Ulcerative Colitis
This common symptom of ulcerative colitis involves frequent, bloody stools.
What is bloody diarrhea?
This habit is an environmental risk factor that worsens Crohn’s disease.
What is smoking?
What is the cause of irritable bowel syndrome?
Unknown. Contributing factors include: family history, diet intolerances, and psychological stressors.
This is the most common cause of acute pancreatitis, often requiring ERCP for treatment.
What are gallstones?
This type of hepatitis is commonly spread through contaminated food or water.
What is Hepatitis A?
Infuse 1000 ml of Dextrose 5% with 0.45% sodium chloride for 10 hours, the
tubing drop factor is 20 gtt/ml. What would the drop rate be?
33 gtt/min
Name two causes of peptic ulcer disease
H. pylori
Fecal-oral or oral-oral transmission
This mnemonic, “Female, Fat, Fertile, Forty,” describes risk factors for this condition.
What is cholelithiasis (gallstones)?
Name two medications used to treat ulcerative colitis.
Remicade
Azulfidine
Prednisone
Cipro
Flagyl
Unlike ulcerative colitis, Crohn’s disease features this pattern of inflammation, with healthy areas between affected ones.
What are skip lesions?
What diagnostic testing can be performed to diagnose IBS?
History and physical
This chronic condition results from long-term alcohol abuse and leads to pancreatic fibrosis.
What is chronic pancreatitis?
This chronic complication of Hepatitis B or C involves liver scarring and can lead to liver failure.
What is cirrhosis?
A patient has a serum calcium level of 7.0 mEq/L. Which assessment finding is most important for the nurse to report to the health care provider?
• Numbness around the lips
• Constipation for 4 days
• Stridor
Stridor
Name two risk factors for peptic ulcer disease
Women over 50
NSAIDS
COPD
CKD
This type of pain, triggered by fatty meals, is a hallmark of symptomatic gallstones.
What is biliary colic?
Name 5 labs that are drawn in efforts to diagnose ulcerative colitis.
CBC, CMP, ESR, CRP, Stool for OB, CT, MRI, Capsule endoscopy, Barium enema.
This intestinal complication of Crohn’s disease involves abnormal connections between bowel segments or other organs.
What are fistulas?
Name a medication used to treat IBS.
Dicyclomine.
Anticholinergics/Antispasmodics
This clinical sign, bruising around the umbilicus, may indicate severe acute pancreatitis.
What is Cullen’s sign?
This classic symptom of hepatitis involves yellowing of the skin and eyes due to elevated bilirubin.
What is jaundice?
pH: 7.17, CO2: 34, HCO3: 21
Answer: _______________________
Compensation? ________________
What symptoms does the patient have? ___
Metabolic Acidosis WITH compensation
Symptoms: Lethargy, confusion, coma, dizziness, headache, low BP, nausea, vomiting,
diarrhea, muscle weakness, Kussmaul respirations (Deep, Rapid Respirations – due to
respiratory compensation)
In peptic ulcer disease pain develops after meals. Name the location where pain develops after 2-5 hours.
Duodenal
This physical sign, pain on palpation during inspiration, indicates acute cholecystitis.
What is Murphy’s sign?
Name three potential complications of ostomies.
Fistulas, infections, F/E imbalances, skin breakdown.
Avoid crowds, practice good hygiene, wash hands with soap and water, No live vaccines.
Name 3 signs and symptoms of irritable bowel syndrome.
Diarrhea, constipation, bloating, nausea, abdominal distention.
These two enzymes, elevated at least three times the upper limit, are key diagnostic markers for acute pancreatitis.
What are amylase and lipase?
This class of drugs, such as sofosbuvir, offers a cure rate over 95% for Hepatitis C.
What are direct-acting antivirals (DAAs)?
Fast onset with Polydipsia, Polyphagia, and Polyuria
Diabetes type 1
The management of peptic ulcer disease consists of triple therapy. Name three medications used in this therapy.
Amoxicillin, Clariithromycin, PPIs-Prilosec or Nexium, Cytoprotective agents-Carafate, H-2 blockers-Pepcid, Antacids-Tums
This surgical procedure, often laparoscopic, is the definitive treatment for symptomatic gallstones.
What is cholecystectomy?
This diagnostic test, showing continuous inflammation and pseudopolyps, is the gold standard for confirming ulcerative colitis.
What is a colonoscopy with biopsy?
This complication of surgery is due to reduced absorption of nutrition and hydration.
What is short bowel syndrome
What is the definition of irritable bowel syndrome?
Disorder characterized by chronic abdominal pain and altered bowel patterns
This intervention, involving pancreatic enzyme replacement, is crucial for managing malabsorption in chronic pancreatitis.
What is enzyme therapy (e.g., Creon)?
This diagnostic marker, HBsAg, indicates an active Hepatitis B infection.
What is Hepatitis B surface antigen?
The home health nurse is caring for a client who was discharged from the hospital after surgical repair of a hip fracture. The nurse notes redness, pain, and discharge around the incision as well as a temperature of 101.5F. Which lab can the nurse anticipate will be abnormal?
a. Platelets
b. Hematocrit
c. Leukocytes
d. Ketones
What is Leukocytes.
Rationale: Redness, pain, discharge, and fever are all signs of infection. Leukocytes
(WBCs) would be increased with infection.
Name 4 treatment measures or things that must be avoided in order to manage peptic ulcer disease.
Pepper
Carbonated beverages
Alcohol
Hot, spicy foods
This imaging test, showing non-filling of the gallbladder, confirms cystic duct obstruction in acute cholecystitis.
What is a HIDA scan?