a massive GI bleed is defined as how many mls of blood loss?
Correct Answers 1500 ml
Cholecystitis and cholelithiasis diagnostic testing Correct
Answers CBC (typically increased)
Direct/indirect bilirubin (typically increased)
AST/ALT (elevated)
Amylase/Lipase (if pancreas is involved)
cholelithiasis occurs when there is an imblance of? Correct
Answers cholesterol, bile salts, and calcium
Diagnostic studies Correct Answers ultrasound
ERCP
interprofesional care for cholecystitis? Correct Answers pain
control, control infection, maintain fluid and electrolyte
imbalance, NG tube is n/v is severe
interprofessional care during a GI bleed Correct Answers goal
is to raise blood pressure and decrease HCl acid production
(HCL can alter platelet function)
medication tx for GI bleed Correct Answers PPI therapy with
high dose of IV bolous, histamine blockers, anti ulcer, antacids,
prostaglandin
, medications for cholecystitis? Correct Answers
anticholinergics- to decrease GI secretions and counteract
smooth muscle spasms
analgesics- control pain
fat soluble vitamins A, D, E, & K
nodular mitosis found in rheumatoid arthritis patients can?
Correct Answers go to the lungs or heart- which can cause
pleurisy, pleural effusion, pericarditis, pericardial effusion, and
cardiomyopathy
Nursing assessment for GI bleeds? Correct Answers manage
physical needs before history and physical
assess loc, frequent vs skin color, capillary refill
determine history of previous illness/drugs that may contribute
to bleeding, and religious preferences that prohibit blood
gather subjective and objective data
nutritional therapy for cholecystitis? Correct Answers small,
frequent meals with some fat
diet low in saturated fat
high fiber and high calcium
reduced calorie diet if patient is obese
avoidance of rapid weight loss
liquids to regular diet once bowel sounds have returned
Nutritional therapy for GERD Correct Answers -decrease high-
fat foods
-take fluids between rather than with meals
-avoid milk products at night
-avoid late night snacking or meals