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GI Disorders
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Upper GI, Lower GI, liver/pancreas/bladder disorders
Terms in this set (75)
Guiac-Hemecult Test
looks for blood in the stool. Bright red is a sign of Lower GI bleed, dark red is a sign of Upper GI bleed
Upper GI series
aka "barium swallow". Check for allergies to shellfish/iodine, remain NPO for 6-8 hours beforehand. Admin a laxative to flush the barium out, drink lots of water, stool can remain white up to 3 days
Lower GI series
aka "barium enema". Visualizes the colon, 2 days beforehand requires a low-residual clear liquid diet, admin GoLitely the night before. Post test, monitor abd pain, distention and bleed.
Endoscopy
aka "EGD" test. NPO for 8-12 hours beforehand. Pt placed on left side to prevent aspiration. Monitor for bleed and perforation by B/P, dysphagia by gag reflex and fever.
Colonoscopy
Type of test that visualizes polyps, cysts and uclers. Liquid diet 24hrs prior, NPO after midnight. Status post, left laying position. Monitor for hemorrhage and vasovagel response- causes bradycardia
Stomatitis
inflammation of the mouth. 3 types: canker sores, herpes type 1 and trench mouth
Candidiasis
"thrush", an overgrowth of fungus in the mouth with an appearance of a white coating. Pt's with high blood glucose levels, impaired immune system and cancer pt's are most likely to get it. Med given is Nystatin
Hyperalimentation
TPN infused via a central line
Esophageal varicies
twisted, torturous, dilated veins. Portal vein to the liver has decreased circulatin resulting in increased hypertension. Caution for hemorrhaging, S/S: hematemesis, melena, Tx: sengstaken-blk tube, ligation and sclerosis of veins. Avoid straining and coughing. Monitor for hypovolemic shock
Hiatal Hernia
Caused by: pregnancy, obesity and muscle relaxation. S/S: reflux and vomiting. Tx: remain upright for 1hr after eating, avoid anti-cholinergics (delay gastric emptying)
Larendectomy
removal of the voicebox. Total resulting in Trach, eliminating nose breathing. Partial resulting in permenant hoarse voice, may or may not return
Lavage
empty
Gavage
put in
Dobhoff tube
tube used ONLY for feed
Trans-abd tube
longterm, "peg" tube
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