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35 Cards in this Set
- Front
- Back
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Referred Pain
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pain from another site
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Peptic ulcer disease
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breaks in the mucosal lining and GI tract comes in contact with gastric secretions
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Gastric ulcers
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not as many but more serious
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Duadenal ulcers
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Many about 80 %
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S and S of ulcers
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burning 1-3 hours after eating
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Duodenal ulcers
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eating releives pain
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Gastric
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pain worse after meals
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H pyloric bacteria
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big cause of ulcers
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What test would you do if a patient has bleeding or volume proble
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orthostatic BP
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Right shoulder pain
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epppigastric pain
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Perforation in abdomen
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distention
severe pain |
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what hx would you asses
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smoking
nsaids and H pyloric are HUGE alcohol use caffien steroids |
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gastric ulcers
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most often in the lesser curvature
From disruption in the PH |
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Gastric ulcers are more common in
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asian and women
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Duadenal are
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80% and more common in men
H pylori represent 90% |
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Stress ulcers
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Can be from major trauma and surgery.
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Care for ulcers
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Diet and excersize
Antidepresants are used Proton pump inhibitors antibiotics |
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for acute symptoms of ulcers
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NG tube
IV and fluids Endoscopy I and Os Make sure NG is on all the time and check for alkalosis Prepare for endoscopy |
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If they lose too much blood
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SOB etc
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Bright red stools
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lower intestine bleed
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Black tarry for
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prolonged bleed
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1982
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discovery of helo bacter
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Peptic ulcer bleeding
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10% die
5% of emergency admision |
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Intestinal obstruction
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Potentially life Threatening
partial or complete in intestine or colon |
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Really important point of assesment is
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patient with previous surgery
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-Nursing assessement main things
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Fluid and electrolyte
Early recognition of deteriorizaton PAIN |
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NG tube info
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maintain placement
oral care |
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Appendicitis
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obstruction of lumen with fecal
Big dangerous problem is rupture causing peritonitis |
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Treatment of appendicidic
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early diagnosis and treatment
Peritonitis for rupture of appy can be fatel...... |
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Do nots for appy
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No laxitives
no heat |
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Peritonitis
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could be from intestinal rupture
bacteria Causes abdominal rigid and guarding, ascites, fever and can be fatel form septic shock |
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Care for Parentinitis
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surgery
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Cholelithiasis
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Stones in the gall bladder, couse unknown
May be in neck or cystic duct Higher incidence in women with multiparous over 40 with high cholesterol and seditary lifestyly/// Or weight loss!!!! |
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Cholecystitis
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inflamation of gall bladder may be acute or chronic
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cholelitiasis
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can cause fever and jauncdice
Right upper quadrant tenderness abd rigidity hx of fat intolerance severe pain due to spasms |
