Show:
Diagnostics
N/V
& Hiatal Hernia
GERD
Gastritis
PUD
100
Test which outlines anatomical abnormalities after patient swallows radio opaque solution.
What is Barium Swallow
100
This is the first choice for PO fluid when recovering from N/V.
What is water
100
Describe the etiology of GERD
HCL acid and pepsin reflux into lower esophagus and cause inflammation
100
Most common organism that causes gastritis.
What is H Pylori
100
Two medications that commonly cause PUD:
Aspirin NSAIDS, & corticosteroids
200
Test is which a patient breathes into a balloon, then swallows lemon flavored liquid, and tests again in 15 minutes.
What is H Pylori urea breath test
200
Three non drug therapies for N/V.
*Accupuncture, *Ginger/peppermint oil, *Relaxation exercises, *Mouth care, & *Environment
200
Three major s/s of GERD:
heartburn, dyspepsia, & regurgitation
200
Acute gastritis diagnosis is often based on a history of this behavior.
What is NSAID, aspirin, & alcohol abuse
200
How long does it take for an ulcer to heal?
3-9 weeks
300
Test used to directly visualize the esophagus, gastric, and duodenal mucosa
What is EGD esphagogastroduodenoscopy
300
The mechanism of action for Reglan?
Promotility (pro-kinetic). Enhances ACH →↑ gastric emptying
300
This type of drug blocks the release of HCl acid and should be taken 15-30 minutes before the first meal of the day.
Proton pump inhibitors
300
Why is smoking contraindicated in Gastritis and PUD?
It irritates the mucosa and causes vasoconstriction which causes delayed wound healing. Also it decreases LES pressure.
300
The most common complication of PUD.
Hemorrhage
400
Describe the significance of emesis that is bright red vs coffee ground.
Bright red = active bleeding; Coffee ground = old blood (has been in contact with HCl acid)
400
What causes a hiatal hernia?
*weakening of diaphragmatic muscles, *↑ intraabdominal pressure, (obesity, ascites, tumors, heavylifting), * trauma, & * congenital weakness
400
Name six teaching points for care of GERD:
*Lose weight, *Stop smoking & ETOH use, *drink fluids between meals, *Small/freq meals, *avoid late evening meals, *Sleep with HOB ↑ 30 degrees, *No tight clothes around waist, avoid bending over, & * don't lie down for 2-3 hr p meals
400
At what time of the day should antacids be taken  and why?
Take after meals. If taken on full stomach, last  3-4 hrs; If taken on empty stomach last 20-30 minutes
400
This disease commonly occurs after a major physiologic insult such as trauma.
Stress Related Mucosal Disease
500
Test to measure the pressure inside the lower part of the esophagus.
Esophageal manometry
500
Which type of hernia can be an emergency and why?
Rolling hernia because it can cause strangulation
500
Name four complications of GERD
*esophagitis, *ulcers, *esophageal strictures, *dysphagia, *Barrett's esophagus, *aspiration, *dental erosion, *cough, *asthma, chronic bronchitis, & pneumonia
500
What are the symptoms for acute and chronic gastritis?
ACUTE: *N/V, *epigastric tenderness, *full feeling, *bleeding CHRONIC: *S/S same as acute OR *asymptomatic
500
What is the most lethal complication of PUD and what are the symptoms?
PERFORATION *Sudden onset, *Severe abdominalpain, *Board like abdominal muscles, *Shallow rapid resp, *Weak rapid pulse, & *N/V