Exam 3 - NURS 6201
Study online at https://quizlet.com/_j95745
1. GERD Stomach contents are going to reflux into the esophagus and can reach the back
of the throat or mouth.
2. Aggravating fac- Drinking alcohol, smoking, taking aspirin, eating fried foods, eating late at night.
tors of GERD
3. Assess- Dental issues, heartburn, dyspepsia, regurgitation of food or sour liquid, new or
ments/manifesta- worsening asthma, disrupted sleep, laryngitis, chronic cough, difficulty swallowing,
tions of GERD sensation of a lump in your throat, chest pain.
4. Medications for Antacids, H2 receptor blockers, Proton Pump Inhibitors.
GERD
5. Interventions for Losing weight, elevate HOB, avoid tight clothing, avoid stress.
GERD
6. how do we treat medications, small meals and they shouldn't eat within 3 hours of lying down
GERD?
7. Complications of Barrett's esophagus (precancerous cells), esophagitis, aspiration pneumonia,
GERD dental issues.
8. what does an A look down the esophagus maybe biopsy to diagnose GERD, looking for irritation
EGD have to do and inflammation.
with GERD?
9. How do we diag- EGD and RBC count
nose a GI bleed?
10. Upper GI Bleed Black, tar like, sticky stools with strong, foul odor, coffee-ground, bloody emesis.
diagnostics
11. Lower GI Bleed Fresh blood in stools -> maroon or red-colored stools.
diagnostics
, Exam 3 - NURS 6201
Study online at https://quizlet.com/_j95745
12. Interventions for Monitor circulation, monitor labs, obtain IV access, administer fluids or blood
GI Bleed products.
13. Assess- - Mild blood loss: Abdominal pain, painful swallowing, indigestion, vomiting
ments/manifesta- blood
tions of GI Bleed - Severe blood loss: low blood volume, anemia, shock
14. Treatment for GI PPI, endoscopic therapies (blood coagulation, cauterization, apply pressure), an-
Bleeds in general giographic embolization, surgical therapies, blood transfusion, PPI
15. treatment for up- assess airway right away because blood can backup into airway
per GI bleed
16. what are the dehydration, hypovolemic shock, peritonitis
complications of
a GI bleed?
17. Hypovolemia Dehydration, peritonitis.
causes
18. Hypervolemia S/S Rapid weight gain, peripheral edema, abdominal bloating, high BP and SOB.
19. Fluid deficit S/S Increased HR, slightly decreased BP, orthostatic hypotension, tired.
20. Hypovolemic Hypotensive, tachycardic, apprehensive, cool, clammy extremities, increased thirst,
shock symptoms increased capillary refill time.
21. NG Tube compli- Dislodgment (person will have a distended abdomen, N/V), skin breakdown,
cations infection, metabolic alkalosis if on for long term, loss of electrolytes, aspiration.
22. NG Tube removal Stop suction and disconnect everything, instill 50 ml of air to clear contents, remove
tape, pinch tube (decreases risk of aspiration), ask patient to take deep breath and
hold it, pull out gently but swiftly, oral care
Study online at https://quizlet.com/_j95745
1. GERD Stomach contents are going to reflux into the esophagus and can reach the back
of the throat or mouth.
2. Aggravating fac- Drinking alcohol, smoking, taking aspirin, eating fried foods, eating late at night.
tors of GERD
3. Assess- Dental issues, heartburn, dyspepsia, regurgitation of food or sour liquid, new or
ments/manifesta- worsening asthma, disrupted sleep, laryngitis, chronic cough, difficulty swallowing,
tions of GERD sensation of a lump in your throat, chest pain.
4. Medications for Antacids, H2 receptor blockers, Proton Pump Inhibitors.
GERD
5. Interventions for Losing weight, elevate HOB, avoid tight clothing, avoid stress.
GERD
6. how do we treat medications, small meals and they shouldn't eat within 3 hours of lying down
GERD?
7. Complications of Barrett's esophagus (precancerous cells), esophagitis, aspiration pneumonia,
GERD dental issues.
8. what does an A look down the esophagus maybe biopsy to diagnose GERD, looking for irritation
EGD have to do and inflammation.
with GERD?
9. How do we diag- EGD and RBC count
nose a GI bleed?
10. Upper GI Bleed Black, tar like, sticky stools with strong, foul odor, coffee-ground, bloody emesis.
diagnostics
11. Lower GI Bleed Fresh blood in stools -> maroon or red-colored stools.
diagnostics
, Exam 3 - NURS 6201
Study online at https://quizlet.com/_j95745
12. Interventions for Monitor circulation, monitor labs, obtain IV access, administer fluids or blood
GI Bleed products.
13. Assess- - Mild blood loss: Abdominal pain, painful swallowing, indigestion, vomiting
ments/manifesta- blood
tions of GI Bleed - Severe blood loss: low blood volume, anemia, shock
14. Treatment for GI PPI, endoscopic therapies (blood coagulation, cauterization, apply pressure), an-
Bleeds in general giographic embolization, surgical therapies, blood transfusion, PPI
15. treatment for up- assess airway right away because blood can backup into airway
per GI bleed
16. what are the dehydration, hypovolemic shock, peritonitis
complications of
a GI bleed?
17. Hypovolemia Dehydration, peritonitis.
causes
18. Hypervolemia S/S Rapid weight gain, peripheral edema, abdominal bloating, high BP and SOB.
19. Fluid deficit S/S Increased HR, slightly decreased BP, orthostatic hypotension, tired.
20. Hypovolemic Hypotensive, tachycardic, apprehensive, cool, clammy extremities, increased thirst,
shock symptoms increased capillary refill time.
21. NG Tube compli- Dislodgment (person will have a distended abdomen, N/V), skin breakdown,
cations infection, metabolic alkalosis if on for long term, loss of electrolytes, aspiration.
22. NG Tube removal Stop suction and disconnect everything, instill 50 ml of air to clear contents, remove
tape, pinch tube (decreases risk of aspiration), ask patient to take deep breath and
hold it, pull out gently but swiftly, oral care
