Assessment Of Gi System

Front 1

Indigestion, upper abdominal discomfort associated with eating.

Back 1

Dyspepsia

Front 2

Also known as GAS

Back 2

Flatulence

Front 3

What is the primary nursing intervention with a patient who is going to have an Upper GI Tract Study

Back 3

Education on Clear liquid diet to NPO after midnight prior to the study
AM meds are held esp. insulin

Front 4

Aids in the diagnosis of ulcers, Varices, tumors, regional enteritis, malabsorption syndromes. May extend to duodenum and small bowel

Back 4

Upper GI Tract Study

Front 5

Visualization of the Upper GI Tract with Flouroscope using contrast barium sulfate

Back 5

Upper GI Tract Study

Front 6

Visualization of Lower GI tract after Barium instilled rectally

Back 6

Lower GI Tract Study

Front 7

Detection of polyps,tumors, or lesions of the small intestines.. Each part of the colon is observed.. takes 15 - 20 mins and xray images are obtained

Back 7

Lower GI Tract Study

Front 8

What are the Nursing Interventions for a patient undergoing a Gastroscopy

Back 8

-Emptying and cleansing the bowels
-Low residue diet 1-2 days prior
-Clear liquid diet & Laxatives in the evening
-NPO after Midnight
-Cleansing Enemas until returns are clear the following am

Front 9

What is contraidicated in patients with inflammatory bowel disease?

Back 9

Barium Enemas

Front 10

Visualization of inside the colon and rectum. Also known as a bowel prep.
Detects inflammed tissue, ulcers, and abnormal growth, cancers.

Back 10

Colonoscopy

Front 11

What souldnt patients drink before a colonoscopy procedure?

Back 11

Red or purple dye liquids

Front 12

What are acceptable liquids to drink before a colonoscopy

Back 12

-fat free bouillon or broth strained.
-Fruit Juice
-PLain coffee
-water
-plain tea
- Sports drink: Gatorade
-gelatin

Front 13

What might me required the night before a colonoscopy?

Back 13

-Laxatives -pill form or powder dissolved in water.
-Enema:sometimes w/mild soaps

Front 14

what is not permitted for 24 hours after a colonoscopy

Back 14

driving to allow the sedative to wear off

Front 15

Colonoscopy Procedure

Back 15

-Notify MD regarding meds
-Pt lies on left side on exam table.
-Light sedative & Pain Med's to help keep pts relaxed.
-Monitor Vitals
-Long flexible scope is inserted into anus
-Intestines is inflated with C02 gas for better view

Front 16

Complications of colonoscopy

Back 16

Bleeding and puncture of large intestines

Front 17

Lab test performed for chief complaint of GI system

Back 17

CBC
CMP
LFT
Amylase/Lipase
Urinalysis
Occilt Blood

Front 18

What is the sequence of assessement

Back 18

Inspection
Auscultation
Percussion
Palpation

Front 19

Things that you may inspection

Back 19

Skin Color
Scars
Striae
Lesions
Distention
Vessels
Rashes
Pigmentation Changes

Front 20

Term defined as Swelling outward or bulging

Back 20

Protuberant

Front 21

Ascetic fluid sinks with gravity, while loops of bowel float to the top.
Suggest fluid caused by ascities

Back 21

Protuberant abdomen with bulging flanks

Front 22

Ecchymosis of left flank, indicates retropertioneal bleeding, Usually due to hemorrhagic pancreatitiscan be minimal or massive

Back 22

Turners sign

Front 23

This sign can take upto 24-48 hours. It can predict a severe attack of acute pancreatitis

Back 23

Turners sign

Front 24

Bluish discoloration around umbilicus due to intrapertioneal hemorrhage into abdominal wall.

