NR 324 Gastrointestinal Disorders Worksheet
Student Name: Alexis Moon Date: 7/18/2021 Assignment Week/Day: Week 7
Please fill-up the columns below with major take-away or focus points for each topic/disorder. Review materials from previous courses such as Pathophysiology, etc.
Disorders or Etiology/Pathophysiology Clinical Manifestations Diagnostic Tests Nursing Interventions and Possible Complications and
Conditions (Possible Causative and Collaborative Treatments/Interventions for
Risk Factors) Management Complications
Malnutrition *deficit, excess, or *dry scaly skin, rashes *diet hx, *educate – MyPlate, food *organ dysfunction
imbalance of essential *brittle nails anthropometric labels, diet diary *poor wound healing
nutrients – *hair loss measurements *identify nutritional risk *fluid and electrolyte
undernutrition or *changes in tongue or *labs – prealbumin, factors imbalances
overnutrition mouth transferrin, CRP *daily weights, monitor
*starvation, disease *confusion, irritability *nutritional screening I/Os
related (cancer, RA, *delayed wound healing *between meal
obesity), injury related *muscle wasting supplements, high calorie
(burns, trauma) and protein diet
*may give appetite
stimulants
Anorexia Nervosa *self imposed wt loss, *abnormal wt loss *iron deficiency *nutritional support and *refeeding syndrome
endocrine dysfunction, *deliberate self starvation anemia psych care *starvation
and distorted *intense fear of gaining wt *elevated BUN *teaching and *fluid and electrolyte
psychopathologic *lanugo – soft downy hair *BMP – low k levels maintaining healthy wt imbalances
attitude toward wt and covering body and eating patterns *cardiac dysrhythmias
eating *refusal to eat *hospitalization may be
*continuous dieting necessary
*hair loss *possible EN/PN
*cold sensitivity necessary
*compulsive exercise *evaluating underlying
*irregular menses psych problem –
*yellow dry skin individual and family
*constipation counseling
Bulumia Nervosa *frequent binge eating *fluctuating or normal wt *labs – hypokalemia, *diet therapy and psych *fluid and electrolyte
and self induced for height metabolic alkalosis, counseling imbalances
vomiting associated w/ *may abuse laxatives, elevated amylase *possible antidepressants *cardiac dysrhythmias
loss of control r/t eating diuretics, exercise, diet *support groups *dental issues
and persistent concern drugs
with body image * signs of freq vomiting –
macerated knuckles,
swollen salivary glands,
broken blood vessels in
1
, NR 324 Gastrointestinal Disorders Worksheet
Student Name: Alexis Moon Date: 7/18/2021 Assignment Week/Day: Week 7
Please fill-up the columns below with major take-away or focus points for each topic/disorder. Review materials from previous courses such as Pathophysiology, etc.
Disorders or Etiology/Pathophysiology Clinical Manifestations Diagnostic Tests Nursing Interventions and Possible Complications and
Conditions (Possible Causative and Collaborative Treatments/Interventions for
Risk Factors) Management Complications
eyes
*dental problems
Obesity *excessively high *BMI >30 *BMI, waist-to-hip *pt understands wt hx; *osteoporosis
amount of body fat or *possible secondary ratio, body shape requires individualized *cardiovascular diseases
adipose tissue conditions plan *cancer
*increases risk of many *explore motivation for *diabetes mellitus
diseases wt loss *sleep problems
*nutritional therapy,
exercise, behavior
modification, med/surg
intervention
*nutrition education –
eat regularly, portion size,
avoid sweets, reduce fat
intake
Metabolic Syndrome *”syndrome X, insulin *obesity, HTN, abnormal *lab values – blood *first line intervention – *cardiovascular disease
resistance syndrome” lipid levels, high BG glucose, lipid panel, lifestyle modification *stroke
*collection of risk *impaired fasting BG etc (reduce LDL, smoking *DM
factors increasing cessation, lower BP, *renal disease
persons chance of reduce BG) *polycystic ovary syndrome
developing *educate about diet,
cardiovascular disease, exercise, positive lifestyle
stroke, and DM changes, wt reduction
*insulin resistance r/t *drug therapy –
excessive visceral fat metformin if first line
does not work
Nausea and Vomiting *most common *anorexia *assessment *identify and treat *aspiration
manifestation of GI *dehydration underlying cause *fluid electrolyte imbalances
disorder *ondansetron (Zofran) *metabolic alkolosis
*may occur in unrelated *have client lay semi-
diseases fowlers or side lying
*NG tube decompression
depending
2
Student Name: Alexis Moon Date: 7/18/2021 Assignment Week/Day: Week 7
Please fill-up the columns below with major take-away or focus points for each topic/disorder. Review materials from previous courses such as Pathophysiology, etc.
