Misc. From Review Flashcards
What medications should be avoided for GERD/PUD?
steroids or NSAIDs
What is key for bacterial diarrhea?
hydration
GERD vs PUD Evaluation
- GERD: subjective data
- PUD: scope, H. pylori test
Things that make IBDs worse
- stress
- dairy
- uncooked raw food
Eat small nutritious meals, supplements
Important notes about obesity
- empty calories
- sick easily and poor healing
What should be avoided in IBDs?
invasive procedures (rectal enemas) -high risk of perforations
IBDs Interventions
- dietary teaching
- watch for: weight loss and signs of malnourishment/dehydration
- stool studies
What is a major difference between IBS and IBD?
IBS can be medicated
Murphy’s sign
sign of acute cholecystitis
-if pain occurs on inhalation = positive
How to fix kinked or clogged NG tube?
gently aspirate the tube and remove the blockage
Notify HCP when patient has:
- 10/10 abdominal pain
- hypoactive BS
- rigid abdomen
Pancreas Signs
- Grey-Turner (flank)
- Cullen (navel)
Cirrhosis Important points
- from Hep B & C
- discourage alcohol, Tylenol, fatty diets
- complications: hypoglycemia, bleeding easily, ascites, bloating, encephalopathy
- diagnosed by biopsy
Liver Function Tests
- ALT
- AST
- Bilirubin
- Ammonia
What is the number one risk of liver biopsy?
bleeding
Cholecystitis Risk Factors
- fair
- fat
- forty
- female
- fatty meals
Pancreatitis
- hypo/hyperglycemia (coma)
- made worse after eating/drinking
- shock, peritonitis, bleeding
- tests: amylase & lipase
RA
- pain better with movement
- attacks ends of bones
- swan neck and boutonniere
- T: immunosuppressants
- I: frequents breaks, hot morning shower, gentle stretching
OA
- worse with activity
- no systemic manifestations
- pain relieved with heat/ice, aspirin/aleve
- Herberen’s and Bouchard’s nodes
- less weight bearing activity
Fractures
-priority: blood flow (distal pulses)
Osteomyelitis
- bacteria in bone
- pain, systemic manifestations
- long term antibiotics
Osteoporosis
weak bones due to increased osteoclast activity
- normal aging process
- accelerated in women due to menopause
- height loss
Paget’s
same as osteoporosis
-autoimmune disease
Osteoporosis/Malacia/Paget’s Interventions
- calcium/Vitamin D supplements
- weight bearing exercises
