UPPER GI

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Author:
vickie_edwards
ID:
6207
Filename:
UPPER GI
Updated:
2010-02-08 09:43:07
Tags:
BAKER GI
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Description:
EXAM 2
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  1. IS ORAL CANCER CURABLE?
    IF DISCOVERED EARLY
  2. WHAT ARE THE MOST COMMON SITES OF ORAL CANCER?
    • LIPS
    • LATERAL ASPECTS OF THE TONGUE
    • FLOOR OF MOUTH
  3. EARLY SIGNS OF ORAL CANCER?
    FEW OR NONE
  4. LATER SIGNS OF ORAL CANCER?
    A PAINLESS SORE OR MASS THAT WILL NOT HEAL
  5. SYMPTOMS OF PROGRESSIVE ORAL CANCER?
    • TENDERNESS
    • DIFFICULTY CHEWING, SWALLOWING OR SPEAKING
    • COUGHING OF BLOOD-TINGED SPUTUM
    • ENLARGED CERVICAL LYMPH NODES
  6. RISK FACTORS FOR ORAL CANCER?
    • SMOKING
    • ALCOHOL
    • --WHEN USED TOGETHER THEY HAVE A SYNERGISTIC CARCINOGENIC EFFECT
  7. HIGH RISK AREAS FOR ORAL CANCER?
    • SNUFF-CIGARS-PIPES=
    • BUCCAL MUCOSA
    • GINGIVA
    • ALCOHOL-CIGARETTES=
    • FLOOR OF MOUTH
    • TONGUE
    • SOFT PALATE
  8. OFTEN CANCER OF THE ORAL CAVITY HAS METASIZED TO THE________
    LYMPH NODES
  9. WHAT IS THE MAIN PROBLEM WITH A RADICAL NECK DISECTION?
    COMMUNICATION
  10. WHAT IS THE MOST IMPORTANT NURSING DIAGNOSIS WITH ORAL CANCER?
    IMPAIRED ORAL AIRWAY
  11. DEFINITION OF ESOPHAGUS?
    MUCOUS-LINED MUSCULAR TUBE FROM THE MOUTH TO THE STOMACH

    USUALLY SMOOTH, PINK AND WIDE OPENING
  12. WHAT ARE THE TWO SPHINCTERS OF THE ESOPHAGUS?
    • HYPOPARYNGEAL-UES (UPPER)
    • GASTROESOPHAGEAL-LES (LOWER)
  13. DEFINITION OF DYSPHAGIA?
    DIFFICULTY SWALLOWING
  14. HOW DO YOU DIAGNOSIS ACHALASIA?
    X-RAY WILL SHOW A BIRDS BEAK LIKE APPEARANCE WITH SWALLOWING.
  15. PATHOPHYSIOLOGY OF ACHALASIA?
    ABSENT OF INEFFECTIVE PERISTALSIS OF THE DISTAL ESOPHAGUS, WITH FAILURE OF THE ESOPHAGEAL SPHINCTER TO RELAX IN RESPONSE TO SWALLOWING
  16. Definition of Diverticulum?
    An outpouching of mucosa that protrudes through a weak portion of the musculature.
  17. What is the test for Diverticulum?
    Barium Swallow
  18. What is the medical management for Diverticulum?
    Removal of the diverticulum.
  19. What are the Nursing Interventions for POst-Op
    Diverticulectomy?
    • Educate on diet
    • Pain
    • Infection
    • Mx Sx incision
  20. Definition of GERD?
    Back-flow of gastric or duodenal contents into the esophagus.
  21. GERD increases with _________?
    Age.
  22. Diet for GERD?
    • low-fat
    • no caffeine, tobacco, beer, milk
    • no peppermint, spearmint
    • no carbonated beverages
    • no eating or drinking 2 hours before bedtime
  23. Interventions for GERD?
    • Maintain normal body weight
    • Avoid tight-fitting clothes
    • Elevate HOB 6-8 inches or elevate upper body on pillows.
  24. Surgical Management for GERD?
    Nissen Fundoplication
  25. Definition of Hiatal Hernia?
    Opening in the diaphram through which the esophagus presses becomes enlatged, and a part of the upper stomach tends to move up into the lower portion of the thorax.
  26. Signs of Barrett's Esophagus?
    HEARTBURN-FREQUENTLY

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