GI I Med-Surg
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| show | alkalosis
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| show | acidosis
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| Vagus nerve stimulates production of _____ and ______ | show 🗑
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| pH of stomach | show 🗑
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| pH of small intestine | show 🗑
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| neutralizes hydrochloric acid | show 🗑
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| show | hydrochloric acid
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| show | duodenum
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| 9 functions of liver | show 🗑
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| accessory organs of GI | show 🗑
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| show | 10 ft
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| length of duodenum | show 🗑
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| jejunum length | show 🗑
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| ileum length | show 🗑
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| show | 5 ft long
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| show | hepatic artery
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| show | cholecystokinin
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| show | amylase, lipase, trypsin, bicarb juice
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| Carcinoembryonic Antigen (CEA) marker | show 🗑
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| alanine aminotransferase (ALT) | show 🗑
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| show | liver enzyme increased in chronic liver failure, viral hepatitis, acute pancreatitis
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| show | liver enzyme increased in liver disease
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| show | inject pt with a small amt of radioactive isotope, serial images of gallbladder/bile duct/duodenum are recorded. Confirms biliary disease, ejection problem or obstruction
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| show | bx peptic ulcers, stomach cancer
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| endoscoptic retrograde cholangiopancreatography (ERCP) | show 🗑
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| show | lay pt on right side for 8 hrs, pressure dsg on site of biopsy
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| show | not vented, single lumen, used for gastric decompression, irrigation, lavage, feeding
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| show | Vented, double lumen, used for decompression, irrigations, lavage
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| you should check for stomach residual on continuous tube feeding pts every ____ hour(s) | show 🗑
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| anticholinergenics/anti-spasmodics contraindicated in what 2 conditions | show 🗑
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| Roux-en-Y gastric bypass | show 🗑
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| show | small stomach pouch made w/ staple line and mesh band, circular window made with staples, allows band to be placed around pouch - restricts and slows food flow from stomach pouch
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| caput medusae | show 🗑
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| show | jaundice - yellowing of skin and sclerae of eyes
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| show | when stomach or small intestine become filled w/ air or fluid
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| show | until active bowel sounds and flatus have returned
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| show | Tigan, Antivert, Phenergan, Compazine, Zofran
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| bulimia can cause acidosis or alkalosis? | show 🗑
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| show | food going too quickly into jejunum. nausea/chest and abd cramps/sweating/diarrhea
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| show | surgical procedure - stomach fundus wrapped around lower part of esophagus for hiatal hernia tx
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| show | reduce amount of HCl stomach produces
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| 3 proton pump inhibitor (PPI) meds | show 🗑
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| show | cimetidine (Tagamet), ranitidine (Zantac), famotidine (Pepcid), nizatidine (Axid), misoprostol (Cytotec)
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| show | Atropine Sulfate, Pro-Banthine, Belladonna
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| show | metochlopromide (Reglan)
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| 2 standard tests for checking for GI bleed | show 🗑
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| show | PPIs, antiemetics
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| Mallory Weiss tear | show 🗑
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| s/s Mallory Weiss tear | show 🗑
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| show | lower esophageal sphincter does not close tightly
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| Barrett's esophagus | show 🗑
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| esophageal varices | show 🗑
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| show | antacids, antiemetics, PPIs
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| type A gastritis | show 🗑
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| type B gastritis | show 🗑
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| gastritis | show 🗑
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| show | bacterium H. pylori
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| what is peptic ulcer disease | show 🗑
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| show | EGD, upper GI series, H. pylori test
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| show | amoxicillin (Amoxil) + clarithromycin (Biaxin) + omeprazole (Prilosec)
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| what is "triple therapy" for H. pylori infection | show 🗑
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| show | clarithromycin (Biaxin) + omeprazole (Prilosec)
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| what is "dual therapy" for H. pylori infection | show 🗑
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| stress/Curling's ulcers | show 🗑
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| show | antacids, H2 antagonists, sucralfate, PPIs
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| show | put in NG tube to neutralize gastric pH, G-tube feedings
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| show | inhibit gastric acid secretion by blocking H2 receptors on gastric parietal cells
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| show | bind to enzyme on gastric parietal cells to prevent final transport of hydrogen to block gastric acid secretion
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| show | none
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| show | distal 75% of stomach removed, remaining part of stomach sutured to duodenum
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| show | distal 50% of stomach, anastomosed to jejunum
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| type of gastrectomy most at risk for dumping syndrome | show 🗑
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| Vagotomy | show 🗑
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| total gastrectomy | show 🗑
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