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Digestive 2 - disease processes
(some found in NCLEX review set) Disease processes of the digestive system
73
Nursing
Professional
04/19/2010

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Cards

Term
LEUKOPLAKIA
Definition
patches of keratosis
smoking
Term
DIVERTICULITIS
Definition
Diverticulitis develops from diverticulosis. Diverticulitis results if one of these diverticula becomes inflamed.
Term
DIVERTICULOSIS
Definition
involves the formation of pouches (diverticula) on the outside of the colon.
Term
INTESTINAL OBSTRUCTION
Definition
JELLY-LIKE STOOLS
Term
CANDIDIASIS
Definition
thrush
fungal CANDIDA infection
Term
STOMATITIS
Definition
inflammation of the mucus lining of the mouth.
Term
HEMORRHOIDS
Definition
painful Anal lesions involving a shallow local blood vessel
Term
E.COLI serotype 0157 H7 = what we need to KNOW
Definition
1)very VIRILANT 2)NOT a normal FLORA 3) transmitted by UNDERCOOKED MEAT 4)S/S abd cramping,bloody diarrhea,diffuse abd tenderness
Term
EGD intervention
Definition
look for gag reflex
Term
ERCP: description (3)
Definition
- exam of hepatobiliary system with flexible endoscope into esophagus
- multiple positions required
- if meds given, monitor for signs of respiratory and CNS depression, hypotension, oversedation, vomiting
Term
ERCP: postprocedure (3)
Definition
- V/S
- gag reflex
- monitor for signs of perforation
Term
ERCP: preprocedure (2)
Definition
- NPO several hours prior
- sedation
Term
FAILURE of the cardiac sphincter to relax, restricting passage of food to the stomach
Definition
ACHALASIA
Term
Gingivitis Etiology...
Definition
1)bacterial plaque on teeth as a ineffective oral hygiene
2)vitamin deficiencies
3)DM
4)anemia
5)leukemia
Term
Gingivitis S/S
Definition
1) bleeding gums, 2) erythematous gums 3) edematous and tender gums
Term
Parenteral nutrition: nursing considerations (6)
Definition
- start slowly
- check glucose q6hr
- strict steril when changing botles, tubing, filters, dressings
- constant rate
- monitor skin integrity
- client teaching re line management
Term
acholasia
Definition
motility disorder of the lower portion of the oseophagus in which food cannot pass into the stoma.
Term
anoscopy, proctoscopy & sigmoidoscopy: postprocedure
Definition
monitor for rectal bleeding and signs of perforation and peritonitis
Term
anoscopy, proctoscopy & sigmoidoscopy: preprocedure
Definition
enema until clear
Term
anoscopy: description (3)
Definition
- requires rigid scope to examine anal canal
- client in knee-chest position with back inclined 45 degrees
- biopsies and polypectomies possible
Term
ball of food that has mixed with saliva
Definition
bolus
Term
caries nursing intervention
Definition
if old people are not eating check mouth or check denture
Term
chief coenzyme of gastric juice
Definition
pepsin
Term
commonly administered antiemetics(13)
Definition
Diphenidol
Dolasetron(Anzemet)
Dronabinol(Marinol)
Granisetron(Kytril)
Hydroxyzine pamoate(Vistaril)
Meclizine hyrochloride(Antivert)
Metoclopramide(Reglan)
ondansentron(Zofran)
prochlorperazine(compazine)
Promethazine hydrochloride(phenergan)
Scopolamine transdermal(transderm-scop)
Thiethylperazine meleate(Torecan)
trimethobenzamide hydrochloride(tigan)
Term
controls gastric acidity
Definition
gastrin
Term
diagnostic tests for alcholasia
Definition
Esophageal manometry
Term
difficulty in swallowing
Definition
dysphagia.
Term
duodenal ulcer: causes (5)
Definition
- alcohol
- smoking
- stress
- caffeine
- NSAIDS, aspirin, Corticosteroids
Term
duodenal ulcer: definition
Definition
breakdown of mucosa in duodenum
Term
duodenal ulcer: nursing interventions (6)
Definition
- monitor V/S
- monitor for signs of bleeding
- abdominal assessments
- bland diet
- small frequent meals
- stop smoking
Term
duodenal ulcer: s/sx (4)
Definition
- burning pain in epigastric area 2-4 hrs after eating and at night
- pain is often relieved by eating
- weight gain
- melena
Term
duodenal ulcers: complications (4)
Definition
- bleeding
- perforation
- gastric outlet obstruciton
- intractable disease
Term
duodenal ulcers: description
Definition
break in the mucosa of the duodenum
Term
duodenal ulcers: interventions (10)
Definition
- V/S
- bland diet
- small frequent meals
- rest
- no smoking
- no alcohol
- no caffeine
- no aspirin, corticosteroids, NSAIDs
- antacids
- H2-receptor antagonists
Term
duodenal ulcers: risk factors (8)
Definition
- alcohol
- smoking
- stress
- caffeine
- aspirin
- corticosteroids
- NSAIDs
- H. pylori
Term
duodenal ulcers: s/sx (3)
Definition
- burning pain in midepigastric area 1.5-3 hrs after meal
- food relieves pain
- melena (more often than hematemesis)
Term
edentulous mean...
Definition
without teeth
Term
effects of Aging on the Digestive System (5)
Definition
- The mouth becomes drier
- Taste decreases, especially sweet and sour tastes.
