Upper GI disorders
Common cause of PUD, gastritis, and stomach cancer
H. pylori
What is the difference between diverticulosis and diverticulitis?
Diverticulosis: multiple diverticula without inflammation
Diverticulitis: infection and inflammation of diverticula
What medications are used as first line treatment to treat H-pylori?
1. PPI
2. Clarithromycin or Metronidazole
3. Amoxicillin
What should the nurse expect to insert if the client has GI obstruction in order to promote bowel rest and decompresses gastric contents?
Naso gastric tube
Where is the location of the ulcer if the patient is malnourished?
Gastric
What is an expected diagnostic for upper GI bleeding?
Endoscopy
What are signs of peritonitis?
Board like abdomen, nausea and vomiting, and hypotension.
What class of drugs is famotidine, ranitidine and cimetidine? What do they do?
H2 antagonists and they block the release of hydrochloric acid in response to gastrin
What are 3 nursing interventions for the client post abdominal surgery?
SCDs, NG tube placement, incentive spirometer
What are some early signs of Dumping Syndrome?
Dizziness, Tachycardia, Pallor, Sweating, Diarrhea, Palpitations
What are complications of Peptic Ulcer Disease?
hemorrhage, perforation, and obstrution
What is the priority education for the client diagnosed with Celiac Disease?
Educate on prevention of eating foods with gluten.
What is a major class of meds that reduce the amount of stomach acid?
Histamine 2 Antagonist
What should the nurse do, if upon assessment, the client with PUD has a rigid board abdomen.
Contact the provider immediately.
What test would confirm the diagnosis of Peptic Ulcer Disease (PUD)?
Esophagogastroduodenoscopy (EGD)
What are nursing priorities assessments for severe vomiting or diarrhea?
Monitor for dehydration, acid-base, and electrolyte imbalance.
What is a classic sign of appendicitis?
Pain persistent and continuous, eventually shifting to the right lower quadrant and localizing at McBurney’s point.
What medication forms a barrier over the ulcer to protect it from stomach acid?
Sucralfate (Carafate)
When the client with IBD is prescribed TPN, which intervention should the nurse implement to prevent the complication of hyperglycemia?
Monitor Blood Glucose
What are clinical manifestations of bleeding in the abdominal region?
Grey turner sign, Cullen sign
What are clinical manifestations of GERD?
heartburn, dyspepsia, burping or belching
What is a life threatening complication of a large bowel obstruction?
Blood supply is cut off by intestinal strangulation and necrosis occur- this condition is life threatening.
What medications suppresses the secretion of hydrochloric acid into the lumen of the stomach?
PPIs (omeprazole, esomeprazole, pantoprazole)
What should be ruled out with a client who has frequent, loose stools?
C- Diff
What should the client with Chronic Gastritis avoid?
Alcohol and NSAIDs