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89 notecards = 23 pages (4 cards per page)

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EXAM 2

front 1

ANOREXIA

back 1

LACK OF APPETITE

front 2

WHAT ARE SYMPTOMS OF ANOREXIA

back 2

NOXIOUS FOOD ODORS,CERTAIN MEDICATIONS,STRESS FEAR PSYCHOLOGICAL PROBLEMS

front 3

WHAT HAPPENS WITH PROLONGED ANOREXIA

back 3

ELECTROLYTE IMBALANCE,CARDIAC ARRHYTHMIAS

front 4

WHAT ARE NURSING PLANS FOR ANOREXIA

back 4

ENCOURAGE PREFERRED FOOD,DOCUMENT ACCURATE INTAKE AND OUTPUT, MONITOR VITALS, WEIGHT AND ELECTROLYTES, MONITOR RATE OF IV

front 5

WHAT KIND OF TEST YOU CAN GET ON A PATIENT WHO HAS ANOREXIA

back 5

ECG

front 6

NAUSEA AND VOMITING

back 6

SUBJECTIVE, URGE TO VOMIT, EXPELLING STOMACH CONTENTS THROUGH ESOPHAGUS AND MOUTH

front 7

CONDITIONS That are either directly related to GI tract or independent can trigger (NV)

back 7

viral gi infections, other infections,motion sickness,stress,pregnancy,medications,myocardial infarction,uremia,and other conditions may cause (NV)

front 8

what does it means when emesis look like coffee grounds

back 8

bleeding in the stomach and requires further investigation

front 9

what happens when you loose to much hydrochloric acid from stomach

back 9

metabolic alkalosis

front 10

what medications treat vomiting

back 10

Antiemetics and ginger

front 11

what sometimes get order for clients with NV

back 11

nasogastric tube, with suction may be ordered to decompress the stomach

front 12

anything over 25 to 30 for BMi

back 12

Is considered to be obesity

front 13

Apthous stomatitis (canker sore)

back 13

triggers

dental work

vitamin b12 or b6, zinc,folate, Iron deficiency

irritating food

front 14

gastritis therapeutic intervention

back 14

antacids

antimetics

avoid alcohol

treat cause

avoid irritating foods

npo

iv fluids

catheter

oxygen

front 15

Gastric Cancer

back 15

malignant leision

poor prognosis

hereditary

front 16

gastric bleeding

back 16

from ulcer perforation,tumor gastric surgery

occult is observable

signs and symptoms

mild-slight weaknes diaphoresis

severe hypervolimic shock , weak pulse

chills palpitations

bp goes down with gi bleed

front 17

peptic ulcers theraputic interventions

back 17

antibiotics

ppi

h2 antagonist

bismuth subsalicylate -Peptobismol

sucrafate

antacids

front 18

peptic ulcer disease diagnostics

back 18

biopsy urease test ( during endoscopy )

