What Med is That?
Common Medication that is used to help treat the underlying condition for epigastric bleed by suppressing secretion of stomach acid into the stomach?
What is PPI (Protonix, Prilosec)
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. Heartburn is the most common symptoms for what upper GI condition. Heart Failure clients need to avoid which antacids?
What is 2 hrs AFTER they take their meds.
Hiatal Hernia
alka seltzer and baking soda based
Client Teaching associated with Hemorrhoids that would need to be monitor closely to ensure it is not anything more serious? What other disease could this be
What is Blood in the stool
Colon Cancer
Which one (UC or Crohns) would have a cobblestone tissue appearance and what does it look like on scope? Dietary recommendations? Which one (UC or Crohns) is more prone to fistula formation?
What is Crohn's, healthy tissue altered with disease tissue. fistulas and abscess can also be seen as signs of Crohn's.
low fats to lower inflammation and balancing GI flora
What is Crohn's
Crohns vs UC common quadrant for pain?
What is Crohns RLQ
Whats is UC LLQ
Medications like NSAIDS, steroids, and Aspirin can led to what common inflammatory Upper GI condition? What class of drug is used to treat that can lead to pernicious anemia due to decrease intrinsic factor release
What is Gastritis
PPI
Classic Sign/Symptoms of GERD would include what? What other body system symptoms can include what? Common factor that degrade the stomach mucosa?
What are Chest pain, Pyrosis, Regurgitation, Wheezing, Hoarseness. Also dyspnea, and enamel erosion.
Respiratory - aspiration
NOT Lower GI
What causes an increased risk of hiatal hernia and what does it mean if its "strangulated'
heavy lifting, obesity, pregnancy
medical emergency d/t blood supply being cut off.
Most common cause of Crohns disease is? Besides immunosuppressant's what other class of drugs will be used to help manage Crohn's. What drug should they NOT receive.
what is autoimmune process
Steroids
Stool softeners/Laxatives/Stimulates
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 with GERD, how does Reglan provide this relief, what other medication can be given fort nausea and vomiting
What is increase peristaltic movement and reduces nausea and vomiting
Zofran ondansetron (increases gastric emptying)
Your client complains of intense pain WHILE eating, what is your client suffering from. Big difference between gastritis and PUD? Signs of gastritis can include
what is a gastric ulcer
gastritis is superficial (inflammation of mucosa only), abdominal pain, pale skin, and hematemesis
A low fat diet is commonly prescribed for what CHRONIC lower GI disease. How do client's nutrition if they have prolonged NPO and what is in it?
what is Crohn's disease
TPN - dextrose, amino acids, vitamin/minerals
Chronic Ulcerative colitis requires the reduction in inflammation to aid in recovery, what class of drug would you expect to be ordered? What electrolyte imbalances can we see with this drug?
What is a corticosteroid (prednisone)
Hypernatremia,
A client that complains of alterations between constipation and diarrhea are usually associated with what GI condition and what triggers this
what is IBS
increased sensitivity of the intestines to a stimuli
Medications like clarithromycin (Biaxin), esomeprazole (Nexium) (PPI's), and amoxicillin (Amoxil) are used to treat what upper GI condition? How does it help? What else (besides H Pylori) can degrade the stomach barrier
What is H. Pylori - MOST significant risk factor in PUD; kill bacteria and decrease acid production
NSAIDS, Aspirin, smoking
2 classic symptoms of perforation and what other emergent condition should nurses be mindful of as well
what are intense abdominal pain and a board rigid like abdomen it can even radiate to their shoulder this could also be peritonitis.
What Lower GI issue/condition symptoms would lead to HYPOKalemia
what is chronic diarrhea usually associated with UC
Frequent, watery stools with mucus (sometimes with blood) and Nutritional deficiencies are associated with
What is Ulcerative Colitis.
What medications (or classes) would be contraindicated or questions for this patient?
Clients with an active gastric ulcer require treatment of acid production as well as healing of the ulcer; what med is used and how is it administered?
What diagnostic test is used to assess for this condition, take a biopsy or remove foreign body
what is Carafate
empty stomach with a full glass of water with each meal and before bed
EGD - remember they are sedated withy propofol to reduce cough and gag (make sure you assess for this post procedure)
Elavil (Amitryptaline), Anaspaz (Hyoscyamine), Lotronex (Alosetron) are the most common meds used to help manage what disease. What other medication can be given to treat non-infectious diarrhea?
What is IBS
lopermaide (Immodium)
GERD is caused by a lot of things, such as diet, tobacco, ETOH etc. All of these items contribute to what major phyisological issue? Common patient population that is prone to GERD (Not this is also considered a modifiable risk factor).
What is Incompetent lower esophageal sphincter.
Obesity
Fecal Emesis is a symptoms of what GI condition and what is a common cause of this?
What is intestinal obstruction and prior abdominal surgeries.
cobblestone appearance (Healthy tissue interrupted by areas of diseased tissue) Presence of abscess and fistulas are most closely associated with and how do you know it is effective?
What is Crohn's
Remicade is one of the most common immunosuppressant drugs given to manage Crohn's,
decrease in bowel movement frequency
Confusion is a CNS side effect most closely associated with what anti-nausea med, which is not commonly used anymore. What other anti-nausea med can cause a neurological adverse effect?
what is Tagamet
Reglan metoclopramide - tardive dyskinesia