ONCOLOGY Stomach Cancer

Question 1

H-Pylori,

Pernicious anemia,

Achlorihydria (no stomach acid) are all___

Answer 1

risks for stomach cancer

Question 2

The most common signs and symptoms of stomach cancer are___

Answer 2

heart burn and abdominal discomfort

Question 3

why would you be achlorohydric?

Answer 3

stomach cancer loves to attack the parietal cells that create the stomach acid

Question 4

Abdominal distention:

first thing to think of is___ dietary status?

how will the abdomen be decompressed?

what position will they be in post op?

Answer 4

intestinal obstruction

make NPO via NG tube.

fowler’s position to decrease stress on the suture line

Question 5

what is a gastrectomy?

Answer 5

where part or all of the stomach is surgically removed

Question 6

2 Major complications of gastrectomy?

Answer 6

Dumping syndrome

B-12 deficiency anemia AKA pernicious anemia

(why are they becoming anemic?

• no stomach= no intrinsic factor= can’t absorb oral b12= can’t make good RBCs= ANEMIA….. Can still absorb IM B12 though)

Question 7

the shillings test will only help you diagnose_____

Answer 7

pernicious or b12 deficient anemia