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10 Cards in this Set

  • Front
  • Back

12 symptoms you ask Pt about in upper GI systematic enquiry


  1. Pain (oral, chest)
  2. Mouth ulcers
  3. Dysphagia
  4. Heartburn
  5. Waterbrash
  6. Regurgitation
  7. Nausea
  8. Vomiting - haematemesis
  9. Indigestion
  10. Appetite
  11. Weight changes
  12. Foetor

10 symptoms you ask Pt about in lower GI systematic enquiry


  1. Pain (abdominal, bowels)
  2. Nausea
  3. Vomiting - haematemesis
  4. Indigestion
  5. Appetite
  6. Weight changes
  7. Stool - blood, loose, pus
  8. Bloatedness
  9. Swelling
  10. Continence

3 drugs you ask the Pt if they've taken in GI history taking

Antacids, NSAIDs, Aspirin

3 things to ask the Pt about past medical history in the GI history taking

Previous known GI disease


Travel


Blood transfusion

4 things to ask the Pt about in family history section of GI history taking

Gastric cancer


Peptic ulcer


Bowel disease


Liver disease

List 5 indications of nasogastric intubation

Aspiration of gastric contents


Decompression of GI obstruction


Administration of medication


Short term enteral feeding


Drainage of gastric secretions / blood

List 5 contraindications of nasogastric intubation

Facial or cranial injuries


CSF Rhinorrhoea


Oropharyngeal tumours


Oesophageal tumors, surgery or varices


Slowed gastric motility

Explain the differences between a wide bore and fine bore NG tube

Wide bore/Ryles tube


9-16 Fr diameter


Short term


Drainage




Fine bore


<9 Fr diameter


Guide wire to aid insertion

List times when NG tube position must be checked

Immediately following insertion


Prior to administration of food/meds


At least once per day during continuous feeding


Following any episodes of coughing, retching or vomiting


Upon any evidence tube is displaced i.e. loose tape



List complications of nasogastric intubation

Nose bleeding


Nose and throat irritation


Mucosal damage


Incorrect placement - lung, brain, oesophagus


Retropharyngeal abscess


Sinusitis


Parotitis


Reflux stomach contents into oesophagus