Assessment
Inspection, auscultation, Percussion, palpation
What is the order of assessment of the patient's abdomen
Upper Endoscopy
Barium Swallow
What are diagnostic tests for GERD
Eat dry cracker upon waking up/taking medications
Sip on ginger tea
Acupuncture, Biofeedback
What are complementary therapies for nausea
Providing clear liquids in small amounts
Possible IV fluids
What are interventions for patient experiencing diarrhea
Pain left-sided lower quadrant mild to severe steady or cramping
Constipation or more frequent stools
N & V low-grade fever
Abdomen is distended tender
What are s/s of diverticulitis
Decreased ability to absorb vitamins
Need for dentures
Decreased ability to breakdown starches
What are age-related GI changes?
Limit last food intake to 3 hours before bedtime
Sleep in a bed with the HOB 6-8 inches
What are practical teaching for patient suffering from GERD
Pain in the epigastric region
Heartburn or regurgitation
Nausea and Vomiting
Bloody emesis or stool
What are the manifestations of PUD
Steaorrhea
Diarrhea
What are the manifestations of Zollinger-Ellison Syndrome
Airway Maintenance
What is the priority for post-op oral cancer surgery?
Liver
Gallbladder
Duodenum
What is the Right Upper Quadrant of the Abdomen
Familial History
Smoking
High Red Meat Diet
What are risk factors for developing Colon Cancer
Labs CBC,
Upper GI series using barium
Endoscopy - EGD
What is diagnosing PUD
"Do not use antidiarrheals" says the nurse, "we need to find out if your diarrhea is caused by a microorganism"
What is antidiarrheal medication slows down the elimination of microorganisms from the body?
Maintain HOB at 30-45 degrees
Obtain Xray prior to administering feedings
Check residual Q4 hours
What are priorities for enteral feeding
Low fiber diet
Chronic use of narcotic medications
Inadequate water intake
What are some causes of constipation
Avoiding products with sorbitol (mints)
Frequent, small meals
What are GERD dietary considerations
Chronic H. pylori infection
Frequent use of aspirin and NSAIDs
What are major R/F for PUD
Reflux
Heartburn
Feeling of fullness
Substernal Chest Pain
What are s/s of Hiatal Hernia
Hypotension
Tachycardia
Tachypnea
Altered LOC
Decreased urine output
What are s/s of hypovolemic shock (complication of peritonitis)
Serum Potassium Level
Orthostatic Blood Pressure
Skin Turgor
Serum Magnesium Level
What are assessment pieces for a patient experiencing diarrhea for several days
Holding antacids for at least 2 hours after oral meds are administered
What is education for morning GERD medication
Hemorrhage
Obstruction
Perforation
What are complications of PUD
Strictures of esophagus
Impaired lower esophageal sphincter (LES) closer
Achalasia
What are complications of Hiatal Hernia
Absence of bowel sounds post-op bowel surgery.
What is Paralytic ileus