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20 Cards in this Set
- Front
- Back
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If a pt is hemorrhaging and K+ is ordered it CANNOT be administered as a ?
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bolus
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If a pt is hemorrhaging we should treat is like ? shock and expect to see ? BP, ?HR, ? Temp
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hypovolemic,
decreased, increased, increased |
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Perforation is a ? emergency
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surgical
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Perforation happens more frequently with ? ulcers
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duodenal
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With perforation the pt wil experience sudden sharp ? pain beginning in the ? epigastrium.
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severe,
mid |
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Pyloric obstruction is caused by ? from repeated ulceration and healing also by ?/? and this is treatable by ? intervention.
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scarring,
N/V, surgical |
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? managed by immediately replacing fluid, blood, and electrolytes, administering antibiotics and keeping the pt NPO.
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perforation
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A perforation happens when ? contents empty through the wall of the stomach into the peritoneal cavity with or without hemorrhage.
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gastroduodenal
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A perforation results in ? peritonitis, bacterial septicemia and ? shock.
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chemical,
hypovolemic |
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S/S of a perforation is a sudden ?,? pain beginning in the ? epgastrium.
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sharp,
severe, mid |
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Nsg Dx for perforation: risk for ?
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sepsis
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? obstruction is causd by edema, spasm, or scar tissue resulting in a feeling of fullness, distention, or nausea after ? as well as vomiting copious amounts of undigested food.
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pyloric,
eating |
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With pyloric obstruction ? is sometimes needed to relieve obstruction.
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surgery
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Treatment of obstruction is directed toward restoring ? and ? balance and ? the dilated stomach.
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fluid,
electrolytes, decompressing |
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Surgical management goals for PUD are to reduce ? secreting ability, remove ? or potentially ? lesions,
treat the surgical ? if one resluts as a complication of surgery, and treat pts who do not respond to ? interventions. |
acid,
malignant, malignant, emergency, medical |
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cutting a vagus nerve to eliminate acid secteting stimulus to gastric cells is what surgery?
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vagotomy
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Cutting both vagus nerves and widening the existing exit of the stomach at the pylorus preventing stasis and enhances emptying of gastric contents is what surgery?
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vagotomy with pyloroplasty
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name the 3 types of vagotomies ?
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Truncal,
Selective, Proximal or parietal cell |
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This surgery permits regurgitation of alkaline duodenal contents, neutralizing gastric acid and should be combined with a vagotomy, name it ?
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gastroenterostomy
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The surgery where the entire antrum of stomach is removed thereby removing the cells that secrete gastrin and includes a vagotomy is a ?
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antrectomy
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