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Description
Flashcards by sueostermeyer, updated more than 1 year ago
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Created by sueostermeyer
over 10 years ago
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| Question | Answer |
| Crohns Diet is what | Increase calorie, increase vitamins, increase protein decrease residue, Mild Free, increase Iron |
| Drugs used to treat crohns | sulfasalazine (Azulfidine). Corticosteroids Immunosuppressants prescribed for Crohn's disease include: azathioprine (Imuran, Azasan) 6-mercaptopurine (6MP, Purinethol) tacrolimus (Prograf) Methotrexate (MTX, Rheumatrex, Mexate) |
| Duodenal ulcer pain occurs | 2 - 4 hours after eating |
| duodenal ulcer is relieved by | eating |
| crohns you would assess | rlq tender pain distension n & V 3 -4 stools per day, decreased skin tugor, increased peristalsis, pallor |
| In Ulcerative Colitis you would see what happen to HCT and HGB | a decrease in both |
| Assessment in Peritonitis resp? PUlse? WBC? Temp? HCT? | Rebound tenderness, Muscle rididity, decreased resp. week and pulse, Increase WBC, Increase Temp, Increase HCt |
| Position for someone with peritonitis | fowlers |
| Hepatitis A shows up in ___ - ___ It is from | 15 45 days Fecal Oral Over crowded living poor personal hygiene, contaminated food or liquids or Shellfish |
| Hep B show up in --- - --- and is transmitted by | 50 - 180 days Blood to Body fluids, saliva, semen, vaginal secretion, IV drug use and sex |
| Hep C show up in days ___-___ transmitted by | 7 - 50 days Blood to blood and needles |
| Hep D show up in days transmited | blood and body fluids and seen in person with type B Hep |
| Hep E show up in days transmitted | 15 - 64 Fecal oral Water born: seen in travlers returing from underdeveloped countries |
| Preicteric stage of hepatitis you would see | N & V, Fatigue, diarrhea, decreased weight RUQ discomfort |
| Icteric stage of Hepatitis you would see | fatigue decreased weight, light color stood dark urine |
| Intervention with Hepatitis | Antimedics 30 minutes Before Meals, freaquent meals, increase carbs, increase protein, increase vitamins avoid very hot or cold foods and rest |
| Hepatitis monitor for | Pruritis |
| Drugs for Hepatitis are hep A Hep B Hep C | Steroids 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 |
| Cirrhosis symptoms | fatigue, N & V indigestion, decrease weight, flatulence, irregular bowels, RUQ pain, mood change, mental ability, jaundice, prurtis and easy bruising |
| Blood test for Cirrhosis these are increase or decreased AST AlT Phosphate Billirubin Albumunin Ammonia | Albumin 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 |
| diet for cirrhosis | low to moderate protein, increase carbs, decrease fats, increase vitamin a, b d, k, and folic acid |
| Ascites diet and fluids and what iv would be hung to replace vascular volumne | sodium restrict, Albumin to replace vascular volume |
| Esphageal variences is caused by | portal hypotension |
| What is drug contraindicated with pancreatitis | Morphine |
| pancreatitis what is given | nitro to relieve pain, anticholengenti, anticids, h2 antagonist, vasodilator and calcium gluconate |
| Pancretitis symptoms | Pain 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) |
| Test for Pancreatitis Amaylas Lipase BS Lipids Calcium | Amylase 50- 150 increase Lipase 10 - 140 increase BS 70-110 Increase Lipids Increase Calcium 8-11 Decrease |
| complication of Parcentesis | check for decrease in BP because of Hypovolemic shock |
| Primary sign of complication s of whipple procedure for pancreatic cancer is | Low urine output doe to hypovolemic shock related to hemmorrhage |
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