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22 Cards in this Set

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When will the pain be felt if the client has a gastric ulcer?
30-60mins after meals
If a client has a gastric ulcer, is it or is it not relieved by ingesting food?
it is not relieved with food
Where will the pain be felt in client with gastric ulcer?
upper epigastric region
Who is most likely to get gastric ulcers?
lower socioeconomic class
arthritic
elderly
smokers
etoh drinkers
When will the pain be felt if the client has a duodenal ulcer?
1.5-3 hrs after meal
people with duodenal ulcers often feel pain :
in the middle of the night
What type of pain do duodenal ulcers cause? where?
burning cramping midepigastric pain
is the pain associated with duodenal ulcers relieved by ingesting food?
YES
Duodenal ulcers are associated with: (2)
smoking
etoh
duodenal and gastric ulcers test pos. for
h pylori
what kind of ng tube gets inserted with PUD?
salem sump
why do we use salem sump ng tubes with PUD?
b/c we can lavage c cool water
What is the purpose of giving LR soln to someone with PUD?
hydration
replace lytes
When the ng tube is inserted a small amt of coffee-ground like aspirate is returned. The pH is 2 and it's guaiac positive. What is the significance of coffee-ground returns?
GI bleed
what are some factors in PUD?
h pylori
bld type
fam predisposition
smoking
etoh
meds
diet
What should you teach a client with PUD about diet?
increase protein
decrease fat
avoid caffeine
what complications are associated with ulcerative colitis?
abcess formation
anemia
anorexia
arthritis
colon ca
dehydration
hemorrhage
infection
malabsorption
perforation
peritonitis
sepsis
shock
toxic megacolon
what is the first thing you give to someone after they have been npo ?
water
if client presents with N/v, what is the first intervention
npo
cva, unconcious, unresponsive, hx GERD: ______risk
aspiration
for accalasia-
dialate with bougee
if bleeding
take vitals