What Med is That?
Common Medication that is used to help treat the underlying condition for GERD and epigastric bleed?
What is PPI (Protonix, Prilosec)
1) How do PPI's work?
PPI work by preventing secretion of gastric acid into the stomach helping to reduce PUD
2) Common Medication used for endoscopies (EGD and Colonoscopy)? and what can scopes be used for?
Propofol, biopsies, visualization, removal of foreign object, stop bleeding
3) side effect of PPI?
Pernicous anemia- this is related to decrease i the intrinsic factor and absorotiopn of vitamin B12
Client is being discharged and told they can use anti-acids intermittently. When is the best time to take it so that it does not interfere with their prescribed medications.
What is 2 hrs AFTER they take their meds.
What prescription can be given to help with nausea and vomiting?
Zofran
Client Teaching associated with Hemorrhoids that would need to be monitor closely to ensure it is not anything more serious?
What is Blood in the stool
Which one (UC or Crohns) would have a cobblestone tissue appearance?
What is Crohn's
alterations of healthy tissue and diseased tissue
Which one (UC or Crohns) is more prone to fistula formation?
Crohns
Crohns vs UC common quadrant for pain?
What is Crohns RLQ
Whats is UC LLQ
Medications like NSAIDS and Aspirin; substance abuse (ETOCH) can led to what common inflammatory Upper GI condition?
What is Gastritis
1) What is gastritis?
Inflammation of the gastric mucosa
2)How do you treat gastritis with H pylor
Antibiotics (clarithromycin) and PPI (protonix)
3)What drug can clients NOT receive for IBD if they have an allergy to Aspirin?
aminosalycilate
Classic Sign/Symptoms of GERD include:
What are Chest pain, Pyrosis, Regurgitation, Wheezing, Hoarseness
1) What causes GERD??
2) Other body system symptoms can include what?
3) Common factor that degrade the stomach mucosa?
1) Incompetent lower esophageal sphincter, obesity also increase the risk
2) Respiratory (dyspnea), esophageal (hoarseness), and teeth (enamel erosion)
3) NSAIDS, ETOH, Aspirin,
Chronic Ulcerative colitis requires the reduction in inflammation to aid in recovery, what class of drug would you expect to be ordered?
What is a corticosteroid (prednisone)
what electrolyte should monitored most closely
Potassium (hypokalemia)
Most common cause of Crohns disease is?
what is autoimmune process
Besides immunosuppressant's what other class of drugs will be used to help manage Crohn's
Steroids
Medications like aminosalycilate used to treat IBD are contraindicated in what patients
what is patients with an aspirin allergy
Reglan can be given to clients to help with nausea and helps clients with GERD, how does Reglan provide this relief
What is increase peristaltic movement and reduces nausea and vomiting\
Adverse effect of Reglan is what?
involuntary body movements
Your client complains of intense pain WHILE eating, what is your client suffering from
what is a gastric ulcer
1) Ulcers and PUD can be caused by what?
H. pylori
A low fat diet is commonly prescribed for what CHRONIC lower GI disease
what is Crohn's disease
Crohns patients can be NPO, how will get they nutrition?
what is TPN. TPN is composed of Dextrose, Amino Acids, and Vitamins
Colon Ca most common clinical manifestation would be
What is rectal bleeding
A client that complains of alterations between constipation and diarrhea are usually associated with what GI condition
what is IBS
IBS is most closely trigger what?
increased sensitivity of the intestines when in contact with a stimuli (food, stress, irritants)
Medications like clarithromycin (Biaxin), esomeprazole (Nexium) (PPI's), and amoxicillin (Amoxil) are used to treat what upper GI condition?
What is H. Pylori - MOST significant risk factor in PUD
What else (besides H Pylori) can degrade the stomach barrier
NSAIDS, ETOH, chocolate, Aspirin, coffee/tea,
2 classic symptoms of perforation?
what are intense abdominal pain and a board rigid like abdomen it can even radiate to their shoulder
1)What other emergent condition should nurses be mindful of as well
Peritonitis
2)What 2 risks factors lead to Hiatal Hernia development?
Obese and Pregnancy
3)Most classic sign of Hiatal hernia?
Heartburn
4) complication of a Hiatal hernia?
strangulated hernia, requires immediate intervention/surgery
What Lower GI issue/condition symptoms would leas to HYPOKalemia
what is chronic diarrhea usually associated with UC
1)Treatment includes steroids, what other electroylte do you need to monitor
Sodium (hypernatremia)
2)when given anti-inflammatory and autoimmune drugs, how do you know they are working for your client?
bowel movements should become formed and less frequent
Frequent, watery stools with mucus (sometimes with blood) prone to fistula formation, and Nutritional deficiencies are associated with
What is Ulcerative Colitis.
What medications (or classes) would be contraindicated or questions for this patient?
laxatives
Clients with an active gastric ulcer require treatment of acid production as well as healing of the ulcer; what med is used
what is Carafate
How and when is Carafate adminstered?
with meals and bedtime with 8oz of water
Elavil (Amitryptaline), Anaspaz (Hyoscyamine), Lotronex (Alosetron) are the most common meds used to help manage what disease
What is IBS
1) Classic symptom of IBS
irrgeular bowel movements (alternating between constipation and diarrhea)
2)What is a bulk forming laxative?
Metamucil
GERD is caused by a lot of things, such as diet, tobacco, ETOH etc. All of these items contribute to what major phyisological issue?
What is Incompetent lower esophageal sphincter.
Common patient population that is prone to GERD (Not this is also considered a modifiable risk factor).
Fecal Emesis is a symptoms of what GI condition
What is intestinal obstruction
1)what puts a client at risk of an obstruction?
previous abdominal surgeries
cobblestone appearance (Healthy tissue interrupted by areas of diseased tissue) Presence of abscess and fistulas are most closely associated with
What is Crohn's
Remicaide is one of the most common immunosuppressant drugs given to manage Crohn's, how do you know it is effective?
Confusion is a CNS side effect most closely associated with what anti-nausea med, which is not commonly used anymore
what is Tagamet