- Cardiac sphincter relaxes - leads to reflux and heartburn
- Food stays in stomach longer - indigestion
- Peristalsis decreases - constipation
Term
gastric ulcers: client education (7)
Definition
- no alcohol
- no caffeine
- no chocolate
- no smoking
- no aspirin or NSAIDs
- reduce stress
- rest
Term
gastric ulcers: complications (3)
Definition
- hemorrhage
- perforation
- pyloric obstruction
Term
gastric ulcers: description
Definition
ulceration of mucosal lining that extends to submucosal layer of stomach
Term
gastric ulcers: interventions (8)
Definition
- V/S
- bland diet
- small, frequent meals
- H2 receptor antagonists
- antacids
- anticholinergics
- mucosal barrier protectants 1 hr before meal
- prostaglandins
Term
gastric ulcers: interventions during active bleeding (10)
Definition
- V/S
- NPO
- IV fluid replacement
- monitor I & O
- monitor hgb/hct
- blood transfusions
- ng tube
- lavage (saline or tap water)
- Pitressin
- assess for signs of other problems (see other card)
Term
gastric ulcers: interventions during active bleeding; assess for signs of ..
Definition
- dehydration
- hypovolemic shock
- sepsis
- respiratory insufficiency
Term
gastric ulcers: postop interventions (10)
Definition
- V/S
- Fowler's
- fluids and electrolytes
- I&O
- bowel sounds
- monitor ng suction
- do not irrigate or remove tube
- NPO 1-3 days (wait for peristalsis)
- progressive diet
- monitor for postop complications
Term
gastric ulcers: risk factors (8)
Definition
- stress
- smoking
- corticosteroids
- NSAIDs
- alcohol
- gastritis
- family history
- H. pylori
Term
gastric ulcers: s/sx (3)
Definition
- gnawing, sharp pain in or left of midepigastric region
- food accentuates pain
- hematemesis (more than melena)
Term
gastric ulcers: surgical interventions (5)
Definition
- gastrectomy
- vagotomy
- gastric resection
- Billroth (I and II)
- pyloroplasty
Term
gastritis: definition
Definition
inflammation of gastric mucosa
Term
gastritis: nursing interventions
Definition
- hold fluids and food until symptoms subside. Then feed progressively
- ice chips
- clear liquids
- solid food
Term
gastritis: s/sx (4)
Definition
- abdominal discomfort
- headache
- anorexia
- hiccups
Term
gastroesophageal reflux disease: description (2)
Definition
- backflow of contents into esophagus
- caused by incompetent lower esophageal sphincter, pyloric stenosis, or a motility disorder
Term
gastroesophageal reflux disease: interventions (7)
Definition
- avoid factors that decrease lower esophageal sphincter pressure
- low-fat, high-fiber diet
- no caffeine, tobacco, carbonated drinks
- loose clothes
- elevate head of bed on blocks
- no anticholinergics
- laparoscopic fundoplication
Term
gastroesophageal reflux disease: s/sx (5)
Definition
- pyrosis
- dyspepsia
- regurgitation
- pain and difficulty swallowing
- hypersalivation
Term
gingivitis
Definition
Def: the inflammation of the gums;
N/I: limit acidic food
Term
hiatal hernia has to do with the
Definition
diaphragm
Term
hiatal hernia: complications (7)
Definition
- ulceration
- hemorrhage
- regurgitation and aspiration
- strangulation
- necrosis
- peritonitis
- mediastinitis
Term
hiatal hernia: description (2)
Definition
- part of stomach herniates through the diaphragm into the thorax
- result of weakening of muscles of diaphragm
Term
hiatal hernia: interventions (5)
Definition
- med/surg like GE reflux
- small frequent meals
- limit fluids with meals
- do not recline for 1 hr after eating
- no anticholinergics
Term
hiatal hernia: risk factors (5)
Definition
- pregnancy
- ascites
- obesity
- tumors
- heavy lifting
Term
hiatal hernia: s/sx (4)
Definition
- heartburn
- vomiting
- dysphagia
- feeling full
Term
in infants, projectile vomiting (vomiting with great force) can be a sign
Definition
pyloric stenosis (a narrowing of the pyloric sphincter)
Term
inflammatory disease of the intestines, tends to exacerbate, affects any part of the GI tract.
Definition
CROHN'S DISEASE
Term
nursing consideratons for acholasia!
Definition
1 Teach the clients to eat slowly and in a peaceful setting.
2 Chew your food slowly to help move the food down into the stomach and drink plenty of fluids to help in movement of food.
Term
signs and symptoms of achalasia. (6)
Definition
- dysphagia.
- regurgitation
- weight loss
- coughing when lying down
- pain like heartburn.
- aspiration
Term
surgical intervention for acolasia
Definition
Heller myotomy.
Term
surgical treatment includes:
Definition
Dialation of the cardiac splinchter
Term
treatment of appendicities
Definition
appendectomy
Term
ulcerative colitis: description (5)
Definition
- ulcerative and inflammatory disease of the bowel resulting in poor absorption of nutrients.
- commonly begins in rectum, spreading upward
- edematous colon
- bleeding lesions- scar tissue, causing loss of elasticity
- remission and exacerbation periods
Term
ulcerative colitis: interventions (10)
Definition
- NPO if acute
- restrict activity
- bowel sounds
- monitorfor abdominal tenderness/cramping
- monitor stools (color, consistency, blood)
- monitor for bowel perforation, peritonitis and hemorrhage
- low-residue, high-protein diet
- avoid gas-forming foods
- avoid whole grains, nuts, alcohol, etc.
- no smoking
Term
ulcerative colitis: s/sx (8)
Definition
- anorexia
- weight loss
- malaise
- abdominal tenderness/cramping
- severe diarrhea (may contain blood/mucus
- dehydration/electrolyte imbalances
- anemia
- vitamin K deficiency
Term
ulcerative colitis: surgical intervention
Definition
ostomy
Term
[image]
Stomach-numbered
Definition
[image]
Stomach-named
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