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How often to check BS?
Every 6 hours
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What is the clinical manifestation of dumping syndrome?
Hypotension
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What is a steroid what makes people eat?
Decadron
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What is a cause of oral cancer?
Alcohol
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What is the greatest priority after oral cancer surgery?
Pain, monitor swelling
-
People with blood type A have what kind of ulcers?
Peptic
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People with blood type O have what kind of ulcers?
Duodenal
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What is important after fat surgery?
Early ambulation
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What is a big cause of diarrhea?
Malabsorption
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When hernia cannot be manipulated back into place, it is
irreducible or incarcerated
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What do you tell people with diverticulitis?
No seed foods, increase fiber
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What is a risk factor for diverticulitis?
Old age
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What does the liver do?
Toxic waste dump in the body
-
What do heparin and Coumadin do?
Do not thin blood, but act on clotting factors
-
What may cause itching skin?
Bile salts
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What is the big thing re: liver biopsy?
Watch for bleeding
-
What is the most common hep?
A
-
What are signs of fluid retention?
Edema, abdominal girth, increase in BP
-
People with hep
need to have 3000 ml of fluid, skin color will return in 2-4 weeks
-
Who has the highest rate of death from cirrhosis?
Hispanics
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What drug makes you poop out ammonia in the liver?
Lactulose
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What is left inflated in someone for 24-48 hours?
Blakemore tube
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If a patient�s bilirubin levels are decreasing, what does that mean?
Liver function is responding
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Why should patients with cirrhosis rest?
So liver can regenerate
-
If ammonia continues to rise in patient with cirrhosis, diet will need to be modified to restrict
protein
-
How would a nurse monitor for acites?
Daily wt, abdominal girth
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An increase in ammonia levels contribute to hepatic encephalopathy. As it increases, what nursing intervention should be added?
Seizure precautions
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Pt with hep A should avoid sharing what?
Foods
-
Low sodium diet
baked chicken, white rice, apple juice
-
What helps kidneys retain serum?
Shunt
-
What precautions do you use for someone what hep B?
standard
-
What is twisting of the bowel?
Volvulus
-
If someone had hep b four years ago, what does nurse need to teach?
Pt becomes carrier
-
What are signs of peritonitis?
Increased SED, WBC, hypotension, tachycardia
-
What is dumping syndrome?
Fluid shift from bloodstream to intestine
-
Is blood around stoma good or bad?
Good-shows good blood flow to stoma
-
What do you inspect for with ileostomy?
Bleeding and color
-
Sweating post tube feeding
-
Nursing consideration for pt with lesions removed from mouth?
Suctioning
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After esophageal surgery, what is the best way to avoid regurgitation?
Small meals
-
What do you do with a poop specimen?
Leave at room temperature
-
If there is an obstruction, what is the best finding?
Stable vitals, I&O, moist mucous membranes
-
What ulcer is in hospital setting?
Stress ulcer
-
What vaccines are there for hep?
Hep A&B
-
How do lab tests change with cirrhosis?
Elevated serum and urine bili; elevated serum enzymes; decreased serum protein, cholesterol, prolonged PT; CBC has low RBC, WBC, platelets
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