Exam V

Helpfulness: 0
Set Details Share
created 6 years ago by jenkarmata
225 views
Blood, Immunity, GI alterations, shock & sepsis
show moreless
Page to share:
Embed this setcancel
COPY
code changes based on your size selection
Size:
X
Show:
1

Guess the ulcer:

Caused by a break in the mucosa that extends through the entire mucosa & into the muscle layers, damaging blood vessels & causing hemorrhage or perforation into GI wall

Peptic ulcer

2

Two things that duodenal & gastric ulcers most commonly cause are

Peptic ulcer disease

Upper GI bleeding

3

What type of ulcer develops within hours of an event such as hemorrhage, multisystem trauma, severe burns, heart failure or sepsis?

Ischemic ulcer

4

Ischemia is the prior etiology associated with the formation of what type of ulcer?

Stress ulcer

5

Stress ulcer

An acute form of peptic ulcer that often accompanies severe illness, systemic trauma or neurological injury.

6

Ulcers: Cushings

Stress ulcers associated with severe head trauma or brain surgery. A form of stress ulcer

7

Guess the shock:
Cause: MI, myocardial contusion, cardiomyopathy, myocarditis, severe HF, dysrhythmias, valvular dysfunction
Clinical symptoms:
↑ HR, RAP, PAP, PAOP, SVR
↓ BP, mentation, CO, CI, SVO2
dysrhythmias, chest pain, tachypnea, oliguria, cool-pale skin, left/right ventricular failure

Cardiogenic shock

8

Hypovolemic Shock:

Treatment

Replace lost volume, w/fluid & eliminate and treat cause

Blood, Isotonic crystalloids, fluid challenge (250-500mL wide open)
Will need a large bore IV (20 or 18gauge) 18gauge preferred.

9

Guess the shock:
Cause- GI bleed, surgery or trauma, ascites or hemorrhage
Clinical symptoms:
↑ HR, HCT from dehydration, SVR
↓ BP, HCT from blood loss, CO, CI, pressures (RAP, etc)
tachypnea, oliguria, cool-pale skin, FLAT NECK VEINS

Hypovolemic Shock

10

What is the major cause of duodenal ulcers?

Infection w/helicobacter pylori bacteria

11

Risk factors for peptic ulcer:

  1. Smoking
  2. Helicobacter pylori infection (most common)
  3. Constant use NSAIDS
  4. Alcohol
12

Intrinsic factor

A glycoprotein secreted by the stomach to aid in vitamin B12 absorption

13

If your patient diagnosed w/thrombocytopenia is to receive a transfusion of RBCs & platelets, which is transfused first?

Platelets

*because they have the clotting factors and will prevent excess bleeding at puncture site