Karteikarten
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- 1Crohns Diet is whatIncrease calorie, increase vitamins, increase protein decrease residue, Mild Free, increase Iron
- 2Drugs used to treat crohnssulfasalazine (Azulfidine).
Corticosteroids
Immunosuppressants prescribed for Crohn's disease include:
azathioprine (Imuran, Azasan)
6-mercaptopurine (6MP, Purinethol)
tacrolimus (Prograf)
Methotrexate (MTX, Rheumatrex, Mexate) - 3Duodenal ulcer pain occurs2 - 4 hours after eating
- 4duodenal ulcer is relieved byeating
- 5crohns you would assessrlq tender pain distension
n & V 3 -4 stools per day, decreased skin tugor, increased peristalsis, pallor - 6In Ulcerative Colitis you would see what happen to HCT and HGBa decrease in both
- 7Assessment in Peritonitis resp? PUlse? WBC? Temp? HCT?Rebound tenderness,
Muscle rididity, decreased resp. week and pulse,
Increase WBC, Increase Temp, Increase HCt - 8Position for someone with peritonitisfowlers
- 9Hepatitis A shows up in ___ - ___ It is from15 45 days
Fecal Oral
Over crowded living
poor personal hygiene, contaminated food or liquids or Shellfish - 10Hep B show up in --- - --- and is transmitted by50 - 180 days
Blood to Body fluids, saliva, semen, vaginal secretion, IV drug use and sex - 11Hep C show up in days ___-___ transmitted by7 - 50 days
Blood to blood and needles - 12Hep D show up in days transmitedblood and body fluids and seen in person with type B Hep
- 13Hep E show up in days transmitted15 - 64
Fecal oral Water born: seen in travlers returing from underdeveloped countries - 14Preicteric stage of hepatitis you would seeN & V, Fatigue, diarrhea, decreased weight RUQ discomfort
- 15Icteric stage of Hepatitis you would seefatigue decreased weight, light color stood dark urine
- 16Intervention with HepatitisAntimedics 30 minutes Before Meals, freaquent meals, increase carbs, increase protein, increase vitamins avoid very hot or cold foods and rest
- 17Hepatitis monitor forPruritis
- 18Drugs for Hepatitis are hep A Hep B Hep CSteroids
hep A Immune Serum Globulin ISG
Hep B Admin ISG and HBIG
Hep C Interferon with Ribavin ***(side effects are flue and n V and harirless - 19Cirrhosis symptomsfatigue, N & V indigestion, decrease weight, flatulence, irregular bowels, RUQ pain, mood change, mental ability, jaundice, prurtis and easy bruising
- 20Blood test for Cirrhosis these are increase or decreased AST AlT Phosphate Billirubin Albumunin AmmoniaAlbumin Normal values: 4 - 6
Elevated: Usually indicates dehydration
Below normal: Can indicate liver dysfunction or insufficient protein intake.
Alkaline Phosphatase (ALK PHOS)Normal values: 30 - 120
Elevated: A warning sign that there is some type of liver dysfunction resulting in liver tissue damage.
Below normal: Usually not significant.
Alanine Aminotransferase (ALT or SGPT)Normal values: less than 35
Elevated: Indicates that liver tissue damage has occurred as a result of infection, medications,obstruction, cirrhosis or injury to the liver.
Below normal: There is no known disease process that results in a low ALT level.
Aspartate Aminotransferase (AST or SGOT)Normal values: less than 35 some books have female 6-18 and males 7-21
Elevated: Indicates tissue damage as a result of such things as obstruction, hepatitis, or cirrhosis.
Below normal: Usually not significant
Total Bilirubin Normal values: less than 1.0
Elevated: usually caused by a dysfunction of the system that breaks down bilirubin which includes the liver. Such an elevation can be caused by an obstruction or liver failure.
Ammonia levels 20-70 - 21diet for cirrhosislow to moderate protein, increase carbs, decrease fats, increase vitamin a, b d, k, and folic acid
- 22Ascites diet and fluids and what iv would be hung to replace vascular volumnesodium restrict, Albumin to replace vascular volume
- 23Esphageal variences is caused byportal hypotension
- 24What is drug contraindicated with pancreatitisMorphine
- 25pancreatitis what is givennitro to relieve pain, anticholengenti, anticids, h2 antagonist, vasodilator and calcium gluconate
- 26Pancretitis symptomsPain in ULP, radiating to back, flank pain aggravated by eating, n & v, tachy, decreased bowel sounds ab tender, GREY TURNER spot (ecchymosis on flank) and Cullens sign (ecchymosis on preumbilical)
- 27Test for Pancreatitis Amaylas Lipase BS Lipids CalciumAmylase 50- 150 increase
Lipase 10 - 140 increase
BS 70-110 Increase
Lipids Increase
Calcium 8-11 Decrease - 28complication of Parcentesischeck for decrease in BP because of Hypovolemic shock
- 29Primary sign of complication s of whipple procedure for pancreatic cancer isLow urine output doe to hypovolemic shock related to hemmorrhage
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- nclex endocrine 1 (gastro) Karteikarten am Untitled_12, erstellt von sueostermeyer am 02/10/2013.
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