| A | B |
|---|
| barium swallow aka | upper GI series |
| barium swallow sees from | mouth to 1st part of small intestines |
| pre-test prep for barium swallow | low residue diet, NPO 8-12, lax, no smoke day of test |
| barium is constipating so | drink lots, stools, white streaky, call dr if no poop |
| liver biospy - major complication | bleeding - need coag test before |
| care after liver biospy | r side w/pillow, no cough, strain, no heavy lift, v q 15 min |
| roll on R side to prevent | release of blood or bile or both |
| stomach cancer dx | barium swallow, CT, biopsy |
| GERD what it is | when gastric contents flow up into esophagus |
| GERD what causes it | sphincter not able to close esophagel or cardiac |
| GERD can lead to | esophageal stricture (narrowing) and cancer |
| obesity & pregnancy at __ risk for GERD | high |
| GERD s/s | pain/discomfort, melena, sore throat, stuck in throat |
| GERD must rule out | MI |
| GERD agervated by | bending over or laying down |
| GERD nursing | no eat 2-3hrs before bed, elevate bed, reduce boose, caffeine, peppermint, citrus high fat |
| GERD treatment | meds, surgery to tighten sphincter |
| Vit. B12 is absorbed in | stomach |
| gastrectomy is | removal of stomach - joined to jejunum |
| Biliroth I | part of tummy removed - join remaining to duodenum |
| Bilrot II | removal part of tummy - join remaining to jejunum |
| vagotomy is | removal of ulcerated area in stomach |
| dumping syndrome | rapid emptying of large amouts in jejunum |
| dumping syndrome s/s | weakness, dizzy, sweating, palpitations, cramps |
| dumping syndrome diet | low carb - lay down after meals |
| vagotomy | branch of vagus nerve is cut to decrease gastric acid secretion |
| PUD - occurs when | normal balance between factors that protect tummy and injury tummy |
| single greatest risk for getting PUD | H. pylori |
| H. Pylori is what | bacteria that causes damage by allowing acid to penetrate tissue |
| H. Pylori test | balloon - breath test |
| PUD feels like | gnawing, burning, aching hunger like feeling, relieved eating, heartburn |
| PUD can have ___ in stool | blood |
| PUD s/s | anemia, perforation, fatigue weakness dizzy, hypotension |
| NG tubes what they do | nutrition, meds, decompression, lavage |
| decompression is | removal of gas and fluids |
| NG tubes - Feeding methods | bolus 15-30 min - intermittent 30-60 min |
