Mod 7 GI/Hospice

Question 1

End stage liver disease s/sx

Answer 1

jaundiced skin
sclear
ascites
peripheral edema
tachycardia
JVD
scant body hair
wt loss

Question 2

End stage liver disease labs/dx tests

Answer 2

PTT
viral hepatitis serolgies
LFTS
liver ultrasound
biopsy
CT
MRI
drug and alcohol screening
CBC, CMP
bilirubin
lactose
glucose

Question 3

End stage liver disease management

Answer 3

liver transplant
IV fluids
pain meds
diuretics
paracentesis

Question 4

End stage liver disease nursing care

Answer 4

maintain airway
adminster iv fluids
administer meds
elevate HOB
collab with dietary
measure abd girth
keep suction and ETT tray ready
provide skin care
prepare for paracentesis

Question 5

pancreatic cancer patho

Answer 5

pancreatic tumors are primary or metastatic originally from lung, breast, thyroid or skin
spreads to GI system

Question 6

pancreatic cancer causes

Answer 6

DM
obesity
chronic pancreatitis

Question 7

pancreatic cancer risk factors

Answer 7

smoking
poor diet
occupational exposure to gasoline derivatives

Question 8

pancreatic cancer s/sx

Answer 8

wt loss
anorexia
fatigue
epigastic pain
jaundice (gums-palms-generalized)
pale bulky greasy stools
pruritus
dark urine
liver or spleen enlargement

Question 9

pancreatic cancer nursing care

Answer 9

obtain and monitor v/s
assess drain, color, amount
asess incision site
monitor for s/sx of infection
monitor GI drainage from NG tube
give pain meds
administer insulin
give pancreatic enzymes

Question 10

Cirrhosis patho

Answer 10

destruction of functional liver cells. damage cells regenerate as fibrotic areas causing lymph damage and liver dysfunction

Question 11

Cirrhosis causes

Answer 11

hep B/C
alcohol abuse
accumulation of fat in liver
nonalcoholic steatohepatitis (NASH)

Question 12

Cirrhosis s/sx

Answer 12

SOB
jaundice
abd girth
abd pain
enlarge spleen
high LFT
prolonged PT
high ammonia
change in LOC

Question 13

Cirrhosis complications

Answer 13

ascites
portal hypertension
hepatic encephalopathy

Question 14

Cirrhosis nursing care

Answer 14

restrict Na+ intake
give diuretics
prepare for paracentesis

give beta blockers
assess for s/sx of bleeding
assess for s/sx of hypovolemia

give abx, lactate
assess for change in LOC
monitor lab results
restrict protein intake

Question 15

palliative vs hospice

Answer 15

palliative focuses on symptom relief and paid by insurance
hospice is terminally ill < 6 mos to live and paid by medicare