What Med is That?
Upper GI
Lower GI
UC or Crohns
MISC
100

Common Medication that is used to help treat the underlying condition for GERD and epigastric bleed?


What is PPI (Protonix, Prilosec)


1) How do PPI's work?



PPI work by preventing secretion of gastric acid into the stomach helping to reduce PUD


2) Common Medication used for endoscopies (EGD and Colonoscopy)? and what can scopes be used for?


Propofol, biopsies, visualization, removal of foreign object, stop bleeding 



3) side effect of PPI?




Pernicous anemia- this is related to decrease i the intrinsic factor and absorotiopn of vitamin B12

100

Client is being discharged and told they can use anti-acids intermittently. When is the best time to take it so that it does not interfere with their prescribed medications. 

What is 2 hrs AFTER they take their meds. 



What prescription can be given to help with nausea and vomiting?




Zofran 

100

Client Teaching associated with Hemorrhoids that would need to be monitor closely to ensure it is not anything more serious?

What is Blood in the stool 

100

Which one (UC or Crohns) would have a cobblestone tissue appearance?

What is Crohn's 


alterations of healthy tissue and diseased tissue 



Which one (UC or Crohns) is more prone to fistula formation?



Crohns 

100

Crohns vs UC common quadrant for pain?

What is Crohns RLQ

Whats is UC LLQ

200

Medications like NSAIDS and Aspirin; substance abuse (ETOCH) can led to what common inflammatory Upper GI condition?

What is Gastritis 

1) What is gastritis?


 Inflammation of the gastric mucosa


2)How do you treat gastritis with H pylor


Antibiotics (clarithromycin) and PPI (protonix)



3)What drug can clients NOT receive for IBD if they have an allergy to Aspirin?


aminosalycilate


200

Classic Sign/Symptoms of GERD include: 

What are Chest pain, Pyrosis, Regurgitation, Wheezing, Hoarseness

1) What causes GERD??

2) Other body system symptoms can include what? 

3) Common factor that degrade the stomach mucosa? 




1) Incompetent lower esophageal sphincter, obesity also increase the risk 

2) Respiratory (dyspnea), esophageal (hoarseness), and teeth (enamel erosion) 

3) NSAIDS, ETOH, Aspirin, 

200

Chronic Ulcerative colitis requires the reduction in inflammation to aid in recovery, what class of drug would you expect to be ordered? 

What is a corticosteroid (prednisone)


what electrolyte should monitored most closely





Potassium (hypokalemia)

200

Most common cause of Crohns disease is?

what is autoimmune process 

Besides immunosuppressant's what other class of drugs will be used to help manage Crohn's




Steroids

200

Medications like aminosalycilate used to treat IBD are contraindicated in what patients 

what is patients with an aspirin allergy 

300

Reglan can be given to clients to help with nausea and helps clients with GERD, how does Reglan provide this relief 

What is increase peristaltic movement and reduces nausea and vomiting\


Adverse effect of Reglan is what?


involuntary body movements


300

Your client complains of intense pain WHILE eating, what is your client suffering from 

what is a gastric ulcer 



1) Ulcers and PUD can be caused by what?


H. pylori 

300

A low fat diet is commonly prescribed for what CHRONIC lower GI disease 

what is Crohn's disease


Crohns patients can be NPO, how will get they nutrition?




what is TPN. TPN is composed of Dextrose, Amino Acids, and Vitamins 

300

Colon Ca most common clinical manifestation would be

What is rectal bleeding 

300

A client that complains of alterations between constipation and diarrhea are usually associated with what GI condition

what is IBS

IBS is most closely trigger what?


increased sensitivity of the intestines when in contact with a stimuli (food, stress, irritants)

400

Medications like clarithromycin (Biaxin), esomeprazole (Nexium) (PPI's), and amoxicillin (Amoxil) are used to treat what upper GI condition?

What is H. Pylori - MOST significant risk factor in PUD


What else (besides H Pylori) can degrade the stomach barrier 





NSAIDS, ETOH, chocolate, Aspirin, coffee/tea, 

400

2 classic symptoms of perforation?

what are intense abdominal pain and a board rigid like abdomen it can even radiate to their shoulder 


1)What other emergent condition should nurses be mindful of as well 


Peritonitis 



2)What 2 risks factors lead to Hiatal Hernia development?



Obese and Pregnancy 


3)Most classic sign of Hiatal hernia?



Heartburn 




4) complication of a Hiatal hernia?



strangulated hernia, requires immediate intervention/surgery 

400

What Lower GI issue/condition symptoms  would leas to HYPOKalemia 

what is chronic diarrhea usually associated with UC

1)Treatment includes steroids, what other electroylte do you need to monitor 


Sodium (hypernatremia)

2)when given anti-inflammatory and autoimmune drugs, how do you know they are working for your client?


bowel movements should become formed and less frequent  

400

Frequent, watery stools with mucus (sometimes with blood) prone to fistula formation, and Nutritional deficiencies are associated with 

What is Ulcerative Colitis.


What medications (or classes) would be contraindicated or questions for this patient? 




laxatives

400

Clients with an active gastric ulcer require treatment of acid production as well as healing of the ulcer; what med is used 

what is Carafate


How and when is Carafate adminstered?




with meals and bedtime with 8oz of water

500

Elavil (Amitryptaline), Anaspaz (Hyoscyamine), Lotronex (Alosetron) are the most common meds used to help manage what disease 

What is IBS 



1) Classic symptom of IBS



irrgeular bowel movements (alternating between constipation and diarrhea) 




2)What is a bulk forming laxative?




Metamucil 

500

GERD is caused by a lot of things, such as diet, tobacco, ETOH etc. All of these items contribute to what major phyisological issue? 

What is Incompetent lower esophageal sphincter.

Common patient population that is prone to GERD (Not this is also considered a modifiable risk factor). 

500

Fecal Emesis is a symptoms of what GI condition 

What is intestinal obstruction 


1)what puts a client at risk of an obstruction?




previous abdominal surgeries 

500

cobblestone appearance (Healthy tissue interrupted by areas of diseased tissue) Presence of abscess and fistulas are most closely associated with

What is Crohn's

Remicaide is one of the most common immunosuppressant drugs given to manage Crohn's, how do you know it is effective? 

500

Confusion is a CNS side effect most closely associated with what anti-nausea med, which is not commonly used anymore 

what is Tagamet 

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