Adult Test 1

Front 1

nausea is usually accompanied by

Back 1

anorexia

Front 2

vomiting - loss of gastric HCl causes

Back 2

metabolic alkalosis

Front 3

if vomit bicarb from sm intestine then you get

Back 3

metabolic acidosis

Front 4

persisting emesis can eventually lead to

Back 4

circulatory failure (loss of ECF)

Front 5

obesity d/t production of

Back 5

adipokines

Front 6

only sustained wt loss for severly obese

Back 6

bariatric sx

Front 7

3 bariatric sx categories

Back 7

malabsorptive, restrictive, combo of both

Front 8

most common bariatric sx

Back 8

adjustable gastric banding (agb)

Front 9

agb cuts off

Back 9

30ml - one h2o fountain sip

Front 10

vertical sleeve gastrectomy - % removed

Back 10

85

Front 11

vertical sleeve gastrectomy - stomach does not

Back 11

grow back but stretches

Front 12

verti sleeve gastrectomy tx what

Back 12

hunger, but hunger is not normally the issue

Front 13

RYGB stands for

Back 13

roux-en-Y

Front 14

RYGB

Back 14

30ml pouch at top of stomach

Front 15

2 complications of RYGB

Back 15

dumping syndrome, malnutrition

Front 16

5 post op obese risks

Back 16

DVT, infection, dehiscence, delayed healing, evisceration

Front 17

dehiscence

Back 17

sutures coming out

Front 18

evisceration

Back 18

intestines coming out

Front 19

what returns in women after wt loss

Back 19

fertility

Front 20

1/3 liver blood

Back 20

hepatic artery

Front 21

2/3 liver blood

Back 21

portal vein

Front 22

3 GI tract organs

Back 22

liver, pancreas, gallbladder

Front 23

liver metabolizes

Back 23

protein (albumin, clotting factors)

Front 24

liver detoxifies

Back 24

ammonia to urea

Front 25

destroyed liver cells and scar tissue cuases

Back 25

inc in GI system BP

Front 26

3 causes of hepatitis

Back 26

virus, autoimmune, drugs

Front 27

viral hep

Back 27

a b c d e g

Front 28

toxic hep

Back 28

acetaminophen, ETOH

Front 29

autoimmune hep

Back 29

wilsons disease, PBC

Front 30

NAFLD

Back 30

non alcoholic fatty liver disease

Front 31

type a

Back 31

fecal oral

Front 32

type a vac

Back 32

ppl traveling outside US

Front 33

type b

Back 33

blood, body fluid

Front 34

type b vac

Back 34

everyone in US

Front 35

type c

Back 35

drug user, tatoos, piercings

Front 36

20% type c will

Back 36

progress to cirrhosis

Front 37

type c liver damage

Back 37

15-20 years post infection

Front 38

wilsons disease

Back 38

liver flap (hand flaps)

Front 39

PBC

Back 39

primary biliary cirrhosis

Front 40

hemochromotosis

Back 40

iron storage disorder

Front 41

NAFLD linked to

Back 41

obesity, steroids

Front 42

NAFLD elevated

Back 42

ALT

Front 43

asymptomatic hepatitis

Back 43

30% acute HBV, 80% acute HCV

Front 44

phases of hep infection

Back 44

incubation/prodromal, icteric, convalesvent

Front 45

incubation

Back 45

asymptomatic

Front 46

icteric

Back 46

jaundice, dark urine, clay stool, RUQ pain

Front 47

convalescent

Back 47

jaundice resolve, LFT normal

Front 48

hep labs

Back 48

prolonged PT & PTT

Front 49

hep a dx

Back 49

one test

Front 50

hep b dx

Back 50

many tests

Front 51

hep c tx

Back 51

genotyping

Front 52

hep tx

Back 52

rest rest rest

Front 53

hep diet

Back 53

low fat, high carb

Front 54

hep follow up

Back 54

1 yr post dx

Front 55

hep supportive therapy

Back 55

milk thistle, vit, antiemetics

Front 56

chronic hep b and c drug

Back 56

antiviral (interferon)

