GI disorders

Patho

100

irritation of the esophagus from gastric content and enzyme reflux

What is GERD?

200

weakening of the muscles of the diaphragm from increased abdominal pressure

What is hiatal hernia?

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)?

400

linked to H.Pylori, develops in mucosal cells and usually found in late stages

What is gastric cancer?

500

trapped hard material leads to bacterial infection which leads to blocked lumen and abdominal pain

What is appendicitis?

Nursing Interventions

100

promotes bowel rest and decompresses gastric contents

What is NGtube?

200

avoid these things with GERD

What are alcohol, coffee, caffeine, smoking, NSAID's?

300

Postoperative interventions for any abdominal surgery.

What is early ambulation, SCD's, HOB elevated, NG tube to LIWS, incentive spirometer?

400

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

What are nursing interventions for C.Difficile?

500

avoid high fiber foods, encourage fluids, keep skin clean and dry

What is patient education for ileostomy care?

Treatment

100

curative surgical intervention for IBD

What is colectomy with ileostomy?

200

making the patient NPO, starting fluids, managing pain.

What is a treatment for pancreatitis?

300

removal of insulted appendage to prevent rupture.

What is an appendectomy?

400

procedure performed to diagnose and treat chronic constipation and/or bouts of diarrhea.

What is a colonoscopy?

500

antibiotics, steroids, anticholinergics, immunosuppressives, iron, supplements

What are IBD medications?

Signs/Symptoms

100

Bright red blood from the rectum or hematemesis.

GI Bleed

200

tachycardia, dizziness, weakness, hypotension, abdominal pain and distention within 30 minutes of eating

What is Dumping Syndrome?

300

common symptoms of GERD

What is dyspepsia, nocturnal cough, salivary hypersecretion, hoarse voice

400

Bruising around the umbilical

Murphy's sign

500

diarrhea and steatorrhea, weight loss, anemia, fistula

What are signs and symptoms of Crohn's disease?

Challenge

100

trending decreasing hemoglobin and hematocrit levels, hematemesis, hypotension, pain in abdomen

What is upper GI bleed?

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

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

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

"board-like" abdomen, increasing fever with chills, pallor, restlessness and tachypnea

What are signs of bowel perforation and peritonitis?