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Peptic Ulcers Flashcards

1
Q

Common cause of ?

A

GI bleeding

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2
Q

Where all can it be?

A

Esophagus
Stomach
Duodenum

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3
Q

What is present?

A

Erosion

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4
Q

S/s

Pain

A

Burning pain in mid-epigastric area/back

Heartburn

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5
Q

Diagnosis: EGD, endoscopy

Pre-procedure

A

NPO

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6
Q

Diagnosis: EGD, endoscopy

Sedated or awake?

A

Sedated

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7
Q

Diagnosis: EGD, endoscopy

NPO until when?

A

Gag reflex returns

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8
Q

Diagnosis: EGD, endoscopy

Watch for perforation by watching for what?

A

Pain
Bleeding
Trouble swallowing

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9
Q

Diagnosis: Upper GI

Looks at?

A

Esophagus and stomach with dye

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10
Q

Diagnosis: Upper GI

NPO

A

Past midnight

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11
Q

Diagnosis: Upper GI

No what?

A

Smoking
Chewing gum
Mints

*remove nictone patch too

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12
Q

Diagnosis: Upper GI

Stomach increases stomach ___ which will affect test

A

Motility

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13
Q

Diagnosis: Upper GI

Smoking ___ stomach secretions, which will increase chance of ?

A

Increases; aspiration

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14
Q

Treatment: Meds

Antacids: Liquid or tab. why?

A

Liquid to coat stomach

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15
Q

Treatment: Meds

When to take antacids?

A

When stomach is empty and at bedtime

*acid can get on ulcer; take antacid to protect the ulcer

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16
Q

Treatment: Meds

PPI end in?

A

-Prazole

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17
Q

Treatment: Meds

Why take PPI?

A

Decrease acid secretions

18
Q

Treatment: Meds

H2 antagonist end in?

19
Q

Treatment: Meds

GI cocktail?

A

Never do it until you’ve ruled out MI/cardiac

20
Q

Treatment: Meds

Why give antibiotics?

A

For H. pylori

21
Q

Treatment: Meds

What if you give tetracycline for H. pylori. Teaching?

A 
Stains teeth (drink through straw)
Don't give to pregs or kids (effects bones)
Avoid sunlight
22
Q

Treatment: Meds

What is sucralfate?

A

Forms a barrier over the wound so acid can’t get on ulcer

23
Q

Treatment: Client teaching

Decrease?

24
Q

Treatment: Client teaching

Stop

25
Q

Treatment: Client teaching

Eat

A

What you can tolerate

*avoid temp. extremes, spicy foods, and caffeine

26
Q

Treatment: Client teaching

Need to be followed for ___

27
Q

Gastric ulcer

Nutrition

A

Malnourished

28
Q

Gastric ulcer

Pain

A

1/2-1 hour after meal

29
Q

Gastric ulcer

Pain relief

30
Q

Gastric ulcer

Blood in __

31
Q

Duodeneal ulcers

Nutrition

A

Well nourished

32
Q

Duodeneal ulcers

Pain

A

Night time pain 2-3 hours after a meal

33
Q

Duodeneal ulcers

Pain relief

34
Q

Duodeneal ulcers

Where is blood

35
Q

G or D?

Pain 1/2-1 hour after meal

36
Q

G or D?

Well nourished

37
Q

G or D?

Malnourished

38
Q

G or D?

Vomit has blood

39
Q

G or D?

Food is pain relief

40
Q

G or D?

Blood in stool

41
Q

G or D?

Vomit for pain relief

42
Q

G or D?

Pain 2-3 hours after meal

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