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Diet for Celiac Disease
Gluten free diet (avoid wheat, barley, oats)
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Potential post-op complications for laparotomy patients:
- Atelectasis
- Pneumonia
- Hemorrhage
- DVT
- Surgical Wound Infection
- Fluid/Electrolyte Imbalance
- Urinary Infection
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Nursing priority for a patient experiencing vomiting:
- Fluid/Electrolyte Imbalance
- Aspiration
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Diuretic of choice for patients with ascites:
Aldactone (K sparing, aldosterone inhibitor)
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Best way to assess for adequate cardiac output and renal perfusion
Urine Output
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Complications that are more common in Crohn’s Disease than Ulcerative Colitis
- Fistula
- Stricture
- Perforation
- Malabsorption (B12 Deficiency)
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Electrolyte imbalance that can results from severe pancreatitis
Hypocalcemia
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Complication of gastrectomy that can result in dizziness, diarrhea and hypoglycemia:
Dumping Syndrome
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Major complications of PUD:
- GI Bleed
- Perforation
- Gastric Outlet Obstruction
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Hepatitis serology that indicates immunity to hepatitis B
Antibody to Hep B Surface Antigen
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Diagnostic test of choice to determine the etiology of an upper GI bleed
Upper Endoscopy or EGD
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Invasive diagnostic test that can be used to remove a gallstone from common bile duct
ERCP
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The nurse should monitor the patient for this electrolyte imbalance after a radical neck dissection
Hypocalcemia
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Drain inserted in the common bile duct after an open cholescystectomy
T Tube
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Most common risk factors associated with PUD:
- H Pylori
- Infection
- Meds (NSAIDS, ASA, Corticosteroids)
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Type of viral hepatitis that can be chronic and is not preventable
Hep C
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Labs that should be ordered for a GI bleed patient:
- CBC
- CMP
- PT/INR
- APTT,
- ABG
- (understand what we’re looking for in each lab and why they are important)
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Potentially debilitating but benign GI condition that can cause diarrhea, constipation, or both
Irritable Bowel Syndrome (IBS)
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Symptoms of pancreatic cancer:
- Abdominal pain
- Nausea
- Weight loss
- Jaundice
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Surgical procedure that is a partial gastrectomy with anastomosis to the jejunum
Billroth-II
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Lifestyle modifications the nurse teaches a patient with GERD
- Eat smaller portions
- Do not eat two hours before bed
- Eat upright
- Elevate HOB
- Avoid alcohol, carbonation, caffeine, chocolate, acidic foods
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Medication that lowers ammonia levels in hepatic encephalopathy:
Lactulose
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Complication of cirrhosis causes life threatening upper GI bleed
Esophageal varices
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Causes of acute abdominal pain:
- Ectopic pregnancy
- Bowel obstruction
- Perforation
- Appendicitis
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Two leading causes of pancreatitis:
Gallstones and excessive alcohol intake
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Two lab tests that help diagnose pancreatitis:
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Dark tarry stool that may be indicative of an upper GI bleed:
Melena
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Assessment finding that is associated with excessive amount of bilirubin:
Jaundice
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Two types of precancerous lesions found in the oral cavity:
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Lifestyle changes the nurse teaches patients with constipation:
- Increase fiber and fluid intake
- Increase activity level
- Avoid laxative abuse
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