsorption

Management ofshort bowel syndrome

Administered by central line

Question 8

Types of TPNs

Answer 8

Vamin:
Glucose
Amino acids
Water soluble vitamins

Lipids:
Fats
Fat soluble vitamins