Front 57

interferon dec

Back 57

viral load, liver enzyme, rate of disease progression

Front 58

interferon SE

Back 58

flu like sx, anemia, anorexia, depression, insomnia

Front 59

hep a - wash

Back 59

hands and food

Front 60

hep a vac

Back 60

2 shots, immune after 30 days

Front 61

hep a immune globulin

Back 61

1-2 weeks post exposure

Front 62

hep b and c screen

Back 62

donated blood

Front 63

hep b and c use

Back 63

disposable needles

Front 64

hep b and c wash

Back 64

hands

Front 65

hep b and c safe

Back 65

sex

Front 66

hep b and c avoid sharing

Back 66

toothbrush, razors

Front 67

hep b vac

Back 67

3 shots, 1st at birth last at 18 months

Front 68

liver dysfunction early sns

Back 68

RUQ pain

Front 69

liver dysfunction later sns

Back 69

jaundice, ascites, anasarca, skin lesions/bruising

Front 70

liver - bleeding from

Back 70

portal HTN

Front 71

inc serum ammonia causes pt to

Back 71

be confused

Front 72

ascites

Back 72

loss of cell structure cause no protein production

Front 73

itchy liver pt

Back 73

can scratch and make abrasion and fluid from ascites will leak like crazy

Front 74

acetaminophen metabolized by

Back 74

liver

Front 75

ibuprofen metabolized by

Back 75

kidneys

Front 76

esophageal varices drug therapy goal

Back 76

stop bleeding

Front 77

acute ugi bleed drugs

Back 77

octreotide, vasopressin

Front 78

acute ugi bleed - what prevents hepatic encephelopathy

Back 78

lactulose, neomycin

Front 79

hepatic encephalopathy from

Back 79

rbc breakdown/ammnonia

Front 80

ascites diet

Back 80

high carb low sodium

Front 81

paracentesis

Back 81

drain it (ascites)

Front 82

peritoneovenous shunt

Back 82

drain fluid from ascites into vena cava

Front 83

peritoneovenous shunt complications

Back 83

fluid overload, infection, thrombosis

Front 84

do what before paracentesis

Back 84

empty bladder

Front 85

paracentesis post procedure patient position

Back 85

right side to splint puncture site

Front 86

hepatic encephalopahty aka

Back 86

end stage liver disease

Front 87

asterixis

Back 87

liver flap

Front 88

hepatic encephalopahty sns

Back 88

asterixis, inc ammonia

Front 89

hepatic encephalopathy goal

Back 89

dec ammonia production

Front 90

lactulose traps ammonia where

Back 90

in gut

Front 91

hep enceph diet

Back 91

high calorie

Front 92

hep enceph give

Back 92

b complex vit, vit k

Front 93

nursing eval hep enceph reports increased

Back 93

ease of breathing

Front 94

most common GI prob

Back 94

N&V

Front 95

GERD post op complication

Back 95

barrets esophagus

Front 96

peptic ulcer disease from

Back 96

stress, meds, H pylori

Front 97

melena appearance

Back 97

black tarry stool, very foul odor

Front 98

two upper GI bleed

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obvious, occult

Front 99

obvious upper GI bleed

Back 99

hematemesis, melena

Front 100

hematemesis

Back 100

bright red, coffee ground

Front 101

why do you want a foley for upper GI bleed

Back 101

kidneys may have less perfusion = less output

Front 102

do what w/in 24 hrs of upper GI bleed

Back 102

endoscopy

Front 103

diarrhea hand hygeine

Back 103

soap and water

Front 104

c diff

Back 104

isolation, 10% bleach

Front 105

appendicitis RLQ pain

Back 105

mcburney's point

Front 106

apendix rupture cuases

Back 106

peritonitis then sepsis

Front 107

ulcerative colitis for >10 yrs high risk for

Back 107

colon cnancer

Front 108

fistula

Back 108

abn opening from one organ to another

Front 109

fistula common in

Back 109

chrons

Front 110

avoid what for IBD

Back 110

fiber

Front 111

watch for what when suctioning gastric fluid

Back 111

k levels, k is in gastric fluid

Front 112

study JPs flashcards

Back 112

aymondnursing unit 1 adult