Targeted GI Flashcards
1.Crohns expected findings
- Fatty, diarrheal stools
- Hypokalemia
- weight loss
- Right lower quadrant pain
what is the blood test carcinoembryonic antigen (CEA) indicate
determines the efficacy of chemotherapy
how is colon cancer staged
colonoscopy
indications of gastric dilation
- Hiccups
- Hypotension
- Tachycardia
- epigastric pain
finding for subcutaneous intraperitoneal hemorrhage
1.Periumbilical cyanosis
What would the abdomen of a patient with peritonitis feel like
board like and diminished bowel sounds
Finding for hepatitis B
1.Joint pain
Expected findings for appendicitis
- Fever with WBC elevation
- n/v
- right lower quadrant pain
- rebounding tenderness
what does bloody diarrhea indicate
colorectal cancer
what is a major concern for cirrhosis
bleeding
where is the pain of a duodenal ulcer
midline between umbilicus and xiphoid
why do patients with ileostomys complain of burning sensation during bowel elimination
-decreased absorption of gastric acid in the ileum
ileostomy teaching
- decrease or eliminate high fiber foods if intolerance occurs
- liquid stools are expected
- report dark purple stoma
what food can reduce the odor from an colostomy
yogurt
normal albumin
direct/conjugated Bilirubin
Ammonia
- 3.5-5.5 g/dL
- 0-0.3 mg/dL
- 15-45mcg/dL
what is conjugated bilirubin
why is it elevated in liver neuropathies
bilirubin that is attached to glucuronyl
When RBCs lyse (such as in bleeding) the heme group is metabolized into unconjugated(not attached to anything) bilirubin. it then binds to albumin and is transfered to the liver where it binds with glucuronyl to become conjugated.
Ulcerative Colitis
- should restrict dietary fiber as it can lead it diarrhea and cramping
- avoid diary products
- reduce stress
- avoid GI stimulates such as caffeine drinks, nuts, pepper, and smoking
- LLQ pain is common
- refrain from any activity that increases intra-abdominal pressure (bending, gardening)
- avoid laxatives as they increase intestinal motility and can make symptoms worse
colonoscopy prep instructions
- switch to clear liquid diet 24 hours prior to procedure then NPO 6 hours prior to procedure
- drink the liquid quickly to prevent nausea
what food can reduce the risk of dumping syndrome (complication of gastrectomy)
eggs or anything with high protein, try to avoid carbs.
