Final Exam GI Disorders

this can result from a loss of gastric HCL

this results from a loss of bicarb if the contents from the small intestine are vomitted

this indicates a lower obstruction; below the level of the pylorus

vomit with a coffee ground appearance is an indication of

because drugs used to help N/V cause an anticholinergic affect which is not recommended for people with what disease

a diet for N/V should include

this type of hiatal hernia goes back into the stomach when the person is standing up

trauma, poor nutrition, and forced recumbant position are likely causes of what

this problem has similar symptoms to GERD

a simple an immediate way to help alleviate symptoms of hiatal hernia is to

these medications lower LES pressure

what is one of the primary factors of GERD

this is the result of a decrease in pressure in the distal portion of the esophagus

this is a common complaint of GERD

patients with GERD my also present with respiratory symptoms such as

this is a complication of GERD that is considered a precancerous lesion that increases the pts risk for esophageal cancer

S/S of Barretts syndrome include

this is a hormone in the duodenum that decreases LES pressure; is stimulated by fatty foods

this is an anti-ulcer drug that my be used in patients with GERD for its cytoproductive properties

with GERD a patient should have fluids when?

GI bleeding from an arterial source is

vomitus with a coffee ground appearance is indicative of what?

this is a tear in the mucosa near the esophagogastric junction; likely due to chronic esophagitis

a Mallory-Weiss tear is most likely due to

most bleeding ulcers are related to the presence of what?

this part of a urinalysis test should the patients hydrations status

these solutions are given in the event of a massive GI bleed

for variceal bleeding this is used to produce vasoconstriction and is a posterior pituitary extract

this occurs as the result of a breakdown in the normal gastric mucosal barrier

these drugs are common causes of gastritis

this is a form of chronic gastritis that affects both the fundus and body of the stomach and is assoc. with ^ risk of stomach cancer

a loss of intrinsic factor is essential for the absorption of this and with gastritis it causes a deficiency

erosion of GI mucosa resulting from digestive action of HCL acid and pepsin

H. Pylori produces ______ which buffers the area around it thru the production of ammonia, protecting itself from destruction

these lower the rate of mucosal cell renewal and protective effects so an counter-indicated for use of pts with PUD

these are most commonly found onthe lesser curvature close to the antral junction

these ulcers are more likely to result in hemorrhage, perforation or obstruction

gastric ulcer are greater in ___
duodenal ulcers are greater in ____

the duodenal ulcers is associated with a high ______ secretion

therese an increase in duodenal ulcers with pts who have

clinical manifestations of gastric ulcers are

clinical manifestations of duodenal ulcers are

what are the 3 major complications of PUD

this test is 90-95% sensitive to H. Pylori but will not distinguish between active or recently treated disease

this test is widely used for PUD but not accurate for shallow superficial ulcers; used to diagnosis gastric outlet obstruction

the antibiotic therapy for H. Pylori usually lasts 7-14 days and includes

this is the adjunct therapy for PUD; ^ pH by neutralizing HCL acid

this is the best neutralizing food but it also stimulates gastric secretions

these foods are least stimulating to HCL acid secretions but do not neutralize well

what are the tumor markers in blood for stomach cancer

this is caused by antibiotics that destroy the normal bowel flora, thereby allowing pathogenic organisms to flourish

c diff spores can live up to ____ days on inaminate objects

this is the 1st line treatment for C diff

this can result from motor and sensory dysfunction

for fecal incontinence what is indicated

this maneuver is contraindicated in many conditions including constipations

for constipation you want to increase your pts

obstruction of the lumen by fecalith, foreign bodies or tumor; causes periumbilical pain, anorexia, N/V, pain at McBurneys point with rebound tenderness

with appendicitis a patient will have a + ______ sign, which is pain where?

this primarily occurs when blood borne organisms enter the peritoneal cavity or when abdonmial organs perforate or lead their contents into the peritoneum

with peritonitis the S/S are

S/S of a intestional obstruction are what type of bowel sounds

TX for hemorrhoids are

the most common cause of gall bladder disease

stones that are primarily _____ are the most common

with gall bladder disease where will the tenderness be

what are symptoms of a total gall bladder obstruction

this may be given for pruritis; it binds the bile salts so they dont accumulate

the diet modifications for after gall bladder surgery is what

what are the three locations that a feeding tube can be placed

theres a lower likelihood of regurgitation and aspiration when placed in the

these tubes are used for pts who need feeding for an extended period of time

using this, a gastrostomy tube is inserted through esophagus into stomach and then pulled thru a stab wound made in abdominal wall

pt should be sitting with the HOB this high and for how long for intermittent feedings

when should placement for a tube be checked

feedings should be changed with they are hung for longer then _____ hours

pump tubing should be changed every