Term
| What are the 4 primary pathological issues of the gut? |
|
Definition
Dysmotility
Inflammation
Obstruction
Infection (Cancer) |
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Term
| What are the three primary functions of the gut? |
|
Definition
Absorption
Excretion
Motility |
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Term
| What are the nursing concerns with Nausea and Vomiting? |
|
Definition
- Aspiration
- FEB
- Comfort
- Electrolyte Imbalances (Cl,K, Metabolic alkylosis)
- Volume Depletion |
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Term
|
Definition
| A clinical condition due to the reflux of gastric contents into the esophagus |
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Term
| What is the etiology of GERD? |
|
Definition
1. Defective Barrier Function
2. Defective LUMINAL clearance
3. Defective Tissue RESISTANCE
4. Noxious Reflux |
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Term
| What are the risk factors of GERD? |
|
Definition
- OBESITY
- Pregnancy
- Alcohol
- Hiatal Hernia
- Smoking
- SCLERODERMA
- Medications |
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|
Term
| What medications can potentially cause GERD? |
|
Definition
Anticholinergics
BB
CBB
Bronchodilators
TCAs
Dopamine
Sedatives |
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|
Term
| What is the difference btw STEP DOWN and STEP UP approach? |
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Definition
| STEP DOWN is PPI's > H2R's |
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Term
| What symptoms [they are usually late!] should trigger an automatic screen for Esophageal Cancer? |
|
Definition
- Difficulty Swallowing
- Decreased nutritional intake
- regurgitation |
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|
Term
| What are the top 2 causes of peptic ulcer disease? |
|
Definition
|
|
Term
| How does H pylori contribute to ulcer formation? |
|
Definition
| It forms ammonium which is toxic to epithelial cells. Causes inflammation and ulceration in LOWER STOMACHE--UPPER DUODENUM |
|
|
Term
| What stressers are associated with physiologic stress ulcers? |
|
Definition
- Trauma (Burns, Major Surgery)
- Ischemia or blood diversion away from gut |
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|
Term
| Complications from ULCERS? |
|
Definition
- Perforation
- Hemorrhage
- Stenosis
- DUMPING SYNDROME |
|
|
Term
| What are the nursing management for acute exacerbation of ulcers? |
|
Definition
- NPO
- NG Suction
- Bed Rest/Fluids
- Medications |
|
|
Term
| What is Irritable Bowel Syndrome? |
|
Definition
| A CHRONIC condition of abdominal pain, constipation OR diarrhea. |
|
|
Term
|
Definition
1. Diet Modification
2. Fiber therapy
3. Antispasmodics/Anti Diarrheals
4. Laxatives
5. Pain Treatment |
|
|
Term
| How is Crohn's Ds treated? |
|
Definition
Aminosalyicylates
Corticosteroids
Flagyl
Amixab
Immunosuppressants |
|
|
Term
| How is Ulcerative Colitis treated? |
|
Definition
Topical/Oral mesalamine
Topical/Oral corticosteroid/Prednisone
IV Corticosteroid or IV Cyclosporin |
|
|
Term
| What are the primary Ns considerations for pts with IBD? |
|
Definition
- PAIN
- FEB
- Nutrition
- Psych
- Pre-Post Op |
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|
Term
| What are the risk factors for Colorectal cancer? |
|
Definition
| Age, Family hx,polyps, Familial Polypposis, obesity, Diet? |
|
|
Term
| What are the manifestations of colorectal cancer? |
|
Definition
| Bleeding, acute onset constipation, obstruction, non specific (dull pain, anemia, wgt loss, anorexia) |
|
|
Term
| What are the nursing consideration for Colorectal Cancer management? |
|
Definition
1. PREVENTION (Ca/Vit D, NSAID, HRT, Detection, prep for screening)
2. Pre/Post op
3. Pt teaching |
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