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Theory 2 > Unit 2 GI, Ch 33 Nursing Care Of GI Disorders > Flashcards

Unit 2 GI, Ch 33 Nursing Care Of GI Disorders Flashcards

1
Q

Measuring obesity

A

Weight 20% higher than ideal weight
Waist circumference for women >35
Waste circumference for men > 40
BMI
Overweight, 25 to 30
Obese, 30
Morbidly obese over 40
Caloric intake, exceeds energy expenditure

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2
Q

Obesity, comorbidities

A

Atherosclerosis
Gallbladder disease
Heart disease
Hypertension
Sleep apnea
Type two diabetes
Depression

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3
Q

What is atherosclerosis?

A

It’s from high cholesterol, and it is buildup of plaque

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4
Q

High fatty foods affect what organ most

A

Gallbladder

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5
Q

Therapeutic interventions, for obesity

A

Weight loss
Healthy, balance, diets
Calorie restriction
Exercise
Support group
Behavioral modifications
Surgical management bariatric surgery

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6
Q

What other professionals can assist with obesity

A

Dietitians
Nutritionist

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7
Q

Injection medication for obesity

A

Ozempic

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8
Q

Antidepressants that can help with the obesity

A

Wellbutrin

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9
Q

Types of bariatric surgeries

A

Restrictive
malabsorption
combination

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10
Q

Restrictive bariatric surgery

A

Limits how much stomach can hold

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11
Q

Malabsorption bariatric surgery

A

Decreases calorie and nutrient absorption

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12
Q

Combination bariatric surgery

A

Restrictive and malabsorption

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13
Q

Complications of gastric surgeries

A

Nausea and vomiting
Erosion of gastric tissue
Breakdown of staple line
Leaking of stomach secretions
Infection or death
Balloon leak or perforation
Protein, vitamin, and mineral deficiencies

Coughing and deep breathing

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14
Q

Postoperative care and education for bariatric patients

A

Diet is different from other postop pt
Clear, liquid diet in small amounts
Progresses to full liquids, puréed foods
Regular foods at six weeks

Abdominal distention
Movement is important after abdominal surgery

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15
Q

Sliding hiatal hernia

A

Lower esophagus/stomach slides up through hiatus of diaphragm into the thorax

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16
Q

Para esophageal hernia
Rolling hernia

A

Rare but serious
Part of the stomach squeezes through the hiatus, and is at risk for strangulation

Risk for tissue to become necrotic

17
Q

Hiatal hernia are most common in?

A

Smokers
Those over 50
Obesity
Gerd is often secondary to the hernia

18
Q

Therapeutic interventions for hiatal hernia

A

Antacids
Small meals
No reclining one hour after meals
Raise head of 6 to 12 inches
Avoid
Eating three hours before bedtime
Spicy foods
Alcohol, caffeine
Smoking

Tums, Maalox, Mylanta, famotidine Prozoles

19
Q

Fundoplication

A

Surgical management of a hiatal hernia where they wrap a portion of the stomach around the hernia, so it can’t slide through the diaphragm

20
Q

Nursing care for hiatal hernias

A

Teaching
Preoperative care
Postoperative
Monitor for dysphagia with eating
Report dysphagia
Repair may be too tight

21
Q

What is GERD?

A

Gastro esophageal reflux disease

Stomach acids go up into the esophagus

22
Q

Pathophysiology Gerd

A

Gastric secretions reflux into esophagus
Damages the esophagus
Lower esophageal Pinter does not close tightly

23
Q

Gerd signs and symptoms

A

Heartburn
Regurgitation
Sour taste
Dysphagia
Erosion of teeth

Check gag reflex before offering foods or fluids

24
Q

Gerd diagnosis

A

Barium, swallow
Esophagoscopy
PH monitoring

25
Q

Complications of Gerd

A

Respiratory
Asthma
Aspiration pneumonia
Broncospasms
Larino spasms
Barrett’s esophagus
Pre-cancerous

26
Q

What is Barrett’s esophagus?

A

Gerd can change epithelium of esophagus
Pre-cancerous
Esophageal cancer, risk factor
Treatment
Radio frequency, ablation removes Barrett’s tissue

27
Q

Therapeutic interventions, for Gerd

A

Lifestyle changes
Medication’s
AntAcids
Histamine – 2 (H SUBSCRIPT 2) receptor antagonists
Proton pump, inhibitors, PPI

28
Q

Therapeutic interventions for GERD

A

Transoral incisionless fundoplication TIF
Endoscopic procedure radio frequency waves
Fundoplication

29
Q

Nursing care for GERD

A

Education
Lose weight
Eat a low-fat high protein diet
Avoid caffeine, milk, products, and spicy foods

30
Q

Pediatric concerns of gastroenteritis

A

Inflammation of the stomach and intestinal track
Multiple causes
Abdominal pain, nausea, anorexia, diarrhea
Dehydration, primary concern, referred to fluid and balances in NT1

31
Q

Nursing care for gastroenteritis
Stomach flu

A

Monitor weight
Vital signs
I&Os
ATB therapy
IV fluids for rehydration

32
Q

Hiatal hernia signs and symptoms

A

Pain
None
Heartburn
Fullness
Reflux

33
Q

Diagnosis for hiatal hernia

A

X-ray the x-ray watches movement
Fluoroscopy

34
Q

Fluoroscopy

A

An x-ray that watches movement

35
Q

What is fundus?

A

Top of the stomach

36
Q

Dysphagia

A

Trouble swallowing

Check gag reflex

37
Q

What is the best indicator of fluid balance?

A

Daily weights

38
Q

BRAT diet

A

Bananas, rice, applesauce, toast

39
Q

Fontanelle’s

A

Soft spot on babies you check this for dehydration, if the child is under one year old

Theory 2 (6 decks)

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