click below
click below
Normal Size Small Size show me how
SOPN GI Assessment
Question | Answer |
---|---|
What system begins at the mouth, esophagus, stomach, small intestines, large intestines, rectum, and anus | GI Tract |
Ingestion, Digestion, absorption, and elimination are all a function of what system | GI Tract |
What effect does the para-sympathetic nervous system have on the GI tract | increased peristalsis |
What effect does the sympathetic nervous system have on the GI Tract | decreased peristalsis |
What is the technical name for "swallowing" | deglutition |
What contains the nasopharynx, oropharynx, and the laryngeal pharynx | pharynx |
what is the lid of fibrocartilage that closes over the larynx during swallowing | epiglottis |
What starts behind the trachea, is a muscular tube, secretes mucus which lubricates the food bolus? | Esophagus |
What moves food through the esophagus from the mouth into the stomach? | Peristalsis |
What lies in the left upper part of the abdomen directly under the diaphragm | Stomach |
What stomach orifice is between the esophagus and the stomach. AHHH HEARTBURN! | Cardiac Orifice |
What stomach orifice guards the entrance and exit from the stomach? | Pylorus Orifice |
What organs function is the storage of nutrients, the start of digestion by HCL acid, and Pepsin and emptying contents into the small intestines? | Stomach |
What does the gastric mucosa secrete? | Pepsin (protein digesting enzyme), HCL acid, and Renin |
What organ absorbs only small amounts of water, alcohol, and weak acids; ie aspirin | Stomach |
What is the principal organ of digestion and absorption | Small Intestine |
Small intestine is made up of three seperate parts | Duodenum, jejunum, and Illeum |
What part of the small intestine receives CHYME a mixture of partially digested food and digestive secretions. Pancreatic and bile duct join up and dump more bile here through the "sphincter of Oddi" | Duodenum |
Hormones produced by the mucosa of this organ enters the bloodstream and stimulates contraction of the gallbladder and relaxation of the Sphincter of Oddi and this allows for flow from the common bile duct into the ..... | duodenum |
What is the middle segment of the small intestine.....it merges with the illeum | Jejunum |
What protion of the sm intestine connects with the lg intestine at the ileocecal valve, This is usually closed to prevent movement of bacteria from the large intestine to the small intestine YET it opens to allow the passage of chyme into the cecum. | Ileum |
What reabsorbs water and electrolytes NaCl and stores stool until defecation? | Large Intestine |
what are the four parts of the large intestine | Cecum and appendix, colon, rectum, and anum |
what are the parts of the colon | ascending on the right, transverse center, descending on the left, and sigmoid colon |
What lines the abdominal cavity wall | parietal |
what covers the abdominal organs | visceral |
what is the space between the parietal and visceral layers | peritoneal space |
Diagnostic procedures: x-ray study a floroscopy with contrast medium to examine the esophagus, stomach, and duodeum. Used to detect esophogeal tumors, varices, gastric ulcers, and gastric tumors. Allows visualization of strictures or swallowing disorders | Upper GI Series |
White chalky radioactive substance able to be x-rayed will require the use of stool softeners and increased fluids as is quite binding. Stools will be white-ish for up to 72 hours following procedure and you need to watch for stool to pass or IMPACTION | Barium |
Upper GI: This test allows for visualization of the esophagus, esophageal strictures, or swallowing disorders. This test cannot be taken UNLESS gag reflux is present | Barium Swallow |
Lower GI: series of x-ray films that visualize the colon, detects the presence of polyps, tumors, and diverticula as well as identifying Chron's Disease and inflammatory bowel disease | Barium Enema |
Stomach contents are examined for acidity and volume of gastric secretions, Is HCl present and how much; pH, pepsin, and electrolytes. Also known as Gastric Stimulation Test. Looks for presence of occult blood, bacteria, parasites, and malignant cells. | Gastric Analysis |
What will the Gastric Analysis aka Gastic stimulation test diagnose | Ulcer Disease |
During the gastric analysis how ofter are the gastic contents aspirated? | 10 - 15 minute intervals for 1 to 2 hours |
***In a gastric analysis: an increase in HCl indicates what*** | peptic ulcer |
***In a gastric analysis: little of no HCl indicates what*** | gastric cancer, pernicious anemia, gastritis, or a gastric ulcer |
***In a gastric analysis: If food is seen from the night before this would indicate what?*** | Pyloric Obstruction |
What test would allow for direct visualization of a body cavity thru a lighted scope. This allows pictures to be taken, polyps removed, forgein objects removed, biopsies taken, and cauterizaion for bleeding. SIGNED CONSENT & RISK FOR ASPIRATION | Endoscopy |
What drug can be sprayed at the back of the throat to decrease the gag reflux ie during an endoscopy | lidocaine |
what drug can be given to decrease secretions | atropine |
After an endoscopy your patient is NPO until gag reflex returns in 1-2 hours and you will check vitals how ofter? | 15-30 minutes for 1-2 hours after the procedure and a spike in temp is a sign of perforation |
Esophagoscopy looks at | esophagus |
gasroscopy looks at | stomach |
esophagogastroduodenoscopy looks at......not spellcheck | esophagus, stomach, and the beginning of the duodenum. |
What test allows for direct visualization of the colon thru a lighted scope. Used to diagnose or distinguish between inflammatory or neoplastic diseases; polyps, tumors, vs inflammation, dilated structures | Colonoscopy |
After a colonoscopy you would observe for rectal bleeding or complaints of pain: could indicate perforation and you would check vitals how often | every 15-30 minutes over 12 hours |
sigmoidoscopy looks at | sigmoid |
proctoscopy looks at | rectum |
anoscopy looks at | anus |
Any ------scopy procedure requires what before the procedure begins? | informed consent |
Test uses high frequency waves to form images of internal structures. Non-invasive. | Ultrasound |
test created a 3-dimensional image of the abdomen. Used to identify tumors and other diseases of the abdominal organs. Barium may interfer with this test must do 4 days before or after any barium test. Alleric to shellfish? | Computed tomography CAT SCAN |
Test looks at cross sections of the abdomen. Can study bloodflow to the abdomen or identify areas of infection or malignancy. | Magnetic Resonance Imaging MRI |
Test uses a disposable video camera capsule swallowed by the patient transmitted by radio frequency image of the intestines to check for GI Bleed. This requires bowel prep | Capsule Endoscopy |