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Intro to Gastro w/ Cancer and Genetics
Lazotte Lecture from 3/6/14 & 3/13/14
67
Nursing
Not Applicable
03/19/2014

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Cards

Term
why are pain meds important in gastro disorders?
Definition
they cause constipation and slow down the whole digestive tract
Term
problems with the elderly and laxatives
Definition
they believe a BM is necessary EVERYDAY. Do to prolonged use, they may not be able to have a BM unless they have stimulation through a laxative
Term
What does caffeine have to do with the GI tract
Definition
stimulates it
i.e. tea and coffee
Term
Rapid Transit of the bowel
Definition
irritable bowel syndrome
Term
what is a 24-hr recall?
Definition
when the nurse asks the patient to list everything that they eat in a typical 24 hour day- including the past 24 hours
Term
what do finances have to do with diet?
Definition
carbs are cheaper than meat, fruit, and veggies
Term
How to determine cause of abdominal pain
Definition
CT Scan
Term
Diverticulosis
Definition
as we age, development of tunnels into the bowel wall occur
Term
Diverticulitis
Definition
When the tunnels in the bowel wall become plugged up (Popcorn/Nuts) and become infected; extremely painful in the lower left/right quadrants of abdomen
Term
what is Onset?
Definition
When did it start?
Term
What types of food can cause chest and back pain (heart burn)
Definition
Greasy food- hamburger
alcohol
Term
What is duration?
Definition
How long did it last?
Term
What is Character?
Definition
what did it feel like? Describe the pain... ie sharp, dull, aching, radiating, relieved by BM
Term
t/f: you've got to move if you want your bowel to move
Definition
true
Term
What is heartburn
Definition
the backwash of stomach acid into the esophagus; the esophageal lining cannot handle the stomach acid so it causes pain
Term
how can heartburn be a mechanical problem?
Definition
larger people who wear tight belts or have large necks can have troubles with heart burn because the stomach acid backs up into their esophagus- one thing that helps is to sleep at an angle instead of flat; lose weight; diet
Term
barrett's esophagus
Definition
deterioration right at the base of the lower esophageal sphincter; precursor of esophageal cancer
Term
omeprazole and Prevacid
Definition
don't take more than 14 days because it may mask a more serious issue
Term
what is important about elimination?
Definition
Are there any changes?
Term
in stool specimens, what does "blue" mean?
Definition
hemaculture with the presence of blood
Term
in gastric content specimens, what does "blue" mean?
Definition
gastroculture with presence of blood
Term
what do we look for in stool samples?
Definition
parasites and ova, bacteria, and blood
(99% of the time its diarrhea)
Term
t/f: ALWAYS fill to the line or you'll have to recollect
Definition
true
Term
clay colored stool
Definition
presence of fat; gives indication of liver issues; fatty liver
Term
brown colored stool
Definition
colored by bile
Term
tarry colored stool
Definition
melena; black/dark; bloody stool; GI Bleed
Term
red colored stool
Definition
overt bleeding; red blood stool; Rectal Bleed
Term
Physical Assessment
Definition
begins at mouth and ends at anus
Term
why is mouth moisture an important assessment?
Definition
no moisture is a sign of cancer
and if your mouth is dry your bowel probably is too
Term
Ludwigs Angina
Definition
due to poor dental care, pus from cavities collects in the chin.
Term
Why does ludwigs angina cause sleep apnea
Definition
chin presses the uvula closed and produces apnea
Term
triple op
Definition
surgery to fix ludwigs- uvulaplasty
Term
how do you examine the patients abdomen?
Definition
palpate, and auscultate while they are laying down in all four quadrants
Term
what is distention?
Definition
tight abdomen; tympanic- sounds like a drum
Term
how to decompress the stomach?
Definition
NG tube
Term
small bowel problems most common in
Definition
women
Term
large bowel problems most common in
Definition
men
Term
why do some older men have hard abdomen
Definition
their "chest sank"
Term
what is visible pulsation in abdomen a sign of?
Definition
abdominal aortic aneurysm- confirmed with doppler
Term
hypoactive bowel sounds
Definition
1-5 sounds per minute; most people
Term
hyperactive bowel sounds
Definition
greater than 35 sounds per minute
Term
what causes hyperactive bowel sounds
Definition
bowel obstruction which causes a build up so wastes cannot pass; my be high pitched noise, gurgling, bruiae (like fistula) (swooshing sound)
Term
atonic pupil
Definition
one eye has blown pupil- due to virus
Term
what is tenderness
Definition
state of unusual sensitivity to touch or pressure
Term
guarding tenderness
Definition
any reaction to protect an area of pain; tensing up counts
Term
rebound tenderness
Definition
pain occurs with a sudden release of pressure; i.e. pressing on it is fine but when you remove your hand it hurts
Term
what does a fatty liver mean?
Definition
early sign of sclerosis; alcohol problem: sclerosis causes the sponge to dry up so it cannot filter- Hepatalipidosis
Term
what does albumin test
Definition
liver function
Term
what does a lactose tolerance test do
Definition
tells whether lactose is absorbed or broken down
Term
Why is BP important after colonoscopy/egd
Definition
if it drops it could be a sign that they knicked something and you could be bleeding out
Term
what 3 things makes DNA
Definition
nitrogenous base, sugar, and a phosphate group (nucleotide)(building blocks of dna)
Term
differences between RNA and DNA
Definition
DNA double helix- thymine
RNA one strand- uracil
Term
genotype
Definition
genetic material and sequence
Term
phenotype
Definition
physical expression of genes
Term
replication
Definition
dna->dna
Term
transcription
Definition
dna->rna
Term
translation
Definition
rna->codon->protein->phenotype
Term
mutagens
Definition
cause mutations
Term
cancer
Definition
uncontrolled growth of cells
Term
chromosome
Definition
millions of genes that tell how body should grow, function, and behave
Term
silent period
Definition
no lumps/mass; cancer has started to grow; undetectable (why didn't you find it sooner?)
Term
tumor marker
Definition
test that can detect tumors that can't be seen with xray
Term
t/f: palpation is the only diagnosis w/ biopsy to see if a tumor is malignant
Definition
true
Term
how do you know if a tumor is benign?
Definition
its movable
Term
2 characteristics of malignant tumors
Definition
1. roots- in the blood
2. no wall or clean border
Term
early signs of cancer
Definition
anemia, weakness, fatigue, eating with no weight gain, no taste
Term
metastasis
Definition
ability to spread
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