Final Exam! Adult Health 1

Front 1

What is Achalasia

Back 1

complete lack of peristalsis within the body of the esophagus. LES fails to relax when swallowing. develops as a massive dilated esophagus.

Front 2

S/S of Achalasia

Back 2

epigastric pain
sensation of food sticking
regurgitation - night time
weight loss
aspiration
chest pain
halitosis and cant burp

Front 3

What is GERD

Back 3

reflux of GI contents into the esophagus. Causes HEARTBURN

Front 4

Pt teaching for GERD

Back 4

elevate HOB 4-6 inch
sleep on left side
no smoke or alcohol
decrease weight
avoid heavy lifting
avoids foods such as caffeine chocolate peppermint tomatoes tea
chew gum
avoid milk at night
take meds before the first meal of the day

Front 5

What is peptic ulcer disease (PUD)

Back 5

Lesions in the mucolsal membrane of the upper GI

Front 6

Gastric ulcers

Back 6

more common in women and older ppl
more likely to hemerage
can be caused by drugs
alchol abuse
smoking

Front 7

Gastric Ulcer S/S

Back 7

pain 1-2 hrs after meals
burning
pain can occur when the stomach is emptying

Front 8

Duodenal ulcers

Back 8

HCL secretions
H. pylori play a key role (NSAID use)
ppl with other diseases
can be caused by tx of other diseases

Front 9

Duodenal S/S

Back 9

pain behind the xiphod process
2-4 hrs after meals
releaved by antiacids
last for a few weeks, stops, comes back

Front 10

Perforation of GI ulcer S/S

Back 10

Sudden sharp pain that spreads over intire abd
pt in fetal position
abd tender and board like
Shock
SURGICAL EMERGENCY

Front 11

gastric outlet obstruction

Back 11

relief from belching and projecile vomiting

Front 12

Apendicitis S/S

Back 12

aNOREXIA
NAUSEA VOMIT
UMBILICAL PAIN
REBOUND TENDERNESS
MUSCLE GAURDING

Front 13

DX of Apendicitis

Back 13

increased WBC

Front 14

TX of Appendicitis

Back 14

IV antibiotics 6-8 hrs before surgery

Front 15

Pre op for appedicitis

Back 15

never give laxatives
keep NPO
Ice on abd
never apply heat

Front 16

What is IBS

Back 16

ABD PAIN WITH CONSTIPATION AND/OR DIARRHEA

Front 17

s/s of IBS

Back 17

abd distention
sleep disturbance bloating
urgency

Front 18

TX for IBS

Back 18

Pschological and lifestyle changes

Front 19

Inflammatory Bowel Disease - Ulcerative colitis

Back 19

rectum to cecum. disease of the colon and rectum

Front 20

IBD - Chrons disease
S/S

Back 20

from the mouth to the anus.
Bloody diarrhea and abd pain