fr
endoscopic pt education
pt will have sore throat. lax and enema before test as needed
GERD pt care
life style changes first (maintain ideal weight, avoid smoking, caffeine, milk, spicy foods, peppermint, and alcohol, avoid trigger foods, HOB elevated 4-6 in., avoid eating 3 hours before bedtime, low fat- high protein diet.
fundplication or endoscopic is done if changes dont work.
signs of transplant rejection
pulse above 100, temp above 101, RUQ pain, increase in jaundicem decreased in bile from t-tube, elevated liver enzymes.
symptoms of anorexia
weight loss, low self-esteem, compulsive dieting, disturbed body image, over use of lax, muscle wasting, ammenorhea, glossitis (inflammed tongue), chilosis (dry cracked lips), improper fitting dentures.
Physical- nausea, decrease sense of taste or smell, mouth disorders, age, chemo, and meds
emotion- anxiety, depression, lack of socialization, or disturbing though (body image disturbance.
liver enzymes
alanine transminase (ALT)
aspartate transaminase (AST)alkaline phosphate (ALP)
gummy-glutamyl transpeptidase (GGT)
cancer of the liver symptoms
encephaopathy, bleeding, jaundice, ascites.
ulcerative colittis pt. education
avoid high fiber foods, caffeine, spicy foods, and milk products. surgery may be necessary, intestinal resection, colostomy, iliostomy if entire colon is affected.
nursing interventions for colonoscopy
rectal bleeding and vitals
sign of hepatic encepalopathy
day night reversal
s/s of gallbladder disorders
increased vitals, vomiting, jaundice, epigastric pain, RUQ tenderness, nausea, indigestion
hep B precautions
hand hygeine, vaccine, HEB B IMMUNE GLOBULIN (HBIG)
ERCP pt teaching
fast 4-8 hours before exam, avoid anticouglulants as ordered, and throat may be sore with hoarseness.
icteric phase of hep.
DURING JAUNDICE
causes of gastritis
H.PYLORI, NSAIDS, stress, and alcohol.
test for acute pancreatitis
serum amylase, serum lipase, x-ray, ct, and ultrasound
capsule endoscopy
pt wears a belt and swallows a pill to record in the gi tract .
peptic ulcer emergency treatment
control vomitting of blood, perforation (sever epigastric pain and shock), and pyloric obstruction. NG TUBE
interventions for hiatel hernia
antiacids, smalls frequent meals, no reclining 1 hour after eating, raise HOB 6-12 inches, no bedtime snacks, spicy and fatty foods, alcohol, caffeine, or smoking, diet and drugs help with acid reflux.
tell pt to expect mild dysphagia for several weeksgalblader disorders
cholecystitis- inflammation
cholelithiasis- stones
choledocholithiasis- stones in common bile duct
pancreatic enzymes
amylase
lipase
tube feeding for open container
do not hang more than 6-8 hours of formula in an open container
no gluten
things you can have- bacon, hard boiled eggs, and blueberries
symtoms of chrons disease
abdominal pain or cramping, weight loss, diarrhea, fluid and electrolyte embalnce.
stomach and duodenum- N,V, and epigatric pain
small intestine- pain, abdominal tenderness, and cramping
inflamed colon- abdominal pain, cramping, rectal bleeding, and diarrhea.
systemic S/S- fever, night sweats, malaise, and joint pain
post procedure for lower gastrointestinal endosscopy
watch for s/s bowel perforation, abdominal distention, abdominal pain, N/V
interventions for anorexia
assit with oral hygeine, teach proper oral hygeine, refer for dental care, relieve nasuea before giving meal tray, clean up room prior to meal time, provide socilization, respect food like and dislikes, positions patient comfortably with wasy access food.