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more GI and nut Flashcards

FML

1
Q

Ulcerative colotis nutrition

A

-LOW RESIDUE foods
high calorie and high protein
-multivitamins containing ca2+
- oral hydration critical of greater than 10 liquid stools and causespt to be dehydrated so DRINK 2 LITERS
- avoid triggers (diary, nuts and legumes, cereal, etoh, fatty foods)
-JORNAL

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2
Q

ileostomy nutrition

A

LOW RESIDUDE DIET (LOW FIBER( to prevent obstruction

  • introduce fibrous foods one at a time
  • throughly chew foods
  • white rice and refined grains and pasta are good choices
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3
Q

ileostomy foods to avoid

A

high fiber- popcorn, cocunut, brown rice

  • stringy veg-aspargus, brocc, celery
  • seeds and pits
  • edible peels
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4
Q

losing weight drinks

A 
water
club soda (flavored and unflavored)
unsweet tea or coffee
fresh veg juice
non fat/low fat milk
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5
Q

pt who had recent gi bleeding should avoid

A

anything red dyes so red popsucles and red gelatin and are not given even if it is part of clear liquids

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6
Q

barium enema is used to

A

visualize colon to detect polyps, ulcer, tumor, diverticula

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7
Q

barium enema contridincated in pt with

A

diverticula because it can cause peritontis

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8
Q

preprocedure for barium enma

A

take cathartic (go lyte or mg citrate) to empty stool

  • follow clear liquid and avoid red and purple liquids
  • do not eat or drink anything 8 hours before the test
  • might exp urge to defecate and cramping but its normal
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9
Q

post procedure for barrium enema

A

chalk white stool until all of the barium has been expelled

  • taake a laxative to expel barium because retained barium can lead to fecal impacition
  • high fiber diet.bar
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10
Q

hepatic encephalopahy clinical manestifications

A

sleep disturbances to lethary and coma
-mental staatus altered
-asterixis (have them extend arms and foresiflex the wrists)
0 fetor hepaticus (musty, sweet ordor ) from digestive byproducts
-juandice is not related for HE
-amlyase and lipsae are elvated for hep but not HE

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11
Q

baraitric surgery

A

surgical modification of clients stomach or small intestines to restrict clients intake

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12
Q

what is conrindicated in bararic surgery

A

NG tube bc it can disrupt the surgical site—> hemm and anastomatic leak

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13
Q

what is contrindicated afer gastric surgery

A

NG

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14
Q

Bariatric surgery intervention

A

clear liquid for 48-72 hours after surgery
-low carb and sugar free drinks to decrease dumping syndrome

  • low folwer is prefered
  • morphine or pca for pain
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15
Q

dumping dyndrome signs

A 
sweating
dizz
cramping
diahrea
hypotension
tacycardia
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16
Q

guaiac fecal occult blood test

A

screening for colorectal cancer

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17
Q

guaiac fecal occult blood test collecting sample

A

assess for recent ingetion WITHIN LAST 3 DAYS of red meat or meds (vit c, aspirin, anticog, iron, ilbriphen, corticosteroid) because these can interfere with the test

2) get supples and wash hands and put nonsterile gloves
3) put stool sample on the slide
4) close the slide and allow it to sit and dry for 3-5 mins
5) open the slide and add 2 drops of solution
6) assess the color within 30-60 sec

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18
Q

positive guaiac fecal occult blood test

A

will turn paper blue

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19
Q

acute cholecystitic location

A

RUQ and pain to right shoulder and scapula

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20
Q

acute cholecystitis report

A

fatty food ingestion 1-3 hours before onset of pain

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21
Q

flank pain radiating to the groin

A

renal colic

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22
Q

signs of acute cholecystitis

A

fever
chills
NV
anorxia

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23
Q

TPN is adm through

A

central venous cathehrter

24
Q

discontinuing TPN

A

lower the rate and replace with dextrose

25
Q

findings of refeeding syndrome

A 
PPM will be decreased
fluid overload
thamine def
hyperglycemia
sod retention
26
Q

to prevent dumping syndrome

A

small meals
low carb diet
consume food and fluids 30 mins apart

27
Q

RYGB complications

A

dumping dynsrome, iron def anemia, cobalamin def

28
Q

highest priority of cholecystitis

A

sitrct NPO

29
Q

laparoscopic cholecystectomy teaching

A

low fat diet
can revcover and resume normal act quicky than open surgical
-teach to remove surgical bandages the day after the surgery and can shower
- low fat diet

