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nursing > med surg s/s > Flashcards

med surg s/s Flashcards

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1
Q

pain, visible peristaltic waves, n/v, fecal vomit, obstipation, f&e imbalances, metabolic alkalosis

A

small bowel obustruction

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2
Q

intermittent lower abdominal cramping & distention, minimal vomiting, obstipation or ribbon-like stool, metabolic acidosis

A

large bowel obstruction

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3
Q

changes in bowel or bladder habits, bloody & narrowed stools, constipation or diarrhea, excessive gas, abd distention or pain, anemia, fatigue, weight loss

A

colorectal cancer

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4
Q

sharp constant pain on left side of abd, fever, bloating, n/v, maybe blood in stools, symptoms only when inflamed

A

diverticulitis

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5
Q

n/v, fever, chills, tachy, jaundice, sever pain in upper abd radiating to back or chest, inc amylase, lipase, & WBCs

A

acute pancreatitis

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6
Q

pain, tenderness, positive murphys sign, rigidity of RUQ that radiates to midsternal point or right shoulder, n/v, fever, jaundice, distention

A

cholecystitis

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7
Q

frequent BM, weight loss, low RBC (anemia), abd cramps, f&e imbalance, fever, rectal bleeding, severe diarrhea, steatorrhea

A

ulcerative colitis

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8
Q

steatorrhea, weight loss, autoimmune, diarrhea, n/v, abd pain & distention (RLQ), fatigue, fever, f&e imbalances, mouth ulcers, anal fissures, malnourished

A

crohns disease

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9
Q

dysphagia, regurgitation, and pyrosis

A

achalasia

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10
Q

chest pain, subcutaneous emphysema, nodules on chest, hamman’s sign

A

boerhaave’s syndrome

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11
Q

hematemesis

A

bloody vomit – malloery-weiss syndrome

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12
Q

lack of appetite, n/v, weight loss, fatigue h/a, chills (what type of jaundice)

A

hepatocellular jaundice

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13
Q

dark orange-brown urine, steatorrhea, pruritus, dyspepsia, intolerance of fats

A

obstructive jaundice

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14
Q

elevated ammonia and other toxins that can progress to seizures or coma

A

hepatic encephalopathy

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15
Q

anorexia, n/n, jaundice, hepatomegaly

A

toxic hepatitis

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16
Q

liver enlargement, portal obstruction, ascites, infection, peritonitis, GI varices, edema, AMS, rigid board like RUQ

A

liver cirrhosis

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17
Q

what diagnostic test do you do for cholesystiis

A

HIDA scan

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18
Q

severe midepigastric pain unrelieved by antacids, palpable abd mass, dec peristalsis, ecchymosis around umbilicus, signs of shock, vomiting that doesn’t relieve nausea

A

acute pancreatitis

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19
Q

painful attacks w no opioid relief, anorexia, weight loss, steatorrhea

A

chronic pancreatitis

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20
Q

radiating mouth/ tooth pain and swollen lymph nodes (lymphadenopathy)

A

periapical abscess

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21
Q

dry mucous membranes, pain, swelling of jaw, fever, purulent drainage from duct

A

sialadenitis

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22
Q

odynophagia & halitosis

A

esophageal tumor

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23
Q

intermittent tightening of esophagus that feels like pyrosis but it’s caused by what pt ate

A

esophageal spams

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24
Q

dysphagia, reflux, nocturnal cough, halitosis

A

esophageal diverticula

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25
Q

irritating, inflammation, chest pain, pyrosis, pain w eating or bending, gas, regurgitation, odynophagia

A

GERD

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26
Q

asymptomatic, anorexia, stomach pain, n/v, bloating, melena

A

acute gatritis

27
Q

melena, pain relief with food intake then gets bad later, from h. pylori

A

duodenal PUD

28
Q

from meds, pain with eating and not relieved, anorexia

A

gastric PUD

29
Q

rigid abd, pain, fever, fetal position

A

perforation, peritonitis

30
Q

n/v, dec or no gas, feeling full, distention, caused by scar tissue

A

pyloric obstruction/stenosis

31
Q

n/v, pain, fever, tachy, no bowel sounds, distention (type of hernia)

A

strangulation hernia

32
Q

altered bowel patterns, pain, bloating, distention, chronic diarrhea, constipation

A

IBS

33
Q

diarrhea, steatorrhea, abd pain, distention, flatulence, weight loss, autoimmune response to gluten

A

celiac disease

34
Q

Early s/s: vertigo, tachy, syncope, diaphoresis, desire to lie down
Late (1.5-3hrs after eating) s/s: dizziness, palpations, confusion

A

dumping syndrome

35
Q

malaise, n/v/d, rectal bleeding, fever, anorexia, abd cramps

A

gasteroenteritis

36
Q

dull, stabing pain progressing to localized RLQ pain, fever, nausea, anorexia, sudden pain relief is bad

A

apendicitis

37
Q

abd pain, tenderness, distention, rigid board-like, fever, dec urine, n/v, inc pulse & BP, dec bowel sounds

A

peritonitis

38
Q

mycomyst (Acetylcysteine) (2)

A

used for tylenol OD
smells bad

39
Q

metamucil (psyllium)

A

antidiarrheal & laxative

40
Q

hydromorphone

A

pain reliever in cirrhotic patients

41
Q

kayexalate (2)

A

used to treat hyperkalemia
passes through intestines w/o being absorbed into bloodstream

42
Q

imodium

A

antidiarrheal

43
Q

carafate (2)

A

coats stomach lining
take on empty stomach

44
Q

aldomet

A

causes liver problems

45
Q

nydrazid (isoniazid) (2)

A

treats TB
take on empty stomach

46
Q

lactulose (2)

A

laxative– ammonia into feces
sweet taste

47
Q

4 main cholelithiasis meds

A

urso
chenodiol
MTBE
meperidine (demerol)

48
Q

urso (2)

A

dissolves and prevents gallstones
causes back pain

49
Q

chenodiol (3)

A

dec biliary cholestrol
Don’t take w any other cholesterol meds for @ least 4 hours
caution diarrhea

50
Q

MTBE

A

dissolves gallstones
used to make gasoline

51
Q

pain med for cholelithiasis

A

meperidine (demerol)

52
Q

nystatin

A

antifungal mouth wash for stomatitis like thrush

53
Q

Proctitis vs pruritis

A

Proctitis- inflamed rectum
pruritis - itching under skin

54
Q

what foods should a GERD pt avoid

A

chocolate, alcohol, fatty foods, caffeine, soda, peppermints, spicy and acidic foods.

55
Q

ideal body weight

A

100 x 5 per inch after 5 feet
106 x6 per inch after 5 feet

56
Q

body mass index (BMI)

A

weight in lb /(height in inchec)^2 x703

57
Q

bmi ranges

A

under= <18
normal= 18-25
overweight= 25-30
class 1 obese= 30-35
class 2= 35-40
class 3 morbid = >40

58
Q

sandostatin (otreotide)

A

gi bleeding med
esophageal varices
vasoconstricts to stop bleed

59
Q

vasopressin (pitressin)

A

gi bleeding med
causes hyponatremia & fluid retention
constricts

60
Q

isosorbide (isordil)

A

gi bleeding med
lowers portal pressure

61
Q

vit K

A

promotes clotting factors from liver

62
Q

light/clay colored stool, puritis, orange, foamy urine, caused by inherited disorders like Gilbert syndrome

A

hereditary hyperbilirubinemia

63
Q

percutaneous cholecystostomy

A

drains fluids from gallbladder

nursing (15 decks)

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