GI

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Author:
rodghawk
ID:
194186
Filename:
GI
Updated:
2013-01-23 13:42:34
Tags:
NCLEX
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Description:
NCLEX
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  1. def of choleycistitis
    inflammation of the gallbladder
  2. SE of phenergan (4)
    sedation, drowsiness

    syncope

    hypotension

    dry mouth, urinary retention
  3. diet instructions for GERD (4)
    low fat, high fiber

    avoid caffeine, tobacco, and carbonated drink

    no drinking 2 hr before bed

    elevate HOB when sleeping
  4. Medications given for gastric ulcers and their purpose (3)
    H2 receptors-- decrease gastric acid secretion

    antacids -- neutralize acids

    anticholinergics -- reduces gastric motility
  5. def of ulcerative colitis. leads to?
    ulceration and inflammation of the bowel that usually starts in rectum

    causes poor absorption and loss of elasticity in the bowel r/t scar tissue development
  6. what is the surgical intervention for ulcerative colitis?
    ostomy -- may be in ileum or large intestine
  7. s/s of ulcerative colitis (5)
    anorexia

    abd. tenderness

    severe diarrhea (may contain blood/mucous)

    dehydration and electrolyte imbalance

    anema and vit. K deficiency
  8. nursing intervention in the acute phase of ulcerative colitis (5)
    NPO

    fluid and electrolytes IV, may need TPN

    restrict pt activity

    progress diet to clear liquids and low residue when able

    admin bulk forming agents to dec. diarrhea -- bran, methylcellulose
  9. diet teaching for ulcerative colitis (4)
    high protein

    low residue -- whole wheat, grains, nuts, fruits, veggies

    avoid gas forming foods and milk

    no caffeine or alcohol
  10. what can Crohns disease lead to? (5)
    thickening and scarring

    narrowed lumen

    fistulas

    ulceration

    abscess
  11. diet teaching for diverticulitis (6)
    introduce fiber gradually during acute phase when ready

    fluid intake of 2500-3000 ml per day

    eat soft fiber foods (ex - whole grains)

    avoid gas forming foods and seeds

    small amounts of bran and bulk forming laxatives daily

    AVOID HIGH FIBER -- will cause irritation
  12. transmission route of Hep A
    fecal-oral route
  13. transmission route of Hep B
    blood or body fluids contact
  14. transmission route of Hep C
    primarily blood but can be body fluids
  15. MOA of antacids
    NEUTRALIZE acids and inactivate pepsin

    DO NOT coat to protect
  16. MOA of H2 antagonists
    suppress secretion of gastric acid

    -->prevents recurrence of ulcers
  17. common H2 antagonists (3)
    Pepcid

    Zantac

    Tagamet
  18. MOA of PPI
    suppress gastric acid secretions
  19. common PPI (4)
    Nexium

    Prevacid

    Prilosec

    Protonix

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