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BSN LAST TEST-Pt 2 > Stomach Disorders: Gastritis, PUD, & Upper GI bleed > Flashcards

Stomach Disorders: Gastritis, PUD, & Upper GI bleed Flashcards

1
Q

Risk factors for Gastritis?

A
  • Meds
  • items that cause distress to GI
  • Lifestyle
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2
Q

What meds can cause Gastritis?

A
  • NSAIDS/aspirin

- Corticosteroids

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3
Q

What foods can cause Gastritis?

A
  • caffeine
  • chocolate
  • mustard
  • bell peppers/onion
  • hot spices
  • high acid
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4
Q

What lifestyle habits can cause Gastritis?

A
  • ETOH, caffeine
  • Emotional stress/ anxiety
  • Tobacco/smoking
  • Infection!!!
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5
Q

What types of infection can caused Gastritis?

A
  • H. pylori
  • Staphylococci
  • Steptococci
  • E. coli
  • Salmonella
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6
Q

What is the main diagnostic test for Peptic ulcer disease?

A

Breath testing

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7
Q

What does breath testing do?

A

Analyze whether or not it is caused by H. pylori

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8
Q

What does an EGD help diagnose with PUD?

A

WHERE the damage of the ulcer is

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9
Q

What other tests can be used for PUD?

A
  • serologic testing

- Upper GI

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10
Q

What is the upper GI test?

A

Barium Swallow Test

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11
Q

What monitoring needs to be done with a pt with upper GI bleeding?

A
  • Serial H and H
  • VS
  • assess for need of fluids/blood replacement
  • *large bore IV needed
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12
Q

When can shock occur due to blood loss (how much blood)

A

1L/24hours

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13
Q

What treatments can be done for Upper GI bleeding?

A
  • Lavage
  • EGD
  • Acid suppression
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14
Q

What is used to do lavage?

A

room temp tap water!! (does NOT have to be sterile b/c the gut isn’t sterile)

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15
Q

What does the nurse need to record with lavage?

A

how much fluid goes in versus how much comes out

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16
Q

Pt position for lavage?

A

LEFT side

17
Q

How much water is instilled during lavage

A

-instill tap water until it comes out CLEAR (will be bloody for a while)

**200-300mL normally

18
Q

What needs to be counted during lavage

A

number/size of blood clots

19
Q

T or F: EGD can be done bedside

A

T

20
Q

pre-procedure teaching for EGD?

A

NPO for 4-6 hours before

**consent must be signed!!

21
Q

What occurs during EGD to stop GI bleeding?

A
  • inject chemicals into bleeding site
  • treat bleed with heat, electricity, laser
  • close affected blood vessels with band or clip
22
Q

What meds can be given to suppress acid?

A
  • H2 blockers (-tidine)
  • PPI (-prazole)
  • Antacids
23
Q

Which is most effective in reducing gastric acid?

A

Proton Pump Inhibitors

BSN LAST TEST-Pt 2 (22 decks)

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