Medical-Surgical Nursing –
Gastrointestinal Disorders
Study Guide and Exam
Review
Page 1 Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_ Medical-Surgical Nursing – Gastrointestinal Disorders Study Guide and Exam Review.pdf
,Med Surg. GI disorders 2026-03-05
GERD • Backward flow of stomach acid into the esophagus
o Heartburn (pyrosis) 20 mins to 2 hours after eating
o Regugitation : backwards up to the mouth
o Eructation: belching
Bernstein test NG tube insert hydrochloric acid and saline and reproduce pain person is having
Barium shallow contrasts iodine (make sure you not allergic to shellfish) you shallow Barium and x ray taken
to see if you see narrowing
endoscopy direct visualization using a scope putting scope inside.
barret esophagus esophagus cancer if GERD not treated
Page 2 Med Surg. GI disorders.pdf
, Med Surg. GI disorders 2026-03-05
Acute Gastritis • Inflammation of the stomatch can lead to alcoholism, smoking, stress, poisoning/
contamination, bacteria parasites
• s/s: fever, headache, epigastric pain, coating of tongue, loss of apetitie
Don give antidiarrheals such as imodium and lomital because it can slow down peristalsis
leaving bacteria inside
when having acute gastritis pt. continues to vomit what do you do give ng tube until symptoms subside so wont cause any more acid going up while vomiting
PUD ulcerations result in imbalance of acid and pepsin too much acid
-usually by h. pylori
usually common in elderly who takes a lot of NSAIDS
make sure you take food with NSAID to prevent ulcers
Diagnosis tests for acute gastritis stool, emesis for occult blood, WBC, electrolytes, CBC
Symptoms of gastric and duodenal ulcers dyspepsia: upset stomach
hematemesis: throwing up blood
melena: black stool
perforation! most lethal complication
Page 3 Med Surg. GI disorders.pdf