Week 3 Slide Notes

Question 1

The Stomach Info

Answer 1

Its a reservoir that is responsible for the first stages of protein and carbohydrate digestion occur.

PUD, Stomach CA, and Gastritis all affect nutrition and digestion.

Question 2

Gastritis

Answer 2

Inflammation of the gastric mucosa
Lasts hours to days.
Can lead to bleeding

Question 3

R/F of gastritis

Answer 3

Acute can be caused by food, alcohol, viruses, ASA and NSAIDs and psychological stress

Chronic can be caused by H pylori (Fecal oral)
\

Question 4

H pylori is treated with

Answer 4

omeprazole, amoxicillin, and clarithromycin

Question 5

Clinical Manifestations of Acute Gastritis

Answer 5

Anorexia
Hiccuos
Hematemisis
Epigastric pain
Melena or hematochezia
N/V
Dyspepsia

Question 6

Clinical manifestations of Chronic Gastritis

Answer 6

Belching
Anorexia and early satiety
Intolerance to spicy or fatty foods
Pyrosis
Sour taste
Anemia and Fatigue

Question 7

Management of Gastritis

Answer 7

GI rest

Start clear liquid, then go full liq, then to solid.
Monitor IV fluids, And electrolytes. (1.5Lper day of liq, and minimum urine output of 1ml/kg/hr

Question 8

R?F of PUF

Answer 8

Hpylori
NSAIDS
ETOH
Stress physical

Question 8

PUD

Answer 8

Hallowed out area,
3 Types
Duodenal, Gastric and Esophageal

Question 9

Patho of PUD

Answer 9

Erosion from the gastric juices on damaged epithelium. Regeneration can happen but it is imperfect

Question 10

CM of Duodenal Ulcer

Answer 10

Epigastric pain occurs 2-3 hours
after eating
More likely to awaken at night
Improves with food and antacids

Question 11

CM of Gastric Ulcer

Answer 11

Epigastric pain occurs
immediately after eating
- Little or no relief from antacids

Question 12

CM of Both Duodenal and gastric

Answer 12

• Epigastric pain
• Pyrosis
• Constipation or diarrhea
• Sour eructation
• Vomiting :-(
• Bleeding :-(

Question 13

Management of PUD

Answer 13

Diagnosed off of Pylori testing, EGD.

PPIs and H2 antagonists to manage acid control.
No NSAIDS, and surcralfate.

Question 14

Perforation and Penetration S/S

Answer 14

Sudden severe Abd pain & shoulder pain
* Vomiting, collapse
* Hypotension, tachycardia
* Tender & rigid abdomen

Needs ASAP Surgery

Question 15

Gastric Outlet Obstruction S/S and Managent

Answer 15

S/S
N/V/Constipation
Anorexia and Distended abdomen

Management
NGT
EGD
Endoscopy

Question 16

Gastric CA

Answer 16

Low survival rate of 5 years
R/F
Smoked foods, Pickled vegetables, Salted fish and meat.
Low diet of fruits and veggies.

Question 17

Patho of Gastric CA

Answer 17

Starts on top and infiltrates into stomach wall.

Question 18

CM of Gastric CA

Answer 18

Early
* Pain relived by antacids
* Advanced
* Indigestion
* Early satiety
* Weight loss
* Abd pain just above the umbilicus
* Anorexia
* Bloating after meals
* Nausea & Vomiting
* Fatigue

Question 19

Management of Gastric CA

Answer 19

EGD, CT scan.
Can do a surgical gastric resection (Will need B12 though)

Question 20

Nursing considerations for Gastric CA

Answer 20

Nutrition
6 small feedigns
Administer antiemetics as ordered
fluids rather than meals
Can develop dumping syndrome

Question 21

Dumping syndrome S/S

Answer 21

Fullness,
Weakness
Diaphoresis
Tachycardia
Cramping

Question 22

Dumping syndrome avoid

Answer 22

High Carb meals
Fluids