Show:
A/P
Meds
Tests and preps
Diets
Labs
100
Located in the upper right quadrant, just below the diaphragm, mostly under the ribs.
Where is the liver
100
tamofen(Tamoxifen, Nolvadex) action.
What is an estrogen receptor blocker?
100
Barium swallow prep , nursing concerns for after and patient teaching.
What is npo x 8- 12 hrs hold certain meds. No smoking the night before. Post - swallowing precautions - laxes and fluids to clear out barium
100
Wheat, Barley, Oats, Rye, Flour
What is those with celiac disease should avoid these?
100
Liver enzymes
What is Alanine transaminase (ALT) Aspartate transaminase (AST) Alkaline phosphatase (ALP) Gamma-glutamyl Transpeptidase (GGT)
200
Located just below your left lower ribs
What is the pancreas
200
Constriction of the abdominal arterioles
What is the action of vasopressin in esophageal varices?
200
Colonoscopy prep
What is Npo x 8 hrs, clear liquid night before laxatives, golytely . May require a enema for clearing.
200
Some foods to avoid chocolate, jalapenos, tomato sauce, tic tacs when you have this.
What is Gastroesphageal Reflex disease?
200
Serum amylase and lipase. Note serum amylase is usually elevated early and remains elevated for 24-72 hrs . Lipase (more specific for pancreatitis then amylase)stays elevated for 7-14 days.
What primary labs are used to dx acute Pancreatitis?
300
McBurney's, Cullen's sign, Grey turner sign , Murphy's sign which one evokes rebound pain in appendicitis? Where are they seen in the body? What are the others?
What is appendicitis, Cullens sign is a superficial edema and bruising in the subq tissue around the umbilicus- can happen in ruptured ectopic pregnancy, pancretitis other gi hemorrhage). Grey turner-bruising of the flanks. Blue discoloration is a sign of retroperitoneal hemorrhagic situation. Murphy's is a sign of gallbladder disease- when examing a patient have them take a deep breath while you have your hand under the right rib cage. They will hesitate upon inspiration due to inflammation of the gallbladder.
300
metclopramide
What is a gastro motility drug that can cause EPS ? (give generic name)
300
Liver biopsy-bed rest per order, pressure on surgical site, v/s watch for s/s of bleeding. Monitor for peritonitis or other untoward effects.
What is a test to establish a cancer dx or fibrosis of the liver? What are the nursing responsibilties.?
300
Regulation of protein depending on ammonia levels, high carbs, soft food, more bland, low sodium depending on ascities, vitamines
What is diet for liver disease?
300
Sodium 135 to 145 mEq/L, Potassium, 3.5-5.5mEq/L, Calcium(serum) 8.5 to 10.2 mg/dL
What are normal levels of major electrolytes?
400
absorption of water and electrolytes
What is the most important function of the large intestine.
400
corticosteriods, aminosalicylates (sulfasalazine/Azulfidine ex), immune suppressors (azathioprine/Imuran)- infliximab/Remicade. Antibiotics , antidiarrheals - bulk builders, pain relievers- iron supplements, Vit especially B-12 shots.
What medications are frequently used for Inflammatory bowel disease?
400
BRCA 1 & 2
What is one genetic mutation seen in those with increased risk of breast cancer, and colon cancer?
400
Low fiber during exacerbation and high for maintence
What is a concern in the diet for diverticulitis and diverticulosis
400
proteins that are low in liver disease
What is albumin 3.5-5.0 g/dL, Total protein 6.4-8.3 g/dL
500
r/u dx if patient has left sided abdominal pain
What is Women-reproductive -Ibs, any injury and strain(muscular), stomach(gastritis ect), lower part of the lung, left edge of liver, hepatitis- fatty liver, left kidney, spleen, left transverse colon or large intestine- Crohn's, Us, the descending colon, sigmoid colon.
500
A ppi such as omeprazole(Prilosec) 20mg bid, amoxicillin 1gm bid, clarithromycin (Biaxin) 14 days- sometimes an tca or ssri.
what is an example of medications used for Helicobacter pylori ?
500
Ca 125
What is a marker for Ovarian cancer?
500
Small amounts(especially soon after surgery) and separate fluids and food, minimal simple carbs
What is a focus in those having barbaric surgeries
500
Ammonia levels (normal is 15-45mcg N/dl normal) ca n be several hundreds .
What is in cirrosis