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
surgical procedure to remove or resect a specific nerve in the GI system
What is a vagotomy?
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 that started suddenly with associated vomiting.  Labs reveal metabolic alkalosis. What is the most likely problem?
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 increase pressure by wrapping a portion of stomach around the lower esophageal sphincter
What is Nissen fundoplication?
300
common symptoms of GERD
What is dyspepsia, nocturnal cough, salivary hypersecretion, hoarse voice
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
linked to H.Pylori, develops in mucosal cells and usually found in late stages
What is gastric cancer?
400
contact isolation, handwashing with soap and water, monitor I&O's
What are nursing interventions for C.Difficile?
400
supplement needed due to loss of parietal cells
What is vitamin B12 injections?
400
enlarged supraclavicular nodes associated with Gastric cancer
What is Virchow's nodes?
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
trapped hard material leads to bacterial infection which leads to blocked lumen and abdominal pain
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?
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