Disorders or Etiology/Pathophysiology Clinical Manifestations Diagnostic Tests Nursing Interventions and Possible Complications and
Conditions (Possible Causative and Collaborative Treatments/Interventions for
Risk Factors) Management Complications
Malnutrition *deficit, excess, or *dry scaly skin, rashes *diet hx, *educate – MyPlate, food *organ dysfunction
imbalance of essential *brittle nails anthropometric labels, diet diary *poor wound healing
nutrients – *hair loss measurements *identify nutritional risk *fluid and electrolyte
undernutrition or *changes in tongue or *labs – prealbumin, factors imbalances
overnutrition mouth transferrin, CRP *daily weights, monitor
*starvation, disease *confusion, irritability *nutritional screening I/Os
related (cancer, RA, *delayed wound healing *between meal
obesity), injury related *muscle wasting supplements, high calorie
(burns, trauma) and protein diet
*may give appetite
stimulants
Anorexia Nervosa *self imposed wt loss, *abnormal wt loss *iron deficiency *nutritional support and *refeeding syndrome
endocrine dysfunction, *deliberate self starvation anemia psych care *starvation
and distorted *intense fear of gaining wt *elevated BUN *teaching and *fluid and electrolyte
psychopathologic *lanugo – soft downy hair *BMP – low k levels maintaining healthy wt imbalances
attitude toward wt and covering body and eating patterns *cardiac dysrhythmias
eating *refusal to eat *hospitalization may be
*continuous dieting necessary
*hair loss *possible EN/PN
*cold sensitivity necessary
*compulsive exercise *evaluating underlying
*irregular menses psych problem –
*yellow dry skin individual and family
*constipation counseling
Bulumia Nervosa *frequent binge eating *fluctuating or normal wt *labs – hypokalemia, *diet therapy and psych *fluid and electrolyte
and self induced for height metabolic alkalosis, counseling imbalances
vomiting associated w/ *may abuse laxatives, elevated amylase *possible antidepressants *cardiac dysrhythmias
loss of control r/t eating diuretics, exercise, diet *support groups *dental issues
and persistent concern drugs
with body image * signs of freq vomiting –
macerated knuckles,
swollen salivary glands,
broken blood vessels in
1
, NR 324 Gastrointestinal Disorders Worksheet
Student Name: Alexis Moon Date: 7/18/2021 Assignment Week/Day: Week 7
Please fill-up the columns below with major take-away or focus points for each topic/disorder. Review materials from previous courses such as Pathophysiology, etc.
Disorders or Etiology/Pathophysiology Clinical Manifestations Diagnostic Tests Nursing Interventions and Possible Complications and
Conditions (Possible Causative and Collaborative Treatments/Interventions for
Risk Factors) Management Complications
eyes
*dental problems
Obesity *excessively high *BMI >30 *BMI, waist-to-hip *pt understands wt hx; *osteoporosis
amount of body fat or *possible secondary ratio, body shape requires individualized *cardiovascular diseases
adipose tissue conditions plan *cancer
*increases risk of many *explore motivation for *diabetes mellitus
diseases wt loss *sleep problems
*nutritional therapy,
exercise, behavior
modification, med/surg
intervention
*nutrition education –
eat regularly, portion size,
avoid sweets, reduce fat
intake
Metabolic Syndrome *”syndrome X, insulin *obesity, HTN, abnormal *lab values – blood *first line intervention – *cardiovascular disease
resistance syndrome” lipid levels, high BG glucose, lipid panel, lifestyle modification *stroke
*collection of risk *impaired fasting BG etc (reduce LDL, smoking *DM
factors increasing cessation, lower BP, *renal disease
persons chance of reduce BG) *polycystic ovary syndrome
developing *educate about diet,
cardiovascular disease, exercise, positive lifestyle
stroke, and DM changes, wt reduction
*insulin resistance r/t *drug therapy –
excessive visceral fat metformin if first line
does not work
Nausea and Vomiting *most common *anorexia *assessment *identify and treat *aspiration
manifestation of GI *dehydration underlying cause *fluid electrolyte imbalances
disorder *ondansetron (Zofran) *metabolic alkolosis
*may occur in unrelated *have client lay semi-
diseases fowlers or side lying
*NG tube decompression
depending
2