Back 24

Cullens Sign

Front 25

Active bowel sounds are

Back 25

5-35/min

Front 26

Normal bowel sounds are

Back 26

5-20sec

Front 27

Hypoactive sounds are

Back 27

1-2 sounds/2 mins

Front 28

Hyperactive sounds are

Back 28

5-6 sounds in less than 30 sec

Front 29

Absent Bowel Sounds are

Back 29

No sounds 3-5 mins

Front 30

the use of the bell in the abdomin for

Back 30

Aortic Bruits
-Renal Arteries
-Iliac Arteries
-Femoral Arteries

Front 31

High pitched sounds that are auscultated over spleen and liver during respiration

Back 31

Friction Rubs

Front 32

Borborygmi

Back 32

Stomach growling

Front 33

Doppler is used for

Back 33

Fetal heart rates & umbilical artery in pregnancy

Front 34

Used to determine the size and solid abdominal organs and presence of masses.

Back 34

Percussion

Front 35

This is done in al four quadrants, Liver, Spleen and bladder if indicated

Back 35

Percussion

Front 36

Fluid and gas can be used with ..

Back 36

Palpation

Front 37

Percuss Gas Sound

Back 37

Tympany

Front 38

Percuss Fluid

Back 38

Dull

Front 39

Percuss Solid Mass/Organs

Back 39

Dull

Front 40

Protuberant Abdomen with tympany indicates

Back 40

intestinal obstruction

Front 41

How do u check for fluid wave

Back 41

Pt will push down midline abdomen and nurse taps one flank and feels other flank for wave

Front 42

When palpating the abdomen the RUQ organs are...

Back 42

Liver & Lower part of right kidney

Front 43

When palpating the abdomen in the RLQ the organs are

Back 43

Ascending colon and Cecum

Front 44

When palpating the abdomen in the LUQ, the organs are

Back 44

Transverse colon

Front 45

When palpating the abdomen in the LLQ, the organs are

Back 45

Descending and Sigmoid colon

Front 46

True or false is it normal to have tenderness upon deep palpation

Back 46

TRUE

Front 47

What is the normal liver span? Where is the location?

Back 47

6-12 cm in right midclavicular line

Front 48

Percussion of the Liver

Back 48

-Measure verticle span of liver dullness right mid-clavicular line.
-Begin below the umbilicus & percuss up from area of dullness where liver begins
-lightly percuss from lung resonance down towards liver dullness
-measure the cm in distance between 2 points

Front 49

Palpation of the abdomen

Back 49

-light palpation first
-Id any masses or superfical organs
-Involuntary Rigidity

Front 50

Involuntary ridgity would indicate?

Back 50

peritoneal inflammation

Front 51

Deep Palpation is required to detect? and what should be noted?

Back 51

Abdominal Masses
Note size consistency, Shape,Tenderness, pulsations and mobility

Front 52

When palpating the kidneys what are u assessing for?

Back 52

Tenderness

Front 53

Posterior organs, Upper portions are protected by the ribs

Back 53

Kidneys

Front 54

Where would you assess for Kidney tenderness

Back 54

Over the Costroverbral Angle
CVA

Front 55

What is located at the lower border of 12th rib and transverse process of upper lumber vertebrae

Back 55

CVA
Costroverebral Angle

Front 56

Costovertebral Angle Tenderness

Back 56

-First palpate lightly, then deeply at 12th rib
Assess for movement tenderness

Front 57

Indicator for significant abdominal inflammation most often due to gallbladder or liver disease

Back 57

Murphys Sign

Front 58

Can be accomplished by deep palpation of liver and gallbladder by placing hands just right under the rib cage having patient take a deep breath and pushing up and in

Back 58

Murphys sign

Front 59

What indicates a positive Murphys sign

Back 59

When patient cant take a deep breath due to pain created

Front 60

A Sign of appendicitis
palpation of the LLQ that causes pain in the RLQ bc of eliciting of deep nerve pain over irritated /or inflamed pertineal lining and organ

Back 60

Rovsings Sign

Front 61

Associated with appendicitis
Pain in the abdomen RLQ with movement of hip flexor muscles

Back 61

Iliopspas Test