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29 Cards in this Set
- Front
- Back
dueodenal ulcers are caused by
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excessive production or excessive release of gastric juices or the buffering ability is lacking in the stomach
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what are the risk factors for duodenal ulcers
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h pylori, NSAIDS, smoking, coffee
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ulcerations occurs when the
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acid secretion exceeds the buffering factors
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what is the CM of ulcers
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pain is dull, burning, gnawing located in the midline of hte epigastric region
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with gastric ulcers pain is closely assocaited with
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food intake
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duodenal ulcers pain does what
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awakens people at night
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what are common complaints
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nausea, distention, ercutaiton are termed dyspesia
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what is the objective data to look for with Du ulcers
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hemorrhage
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when GI bleeding occurs what are some signs
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vomiting (hematemesis) coffee grounds
also, melena (tarlike, fetid - smelling sgtool containing undigested blood) |
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gastric outlet obstruction is a complication of
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a peptic ulcer
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what is done for relief of a person with gastric outlet obstruction
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constant NG aspiration
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what is the dx tests for ulcers
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fiberoptic endoscopy (esophagogastroduodenoscopy)
also tests for occult blood |
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what type of diet should the pt with ulcers have
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smaller more frequent meals throughout the day
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what other things should the pt avoid with ulcers
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smoking, coffee, caffenated drinks, alcohol
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what surgery is performed for ucers
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vagotomy
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what is a vagotomy
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removal of the vagal innervation to the funds, decreasing acid produced by the parietalcells of the stomach. usually done with the bilroth I and II procedure
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what are some complications after surgery for ulcers
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dumping syndrome, diarrhea, pernicious anemia
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ulcerative colitis and crohns disease occur more often in
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women, in the jewish population
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ulceratrive colitis is confined to the
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mucosa and submucosa of hte colon
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the disease usually starts on the
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left side of the colon and go to the right
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what is the CM of ulcerative colitis
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diarrhea - up to 15 - 20 loose stools a day containing pus and blood and mucus
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what is a complication of ulcerative colitis
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toxic megacolon
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toxic megacolon is
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toxic dilation of the large bowel
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subjective data for ulcerative colitis is
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c/o rectal bleeding and abdominal cramps. lethargy, sense of frustration and loss of control
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objective data includes
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wt loss, abdominal distention, fever, tachycardia, leukocytosis, stool changes
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dx test for ulcerative colitis
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barium studies
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med tx of ulcerative colitis
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medication, diet intervention, stress reduction
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diet should exclude
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milk products, spicy foods
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ieostomy
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surgical formation of an opening of hte ileum onto the surface of hte abdomen, through fecal matter is emptied
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