30
Q

alt and ast are used to

A

gignose hepatic disorders, etoh and otc drugs but not to detect occult

31
Q

thryamine foods

A 
yogurt, cured meats
agead cheese
fermented foods
beer
choco
avacaods
red wine
32
Q

food for depression

A

high in protein and cal

33
Q

common liver failure includes

A 
low albumin
elevated INR
elvated liver function
low potassium
increased ammonia
34
Q

small bowel follow through (SBFT)

A

uses x ray to visualize the structure and function of small intestines

35
Q

SBFT education

A

fast 8 hours prior
stools may be chaly for 72 hours bc of barium
-drink water to flush it out
-go lyte is not perscribed
-test takes 1-2 hours
- brown stool do not return after 72 hours or abdominal pain or feeling fullnnes- HCP

36
Q

colostomy diet

A

fluid intake (3000 at least)

  • elminate gasy and ordor food such as cauliflower, brocc, dried beans, brussels
  • empty pouch when it is 1/3 dull to prevent leak due to increasing pouch weight
37
Q

GERD FACTORS that preceptiate it

A

decreasing the tone (caff etoh)

  • delaying gastric emptying (fatty foods)
  • increases gastric pressure (large pressure)
38
Q

preventing GERD

A

WEIGHT LOSS
SMALL freq meals
avoid gerd triggers
-chew gum to promote salivation and can help clear acid
-sleeping with head elveated
-dont eat at bedtime or lie down imm after eating
-dont need to minimize or eliminate diary foods

39
Q

hypomag lvl

A

1.5-2.5

40
Q

low mag two major issues

A 
ventricular arrhymias (torsades de pointes) -- MOST SERIOUS and priority
2) neuuromuscular excitability (similar to calcium)- tremores, hyperactive reflex, troussea chvostek and seizures
41
Q

clients who abuse etoh have

A

low mg levels

42
Q

endoscopic retrograde (ERCP) complication

A

acute pancreatiis -life threatening

43
Q

how long stool white after bariym

A

up to 3 days

44
Q

small bowel obsutrciton normal color

A

bile colored (green brown) and it is expected

45
Q

gastroduodenostomy (billroth 2) education

A

NPOOOO until bowel sounds retur

-small freq meal)

46
Q

post op gastroduodenostomy (Billroth I)

A

high risk of dev venous thromboemolism and require prohalysis such as SCD and comrpession hose

  • risk for hypoventilaiton and resp compromise so enoruage to run cough and deepbreathe and spint site
  • APIRATION PRECAUTION
47
Q

cloggged NG

A

report to HCP and attempting to manipulate and flush can cause hemm or gastric performation

48
Q

Billroth II surgery (gastrojejunostomy) complication

A

dumping syndrome

49
Q

Billroth II surgery (gastrojejunostomy) education

A

do eveyrthing to prevent dumping syndrome such as not drinnking fluids with meals and laying down after meals

50
Q

healthy stoma characterisitc

A

vascular, moist, pink to brick red

minor oozing and bleeding can happen and mild to moderate swelling is normal 2-3 wk after surgery

51
Q

when to report stoma

A

pale, dsuky and cyanotic because thse are signs of decreased blood supply

52
Q

balloon tamponade tube (eg, Sengstaken-Blakemore, Minnesota)

A

used to temporarily control bleeding from esopgeal varcies

- compreses bleeding varcies

53
Q

if balloon tamponade tube (eg, Sengstaken-Blakemore, Minnesota) gets disloged

A

airway obstruction so KEEP SCISSORS AT BEDSIDE

54
Q

dont make pt do what if HE

A

DONT MAKE THEM WALKK

55
Q

complications of severe pancreatitis

A 
hypovolemia
resp distress
hypocalemia
hyperglycemia
ARDS
56
Q

obesity behv modification

A

create reqrd system
dev health goals such as climmbing stairs without SOB
-adop anxiety reducing act (reading, medating) as coping mechanisms to reduce stress eating
-placing visual cues (motivational quotes) through env
-dont avoid social act with food and they can bring a seperate meal or plan ahead

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