ANOREXIA

LACK OF APPETITE

WHAT ARE SYMPTOMS OF ANOREXIA

NOXIOUS FOOD ODORS,CERTAIN MEDICATIONS,STRESS FEAR PSYCHOLOGICAL PROBLEMS

WHAT HAPPENS WITH PROLONGED ANOREXIA

ELECTROLYTE IMBALANCE,CARDIAC ARRHYTHMIAS

WHAT ARE NURSING PLANS FOR ANOREXIA

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

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

ECG

NAUSEA AND VOMITING

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

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

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

what does it means when emesis look like coffee grounds

bleeding in the stomach and requires further investigation

what happens when you loose to much hydrochloric acid from stomach

metabolic alkalosis

what medications treat vomiting

Antiemetics and ginger

what sometimes get order for clients with NV

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

anything over 25 to 30 for BMi

Is considered to be obesity

Apthous stomatitis (canker sore)

triggers

dental work

vitamin b12 or b6, zinc,folate, Iron deficiency

irritating food

gastritis therapeutic intervention

antacids

antimetics

avoid alcohol

treat cause

avoid irritating foods

npo

iv fluids

catheter

oxygen

Gastric Cancer

malignant leision

poor prognosis

hereditary

gastric bleeding

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

peptic ulcers theraputic interventions

antibiotics

ppi

h2 antagonist

bismuth subsalicylate -Peptobismol

sucrafate

antacids

peptic ulcer disease diagnostics

biopsy urease test ( during endoscopy )

culture

urea breath test most accurate and non invasive

upper gi swallow

barium swallow

egd

stool looks black

signs and symptoms for peptic ulcer

nausea, vomiting,bleeding

complications perforation, obstruction, bleeding

peptic ulcers pin with food

2 to 5 hours after meals / middle of night

peptic signs and symptoms

abdominal burinig pain/ gawning pain

increased 1 to 2 hours after meals or with food

peptic ulcers

erosion of gi lining

h pylori is the main reason why for ulcer disease

its curable

stressed induced gastritis frequent use of n saids- stop them

stress ulcers, ischemia damaging mucous barrier

acid secretions create ulcerations

prophalatic ppi

enviormental gastritis chronic

infection with h pylori

signs/ symptoms-asymptomatic,anorexia,heart burn belching

treatments

antibiotics and a. ppi or h2 antagonist

gastritis -numbness to hands and feet/lack of energy

you can be asymptomatic or

dypepsia-recurrent pain

or pain after meals

leads to pernicious anemia

if you have chronic gastritis

you will need life long vitamin b12 injection

gastritis signs and symptoms

abodominal pain

nausea vomiting

ab tenderness

feeling full

belching

reflux

gastritis

protective mucosal barrier breakdown

autodigestion self eats itself

severe-perforation

scarring

esophageal varices -liver cerrosis -high risk for bleeding

dilated blood vessels in esophagus

rupture can be life threatening -They can bleed to death

hemoraging -bleeding to die

what is the right sodium level

135-145 meq

excessive bleeding with mallory weis can lead to

hypovalemic shock , initiate fluids

mallory weis intervention

self heals

ppi omeperazole

antiemetics zofran

endoscopy to control bleeding

how do we know its Mallory weis

egd

hemoglobin and hematocrit

gerd nursing care

lose weight,eat a low fat ,high protein

sleep with bed elevated 4 to 6 inches

avoid eating three hours before bed time

mallory weis tears signs and symptoms

bright red bloody emesis

bloody or tarry stools

risk factors for mallory weiss tears

hiatal hernia , alcohol use - cerosis

mallory weiss tear -can bleed to death - ding ding

longitudinal tear in mucous membrane of esophogus at stomach junction

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

ppi inhibitors end in

zole

medications for GERD

antacids,(mylanta)

histamines2 (h2) receptors antagonist (pepsin)

proton pump ppi (omeperazole)

what is the treatment of barretts Esophagus

radiofrequency ablation removes barretts tissue

COMPLICATIONS OF GERD

ASTHMA

ASPIRATION PNEUMONia

broncospasm-went into lung causes stridor

barretts esophagus - precancerous

DIAGNOSIS OF GERD

UPPER ENDOSCOPY

ESOPHAGEAL MANOMETRY

PH MONITORING

SIGNS AND SYMPTOMS OF GERD

HEARTBURN

REGURGITATION

HOARSENESS

SORE THROAT

what test you take with esophogeal cancer

egd biopsies

what are signs and symptoms of esophageal

Difficulty Swallowing. DIngDing

weight loss

feeling full

pain in chest

food regurgitation

\

when you have a hiatal hernia what can it lead to

leads to gerd

whats the problem with gerd

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

Esophageal Cancer when its late diagnosed

Metastasizes,

Risk factors Alcohol, tobacco

being over weight or obese

Human PapillomaVirus

Barretts esophagus DINGDING

what are some nursing care for oral cancer

alcohol and tobacco cessation

pre opp teaching -Tracheostomy

communications

post opp - Airway Nutrition

what are therapeutic interventions

Radiations

Chemotherapy

surgery radical-Taking part of the neck

oral cancer

highest risk from alcohol or tobacco use

curable if detected early

signs and symptoms painless, difficulty chewing,swallowing ,speaking

if you take nsaids alot what could it do

Give gi bleeding

oral health care prevents what

prevents pneumonia

helps prevent pneumonia related death in older patients

antibiotics prophylaxis

with any surgery what should you be mindful with ding ding

PAIN MAke sure clients pain is under control

With gastric bypass surgery what should you avoid while eating

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

post opp care for gastric bypass

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

if a client has diaphoresis or is Tachycardia DINGDING

Gallstones

gastric bypass surgery

eat high protein diets

high fiber

complex carbohydrates

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

gastric bypass surgery

acids that goes to peritoneum what happens

peritonitis

what kind of bmi is someone who is morbidly obeses

100 % over weight

No more simple sugars with what?

Gastric surgeries

Complications of gastric restrictive Surgeries

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

Gastric bypass (rou-en Y)

reduces stomach size done laproxipy connect to small intestin

sleeve gastrectomy

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

surgical management

restrictive how much stomach can hold

malabsorption decrease calorie intake /nutrient absorption

combination - restrictive and malabsorption

nursing diagnosis for obesity

IMbalanced Nutrition more than body requirements

theraputic interventions for obesity

weight loss

support groups

behavior modification

bariatric surgery

obesity comorbidities

Artherosclerosis

gallbladder disease

type to diabetes melitus

heart disease

sleep apnea

depression

hypertension

A bmi over 30

is obese

bmi of 25 to 30 is

over weight

morbid obesity

is 100 percent over ideal body weight

20 percent over

is ideal body weight bmi

ekg

can monitor electrolytes

what test can show anemia

low red blood cells

Can anorexia be deadly

Yes because of electrolyte imbalance cardiac arithmia knocks potassium

Signs and symptoms of Amorhea

hypotension,constapation

what can anorexia cause

It can cause severe electrolyte imbalance

Roux-en-Y gastric bypass

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

sleeve Gastrectomy

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

ways to decrease dumping syndrome

eating small meals

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

NO SIMPLE SUGARS

Avoid fluids with meals

what can you avoid to not get gerd or hiatal hernia

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

a patient who has gastric bypass will always need what supplement

b12,thiamin, iron, copper

what are common micronutrient defficiencys in gastric bypass

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

what kind of food bariatric patients eat

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

bariatric surgery how many weeks are you on a strict regiment

12 weeks post opp

what are obesity related disease

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

what kind of patients are candidates get bariatric surgery

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

bariatrics surgery

weight loss surgery