Uses Marker (TC99), in cooked egg and toast, to see how long it takes from stomach to small intestine
if stomach is too slow of emptying food, it'll give stomach pain and vomiting
Fill in: prolonged vomiting can cause damage inside of _____
esophagus
What is a mallory-weiss tear?
tear in essophagus d/t vomiting or ESLD
Coffee ground colored emesis comes from:
a. blood in stomach
b. blood from esophagus
a.
Bright red blood emesis comes from:
a. blood in stomach
b. blood from esophagus
b.
Compazine and Phenergan are examples of what kind of drugs?
A.
Reglan is a:
B.
How do prokinetics help g/i? what is a rare s/e?
Helps food pass into small intestine
s/e: extra parymidal symptom
Zofran is a:
A.
What are oral risks for DM patients?
higher risk for yeast infection or thrush
This term means "smoker's patch" a white patch in mouth
a. Leukoplakia
b. Erythroplakia
Leukoplakia
This term means a red velvety patch on tongue
a. Laukoplakia
b. Erythroplakia
b.
A patient is showing these symptoms that are considered late: dysphagia, neck mass, slurred speech, increased salivation, tooth and ear aches. What kind of oral cancer is this?
Erythroplakia
a patient after radical neck surgery will be on parenteral fluids for ____ days then what kind of feeding?
1-2 days then NG, PEG or intestinal tube
Why do you see distention with a patient with tube feeding?
could mean tube feeding is going too quickly
This disease is when gastric secretes into the esophagus
GERD
These are predisposing factors of what GI disease:
Food relaxing sphincter of esophagus, ETOH, smoking, meds, stress, obesity
GERD
This dz is often dx with people who have long term GERD
Berrett's esophagus
Esophagitis and upper airway spasms are complications of this
GERD
T or F: dental erosion can occur from GERD
true
A patient with gerd is treated with this to decrease acid secretion:
D. Pepside: H2 blocker
A patient with GERD is given this to inhibit production of HCl:
D. Prilosec: PPI
A patient with GERD is given this to coat the stomach to adhere to ulcer surfaces:
B. Carafate: Protectant
A patient with GERD is given this to increase gastric motility and empty it to reduce reflux:
C. Reglan: Prokinetic
How can alcohol effect the lining of the stomach?
It goes through stomach lining and inflames it causing gastritis.
4. Increase gastric motility and emptying to reduce reflex
What is the most important thing to look at when looking at shock d/t a GI bleed when looking at I/O?
Color and amount of urine
Why is perforation the most lethal complication of ulcers?
Blood leaks into the GI, resp shallow and rapid, increases HR, weak pulse, BS absent, n/v as blood pools in stomach
What is a fiberoptic endoscopy used to locate?
Ulcers
List drugs that are used to treat an H. Pylori infection in the stomach. (2 abx)
What will these abx be combined with to reduce stomach accid?
Amoxicillin
Biaxin
combined with prilosec
Match type of surgery:
1. Partial gastrectomy with removal of stomach of gastric stump to Duodenum. ___
2. Partial gastrectomy with removal of stomach of gastric stump to Jejunum. ___
a. Billroth 1
b. Billroth II
c. Vagotomy
d. Pyloroplasty
1. a
2. b
What is this term: Decreases GI motility, and decreases HCL and Gastrin hormone secretion
B.
What is this term: Enlarges this sphincter which facilitates passage of contents from stomach:
D.
Vagotomy and Pyloroplasty will both (increase/decrease) gastric emptying