culture

urea breath test most accurate and non invasive

upper gi swallow

barium swallow

egd

stool looks black

front 19

signs and symptoms for peptic ulcer

back 19

nausea, vomiting,bleeding

complications perforation, obstruction, bleeding

front 20

peptic ulcers pin with food

back 20

2 to 5 hours after meals / middle of night

front 21

peptic signs and symptoms

back 21

abdominal burinig pain/ gawning pain

increased 1 to 2 hours after meals or with food

front 22

peptic ulcers

back 22

erosion of gi lining

h pylori is the main reason why for ulcer disease

its curable

front 23

stressed induced gastritis frequent use of n saids- stop them

back 23

stress ulcers, ischemia damaging mucous barrier

acid secretions create ulcerations

prophalatic ppi

front 24

enviormental gastritis chronic

back 24

infection with h pylori

signs/ symptoms-asymptomatic,anorexia,heart burn belching

treatments

antibiotics and a. ppi or h2 antagonist

front 25

gastritis -numbness to hands and feet/lack of energy

back 25

you can be asymptomatic or

dypepsia-recurrent pain

or pain after meals

leads to pernicious anemia

front 26

if you have chronic gastritis

back 26

you will need life long vitamin b12 injection

front 27

gastritis signs and symptoms

back 27

abodominal pain

nausea vomiting

ab tenderness

feeling full

belching

reflux

front 28

gastritis

back 28

protective mucosal barrier breakdown

autodigestion self eats itself

severe-perforation

scarring

front 29

esophageal varices -liver cerrosis -high risk for bleeding

back 29

dilated blood vessels in esophagus

rupture can be life threatening -They can bleed to death

hemoraging -bleeding to die

front 30

what is the right sodium level

back 30

135-145 meq

front 31

excessive bleeding with mallory weis can lead to

back 31

hypovalemic shock , initiate fluids

front 32

mallory weis intervention

back 32

self heals

ppi omeperazole

antiemetics zofran

endoscopy to control bleeding

front 33

how do we know its Mallory weis

back 33

egd

hemoglobin and hematocrit

front 34

gerd nursing care

back 34

lose weight,eat a low fat ,high protein

sleep with bed elevated 4 to 6 inches

avoid eating three hours before bed time

front 35

mallory weis tears signs and symptoms

back 35

bright red bloody emesis

bloody or tarry stools

front 36

risk factors for mallory weiss tears

back 36

hiatal hernia , alcohol use - cerosis

front 37

mallory weiss tear -can bleed to death - ding ding

back 37

longitudinal tear in mucous membrane of esophogus at stomach junction

tears from sudden, powerful, or prolonged force, ex vomiting or coughing or seizure

front 38

ppi inhibitors end in

back 38

zole

front 39

medications for GERD

back 39

antacids,(mylanta)

histamines2 (h2) receptors antagonist (pepsin)

proton pump ppi (omeperazole)

front 40

what is the treatment of barretts Esophagus

back 40

radiofrequency ablation removes barretts tissue

front 41

COMPLICATIONS OF GERD

back 41

ASTHMA

ASPIRATION PNEUMONia

broncospasm-went into lung causes stridor

barretts esophagus - precancerous

front 42

DIAGNOSIS OF GERD

back 42

UPPER ENDOSCOPY

ESOPHAGEAL MANOMETRY

PH MONITORING

front 43

SIGNS AND SYMPTOMS OF GERD

back 43

HEARTBURN

REGURGITATION

HOARSENESS

SORE THROAT

front 44

what test you take with esophogeal cancer

back 44

egd biopsies

front 45

what are signs and symptoms of esophageal

back 45

Difficulty Swallowing. DIngDing

weight loss

feeling full

pain in chest

food regurgitation

\

front 46

when you have a hiatal hernia what can it lead to

back 46

leads to gerd

front 47

whats the problem with gerd

back 47

it burns tissue , leads to baretts precancer then it leads to esophogeal

front 48

Esophageal Cancer when its late diagnosed

back 48

Metastasizes,

Risk factors Alcohol, tobacco

being over weight or obese

Human PapillomaVirus

Barretts esophagus DINGDING

front 49

what are some nursing care for oral cancer

back 49

alcohol and tobacco cessation

pre opp teaching -Tracheostomy

communications

post opp - Airway Nutrition

front 50

what are therapeutic interventions

back 50

Radiations

Chemotherapy

surgery radical-Taking part of the neck

front 51

oral cancer

back 51

highest risk from alcohol or tobacco use

curable if detected early

signs and symptoms painless, difficulty chewing,swallowing ,speaking

front 52

if you take nsaids alot what could it do

back 52

Give gi bleeding

front 53

oral health care prevents what

back 53

prevents pneumonia

helps prevent pneumonia related death in older patients

antibiotics prophylaxis

front 54

with any surgery what should you be mindful with ding ding

back 54

PAIN MAke sure clients pain is under control

front 55

With gastric bypass surgery what should you avoid while eating

back 55

fluids with meals , wait a while before having fluids and you can lie down 30 to 60 mins after eating

front 56

post opp care for gastric bypass

back 56

only allowed 30 cc or 30ml

post opp

clear liquid diet small amounts

no straw

progress to full liquids, pureed foods

regular foods at 6 weeks

front 57

if a client has diaphoresis or is Tachycardia DINGDING

back 57

Gallstones

front 58

gastric bypass surgery

back 58

eat high protein diets

high fiber

complex carbohydrates

front 59

always keep clients head up when they have this surgery to prevent pneumonia

back 59

gastric bypass surgery

front 60

acids that goes to peritoneum what happens

back 60

peritonitis

front 61

what kind of bmi is someone who is morbidly obeses

back 61

100 % over weight

front 62

No more simple sugars with what?

