week 7 Flashcards
concept reviews : what is resection ?
cutting something out
what is anastomosis
surgeon taken two hearts and sew them together
what is stoma
seeing intestine of that patient ( where feces comes out )
tenessmus
unpleasant and urgent situation sensation to deficate
what is melena , occult, blood and hematemesis
these all mean bleeding
this is blood not naked to the eye
hematemesis means vomiting out blood
describe hematemesis
throwing up blood
smell iron or copper
what does the stomach have ? ** hint talking abt acid
hydrochloric acid
although hydrochloric acid is good, name why this can be bad
when people have problems with stomach ulcers , this is a probelm, this is great when its doing good but it can also bring acid or ulcer from that acid
Pts with GI disorders often have what ?
chronic inflammation controlled by medications
chronic inflammation can what ?
flare up ( acute exacerbation ) and abscesses can from in the mucosal lining of the GI tract causing infection
if pts stop taking their meds , what could happen?
they can have an acute exacerbation of the disease or symptoms
true or false. bowel may be obstructed ( blocked ) which can indicate? ( bonus ) what ?
can indicate cancer and yes this is true
Diagnostic tests what are some ?
xray
ct
fecal occult blood test
scopes
describe why xray is utilize as a diagnostic test
xray - seeing free air on the abdominal xray
what is ct ?
fluid collections/pockets of fluid, abscesses
what is fecal occult blood test ?
this is non invasive and cheap, could mean that they may have cancer
define is this is a true statement : when a person has a xray of their abdomen, the air that is in the body ( should be inside of their stmach or bowl )
yes this is true, what this can show is air is not there ( its acc in the peritoneal cavity ) this is bad - hole in the bowel or stomach got out and just sitting in the cavity
describe scopes
look internally at the organ/tissues take pics inside of the intestines
scopes : in terms of biopsy
take a biopsy of that tissues - microscopic analysis - dx
endoscopic therpahy - is what ?
fix a bleed by embolizing it ( using chemical, heat/electricity/laser.bland/clip )
what is the only tool that can take photo and biopsy ?
scope
RN actions : assesments - focused GI/abdomen
look for pain that is getting worst, or has moved and is now constant
in terms of assessment - focused GI abdomen what undergoes this section ( what are we checking )
pain to abdomen, or rectum ( intermittent or constant ) location precipating factors
N and V , bloating/abdomen distended, belching, last bm , bowel sounds
what are we looking for in terms of BMs
frequency, consistency, appearance of stool, melena