Flashcards
GI/Endo 1
Cards in this deck (54)
- 12 ways to tube feedresidual and listen
- 2What should you always do when tube feedingcheck placement and put head of the bed up
- 3what is total parental nutritionIV bag filled with everything a specific person need
- 4What can you put in total parental nutritionfat
- 5Anorexialack of appetite and not maintaing normal body function
- 6cause of anorexiaphysical and emotional
- 7contributing factors of anorexiaspecial diet
illness
unpleasant odor
social isolation
decreased sense of taste or smell - 8Signs and Symptoms of anorexiaGlossitis
Cheilos
muscle wasting
extreme fatigue
lesions of the mouth - 9nursing interventionsoral hygiene, dentures
pleasant environment for meals, socialization (Family)
Diet preferences, small serving - 10obesity20% over ideal body weight
- 11Morbid Obesity2x normal body weight
- 12Complications with ObesityCAD
Diabetes
Respiratory difficulties
muscoskeletal problems
emotional and social isolation - 13Causes of ObesityCaloric intake > expenditure hereditary
emotional stress/ psychosocial factors
slowed metabolism - 14Medical Management for obesityweight reduction diet
exercise
medication
counseling - 15Surgical TreatmentRNYGBP
VBG
LBP
Liposuction - 16Post op for surgical tx for obesitypain management
TCDB
Splinting with pillows - 17Dumping syndromeeat and it goes straight through
- 18Signs and symptoms of dumping syndromediaphoretic
distension
diarrhea - 19How to prevent dumping syndromesmaller meals
slow down tube feeding - 20Constipation treatmentH20
Stool softeners ( colace, surfak, fiber )
Laxative ( Ducolax pills or supp ) - 21How to treat diarrheaTreat the cause
replace lost fluid and electrolytes - 22What should you watch for with diarrheasevere fatigue
hypotension
dehydration - 23BMPbasic metabolic profile
- 24why would it be bad for an old person to get diarrheaDries them out, severe dehydration and fatigue
- 25Types of Oral CancerSquamos and basal
- 26symptoms of oral cancertongue irritation
loose teeth
pain in ear or in tongue - 27risk factors of oral cancertobacco use
alcohol use
poor nutrition
chronic irritation - 28Treatment of oral cancersurgery ( radical neck )
must watch nutrition
monitor wt and serum, albuim levels low
radiation and chemo - 29If your pt smokes as a nurse what is your responsibility?Oral cancer is a risk
- 30Esophageal Cancer and cause?middle or lower portion of esophagus
no known cause - 31Risk factors of Esophageal Cancercigarette smoking
excessive alcohol intake
poor oral hygiene
eating spicy foods - 32Signs and symptoms of esophageal cancerprogressive dysphagia
weight loss may be dramatic - 33Treatment for esophageal cancerchemo or surgery
esophagectomy
palliative....dilation - 34GerdGastroesophageal reflex disease
Backward flow of stomach contents into the esophagus - 35Signs and symptoms of GerdBurning sensation that moves up & down
intermittent dyshpagia
Belching - 36Treatment for GerdH2 receptor
Zantac, Reglan, Priolsec & antibiotics
No bicarb - 37Patient teaching for GERDAvoid ASA & NSAIDS
Chew food well
avoid eating 2 hours B4 bedtime
Avoid irritating foods - 38Hiatal HerniaProtrusion of the lower esophagus & stomach upward through the diaphragm
- 39Causes of Hiatal HerniaExcessive intra abdominal pressure
obesity
pregnancy
heavy lifting - 40Why is a strangulated Hernia BAD???Hernia can twist cut off blood supply
everything opens up in thoracic cavity - 41Signs & Symptoms Hiatal HerniaFeelings of fullness
Eructation
heartburn
dyshagia
regurgitation - 42Medical TX for Hiatal HerniaAvoid increase intra abd pressure
HOB ^ 6-12in -> prevents refulx
smaller meals
stop eating B4 bedtime - 43Surguical TX for hiatal HerniaNissen Fundoplication
Angelchik Prosthesis - 44GastritisInflammation of the stomach mucosa/ lining
- 45Causes of gastritisn/v
Abdominal pain
anorexia
feeling of fullness - 46Treatment for GastritisZofran
Replace Fluids
Elimination of the cause
surgical intervention if all else fails - 47What kind of diet for gastritis patientsmall frequent bland meals
- 48Types of ulcersPeptic and Gastric
- 49Peptic ulcer*same as duodenum ulcers
often on mucosa wall of stomach - 50cause of peptic ulcersH-Pylori
stress
burns
shock - 51TX of peptic ulcersmaller meals
H2 drugs / or gastric pump inhibitors
Antibiotics if H-pylori - 52Gastric ulcer symptomspain after a meal
bleeding
coffee ground emesis - 53Gastric ulcer TXH2 drugs
smaller meals
Bite and chew up your food - 54What happens if either type of ulcer erodes deep?it will hit blood vessels causing hemorrhage
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- Flashcards on GI/Endo 1, created by jackie Moreira on 09/09/2015.
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- jackie Moreira
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