back 62

Gastric surgeries

front 63

Complications of gastric restrictive Surgeries

back 63

nausea and vomiting

erosion of gastric juice-not chewing well

break down of staple line

leaking of stomach secretions

infection or death

protein vitamins deficiency

front 64

Gastric bypass (rou-en Y)

back 64

reduces stomach size done laproxipy connect to small intestin

front 65

sleeve gastrectomy

back 65

Most common 75 percent of stomach is gone which looks like a sleeve

front 66

surgical management

back 66

restrictive how much stomach can hold

malabsorption decrease calorie intake /nutrient absorption

combination - restrictive and malabsorption

front 67

nursing diagnosis for obesity

back 67

IMbalanced Nutrition more than body requirements

front 68

theraputic interventions for obesity

back 68

weight loss

support groups

behavior modification

bariatric surgery

front 69

obesity comorbidities

back 69

Artherosclerosis

gallbladder disease

type to diabetes melitus

heart disease

sleep apnea

depression

hypertension

front 70

A bmi over 30

back 70

is obese

front 71

bmi of 25 to 30 is

back 71

over weight

front 72

morbid obesity

back 72

is 100 percent over ideal body weight

front 73

20 percent over

back 73

is ideal body weight bmi

front 74

ekg

back 74

can monitor electrolytes

front 75

what test can show anemia

back 75

low red blood cells

front 76

Can anorexia be deadly

back 76

Yes because of electrolyte imbalance cardiac arithmia knocks potassium

front 77

Signs and symptoms of Amorhea

back 77

hypotension,constapation

front 78

what can anorexia cause

back 78

It can cause severe electrolyte imbalance

front 79

Roux-en-Y gastric bypass

back 79

reduces stomach size and bypass the small intestines which reduces the absorption of calories causing weight loss

front 80

sleeve Gastrectomy

back 80

removes 75 percent of stomach leaving a slim narrow tube (Gastric sleeve) reduce stomach volume and food intake, it decreases ghrelin produced by stomach for hunger

front 81

ways to decrease dumping syndrome

back 81

eating small meals

eating meals that are high in fiber , high protein, complex carbohydrates,

NO SIMPLE SUGARS

Avoid fluids with meals

front 82

what can you avoid to not get gerd or hiatal hernia

back 82

avoid spicy food,or foods that cause symptoms,like citrus,or tomatoes products, avoid alcohol, chocolate, coffee peppermint avoid within 3 hours of bed time

front 83

a patient who has gastric bypass will always need what supplement

back 83

b12,thiamin, iron, copper

front 84

what are common micronutrient defficiencys in gastric bypass

back 84

thiamin, vitamin b12, vitamin d, iron and copper, intake of less then recommended amounts of calcium, magnesium and zinc, folate and phosphorous occur

front 85

what kind of food bariatric patients eat

back 85

choosing foods that high protein, low fat and sugar,

eating six small meals a day

chew thoroughly and eat slowly

void carbonated drinks

and drinking from a straw to reduce air in gi

taking vitamins and mineral supplements as prescribe

front 86

bariatric surgery how many weeks are you on a strict regiment

back 86

12 weeks post opp

front 87

what are obesity related disease

back 87

sleep apnea, or heart disease, increase health risk ,associated with diseaseases called comorbidities atherosclerosis,gallbladder disease,hypertension,osteoarthritis,type 2 diabetics,decreased mobility lack of self esteem and depression

front 88

what kind of patients are candidates get bariatric surgery

back 88

patients weigh over 100 more pounds over ideal weight,have a bmi above 40,have a bmi above 35 with comorbidities or type two diabetes mellitus, or have ineffectively control type 2 diabetes

front 89

bariatrics surgery

back 89

weight loss surgery