Patho
Nursing Interventions
Treatment
Signs/Symptoms
Challenge
100
irritation of the esophagus from gastric content and enzyme reflux
What is GERD?
100
promotes bowel rest and decompresses gastric contents
What is NGtube?
100
curative surgical intervention for IBD
What is colectomy with ileostomy?
100
localized right lower quadrant rebound pain
What is McBurney's point?
100
trending decreasing hemoglobin and hematocrit levels, hematemesis, hypotension, pain in abdomen
What is upper GI bleed?
200
weakening of the muscles of the diaphragm from increased abdominal pressure
What is hiatal hernia?
200
avoid these things with GERD
What are alcohol, coffee, caffeine, smoking, NSAID's?
200

removes excess fluid from the abdominal cavity to relieve symptoms of dyspnea and intra-abdominal pain

What is a parencentesis?

200
tachycardia, dizziness, weakness, hypotension, abdominal pain and distention within 30 minutes of eating
What is Dumping Syndrome?
200

A patient comes into the ED with complaints of crampy abdominal pain with distention, that started suddenly with associated vomiting.  Pt. advises no bowel movement for 4/5 days and lab results show metabolic alkalosis. 

What is small bowel obstruction?

300
epithelium is eroded and exposed to gastric acid and pepsin, causing perforation in layers of the stomach or duodenum
What is PUD (peptic ulcer disease)?
300
Postoperative interventions for any abdominal surgery.
What is early ambulation, SCD's, HOB elevated, NG tube to LIWS, incentive spirometer?
300

procedure to remove gallstones

What is an ERCP?

300

pallor, dizziness, weakness, coffee ground emesis

What is a GI bleed

300
ED patient: 66yo female, c/o LLQ pain, nausea and some bloody stools.  VS: temp 101.3, BP 135/80, HR 105, RR 22. History reveals recent history of constipation and low fiber diet.  What treatment(s) and testing should you anticipate?
What is : NPO, NGT to LIWS, fluid replacement

CT of abdomen, CBC, colonoscopy

400
Inflammatory disease characterized by bloody diarrhea and pain in the lower left quadrant

What is ulcerative colitis?

400

contact enteric isolation, handwashing with soap and water, monitor I&O's

What are nursing interventions for C.Difficile?

400

surgical procedure to create an opening into the small intestine

What is an ileostomy?

400

Watery, loose stools accompanied by cramping or pain

What is CDiff or the result of overuse of lactulose

400
70 yo male presents to the ED with c/o abdominal pain that wakes him at night.  He usually takes Tums for his pain, and this has helped until tonight. Home meds: asa 325mg qday, cortisone 20mg bid, theophylline 250mg bid.  Hx of asthma, eczema, obesity.  What is the most likely diagnosis?
What is a duodenal ulcer?
500

most common reason for emergency abdominal surgery 

What is appendicitis?

500
avoid high fiber foods, encourage fluids, keep skin clean and dry
What is patient education for ileostomy care?
500

antibiotics, steroids, anticholinergics, immunosuppressives, iron, supplements

What are IBD medications?

500

diarrhea and steatorrhea, weight loss, anemia, fistula

What are signs and symptoms of Crohn's disease?

500
"board-like" abdomen, increasing fever with chills, pallor, restlessness and tachypnea
What are signs of bowel perforation and peritonitis?
M
e
n
u