Adult 1 GI site Group 1 Mr. Justice (Tamara, Anissa)
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| Esophageal varices are | show 🗑
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| Peristalsis | show 🗑
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| Amylase | show 🗑
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| What are the 4 main functions of the GI system? | show 🗑
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| show | Finger-like folds of the small intestines; they increase the surface for absorption
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| show | Pancreas
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| What is the exocrine function of the pancreas? | show 🗑
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| What nerve is involved in “bearing down” to have a bowel movement? | show 🗑
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| show | Metabolic function (metabolisms), Bile synthesis, Storage of glucose in form of glycogen, Break down of old RBC’s, WBC’s, and bacteria
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| What is a paraesophageal (rolling) hernia? | show 🗑
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| show | Sore or lesion
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| show | Burning or indigestion
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| Hernia | show 🗑
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| show | Thromboses veins in rectum and anus
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| show | Ulceration in the anal canal
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| What do you assess for pain r/t GERD? | show 🗑
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| Nursing considerations after small bowel series? | show 🗑
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| What are some non-invasive diagnostic tests? | show 🗑
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| EGD (Esophagogastroduodenoscopy) | show 🗑
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| show | To assess for sites of bleeding, Identify ulcerations/lesions, Detect strictures, masses or tears, Repair of acute bleed, Biopsy
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| Invasive Diagnostics can also be used to: | show 🗑
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| Lab Work | show 🗑
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| Dumping Syndrome | show 🗑
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| show | lower esophageal sphincter
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| A patient returns to the nursing unit following an EGD. During postprocedure care, it is most important for the nurse to | show 🗑
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| show | acetaminophen
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| show | slow the feeding flow rate
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| A patient with chronic GERD is experiencing increasing discomfort. During assessment of pt's current management of the problem, the nurse determines that further teaching is needed when the patient states | show 🗑
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| When teaching a pt. with GERD about recommended dietary modifications, the nurse explains foods that decrease lower esophageal spincter pressure and should be avoided include | show 🗑
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| Upper GI assesses for | show 🗑
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| Nrsg. Considerations for barium tests | show 🗑
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| Monitor BM after barium tests for | show 🗑
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| show | cysts, abscesses, stones of gallbladder or kidney, masses or tumors
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| show | Abdominal US, CT scan, MRI/MRCP, and gastric emptying
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| show | NPO after midnight prior to the test
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| EGD assess for | show 🗑
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| How is an EGD performed | show 🗑
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| show | into the esophagus through the stomach and into the duodenum of the small intestine
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| show | Urobilinogen, serum protein, ammonia levels, serum enzymes
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| show | confusion
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| What electrolyte is usually elevated in malnutrition? | show 🗑
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| show | RBC Hgb
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| show | Bowel sounds; Normal GI tract functioning
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| show | If NPO for longperiod; need to bypass stomach due to disease,surgery,trauma,or lack of emptying;any sit. where need more nutrition than able to retain orally(chem,rad,burns,dysphagia),at risk for aspiration,anorexia, orofacial fx ,head/neck surg
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| show | What face for signs of aspiration
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| show | when food is dumped out of the stomach quickly such as after gastric stapling or resection of the stomach
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| Avoid dumping syndrom with gastric feedings by: | show 🗑
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| How do you maintain patency of gastric feeding tube | show 🗑
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| show | 24 hours
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| Thrush | show 🗑
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| show | Nystatin or Amphotericin B
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| show | similar to thrush, prominent in CA patients, pallative care can be included with Nystatin if needed
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| show | turn it off - remember to turn it back on after
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| show | syndrome that results in backward flow of gastric contents into esophagus; over time can lead to erosive esophagitis if untreated
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| What relieves pyrosis (heartburn) | show 🗑
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| How do you diagnose GERD? | show 🗑
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| show | esophageal stricture from scar tissue, Barrett's esophagus, aspiration pneumonia
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| Treatment of GERD | show 🗑
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| show | chocolate, peppermint, caffeine, onions, fatty foods, alcohol
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| What foods should GERD patients avoid that cause inc. acid production | show 🗑
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| When should a patient with GERD take an antacid | show 🗑
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| What do antacids do | show 🗑
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| Types of antacids | show 🗑
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| S/S of hiatal hernia | show 🗑
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| show | barium swallow, endoscopy, CXR
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| Complication of Hiatal Hernias | show 🗑
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| Tx of Hiatal Hernias | show 🗑
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| show | Antacids for reflux
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| Surgery for Hiatal Hernias | show 🗑
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| show | tumors (intrisic or extrinsic), strictures, diverticular herniations, Neuro disorders: stroke, head/spinal cord injury, Parkinsons, Achalasia
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| Tx of dysphagia | show 🗑
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| show | Inflammatory disorder of the stomach
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| show | med or chem related; self healing; minimal damage to mucosal lining
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| Chronic gastritis | show 🗑
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| show | Vague; Fullness, N/V, anorexia, epigastric pain
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| show | Gastroscopy, Bx, Gastric secretion evaluation
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| Tx of gastritis | show 🗑
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| Peptic Ulcer Disease | show 🗑
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| Sites of peptic ulcers | show 🗑
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| show | gnawing epigastric pain with pain -food relief patterns, may radiate to back, relieved by antacids, worse when lean forward, worse when stomach empty
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| Dx of peptic ulcers | show 🗑
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| Complication of ulcers | show 🗑
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| show | occult blood in stool, anemia, fatigue
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| S/S of a large vessel bleed from an ulcer | show 🗑
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| S/S from an obstruction associated with ulcers | show 🗑
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| show | NG tube for decompression, f/e replacement, surgery to open pyloric sphincter
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| show | rigid abd., sever abd pain, pain radiating to R shoulder, absent bowel sounds, signs of shock
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| show | relieve pain, heal ulcer, prevent complications, educate in lifestyle changes
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| Medications for ulcers | show 🗑
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| What s/s occur with dumping syndrome | show 🗑
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| Measures to avoid dumping syndrome | show 🗑
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