Gastro
What is the surgery to treat Gerd?
Nissan Fundoplication
What does Metabolic Syndrome do? And what are you at risk for?
It is a cluster of conditions that occur together
Your are at risk for heart disease, type 2 diabetes,
Nursing interventions for C-DIFF?
Contact precautions
antibiotics
check vitals,
acetametophin
contact the provider
How can we decrease the risk of ventilator assisted Pneumonia? SATA
30-45 % head of bed
oral hygiene
assessment for readiness to extubate
stress ulcer prophylaxis & BTE prophylaxis.
If patient was NPO because of nausea and vomiting what should we first give them?
Cool Clear liquids.
What should the patient teaching be for a obsese patient and being compliant with care? SATA
Teach diet and exercise
are they motivated?
ask what they thing obesity is,
see what their goals are
what type of exercises do they like?
What are some conditions that can qualify as Metabolic syndrome?
& how many of these Conditions do you have to have at once for it to be considered metabolic syndome?
Increased blood pressure
High blood sugar
excess body fat around the waist > or = to 40 in and 35 in for women
abnormal cholesterol ( HDL’s are good!)
triglyceride levels above 150
Q #2: must have 3 or more of these conditions for it have a metabolic syndrome.
What does a Carcinoembryonic Antigen test tell us?
Tells us the chance of cancer coming back after it has already been removed.
What are the two types of Cirrhosis? How do we prevent this?
Alcoholic & Non-Alcoholic
prevention: Do not drink
What can a UAP do to assist with surgery?
Vital Signs
Intake and output
during surgery assist the nurse they are a extra set of hands
Acronym: DONT delegate what you can EAT: evaluate, assess, Teach
What is the biggest concern for someone who just has Nissan fundolipication? How would you know if patient was developing this?
Biggest concern would be developing a Pneumothorax.
Clinically you Would look for absent breath sounds on effected side.
What is a pulmonary EmBolism? What is a priority nursing intervention for it?
- Blood clot in the lung
Priority intervention: Give Oxygen
What’s are two types of tests for Hepatitis And what do they Do?
1.) IGM - means it is an active infection ( Acute)
2.) IGG- in recover ( Chronic)
How is Hep A, Hep B transmitted? And what are some patient teaching for both of these?
Hep A- transmitted by contaminated food or drinking water
- patient teaching : WASH HANDS
Hep B- transmitted by Blood or bodily fluids
Patient teaching: Do not share razors, needles, hygiene products, easily fatigued, eat small frequent meals.
How can we prevent Allergic Rhinitis?
Avoid Triggers.
When is Gerd typically exacerbated? and how can we reduce this affect ( Pt teaching)
Typically at night
Do not eat late at night
no spicy foods before bed
do not lay flat
no fatty foods
no smoking.
How do we know when to trach and Vent a patient?
When respirations get below normal.
Post OP GI surgery what will You be looking For?
Bleeding
bowel sounds
vitals
assess for infection at the surgical site ( redness, swelling, warmth, drainage odor).
Clinical Manifestations of Acute Pancreatitis;
Severe sudden pain
nausea & vomitting
tachycardia
hypertension
cullens sign ( umbillicus)
Greys Turner- ( flank)
What does a tension Pneumothorax look like? What’s the treatment?
Absent lung sounds, SOB, Tracheal deviation.
Treatment: Chest tube
What’s are PPL‘s used for? And what are they at risk for when using them Long term?
Antacids, Prilosec.
At risk for C-DIFF.
Nursing interventions for a patient with acute respiratory failure?
- elevate head of bed
- ambulation
- humidification ( add moisture to nasal cavity to prevent epistaxis ( nose bleed).
if a patient has left lower lobe pneumonia how would you position them?
On their ride side we want the good lung down.
Best prevention measure for Aspiration pneumonia?
Position them on their side.