| A | B |
|---|
| stomach cancer dx | barium swallow, CT, biopsy |
| 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 |
| C-diff is resistant to | certain antibotics |
| Intestional obstructions - complications | peritonitis, electrolyte imbalance, necrosis, dehydration |
| s/s intestinal obstruction | abd pain, distention, projectile vomit - absent or increased bowel |
| reducible hernia, you can | place back in cavity - supine manual pressure |
| irreducible or incarcerated hernia | can not be replaced bk edema- surgery |
| appendicitis - rovsings sign | put pressure LLQ, but hurts on RLQ |
| peritonitis - what is it | contents from other organs spill n 2 cavity |
| peritionitis can cause | paralytic ileus, sepsis, death |
| s/s peritionitis | severe abd pain, boardlike abd, distention, absent bowel |
| ostomies - 2 common | iliostomy (small) colostomy (large) |
| healthy stoma | bright pink, red, moist, shiney |
| ulcerative colitis - causes | unknown, genetic, infection, allergy, abnormal immune response |
| ulcerative colitis lesions are | continous |
| ulcerative colitis has high occurence with __ and __ | abscesses and perforations |
| s/s ulcerative colitis | abrupt onset, sudden sever bloody mucocus diarrhea |
| Large intestine function | absorbs water, some electrolytes and bile and sends rest to anus |
| 3 accessory digestive organs | liver gallbladder pancreas |
| liver forms and releases | bile, protein, fats carbs stores glycogen |
| gallbladder holds | bile made from liver - |
| when we eat food, gallbladder contracts and | releases bile to duodenum where aids in absorption |
| ___ in hepatic encephalopathy crosses the blood-brain barrier | ammonia |
| hepatic encephalopathy | amonia on the brain |
| 4 types of angina | stable, unstable, variant, microvascular |
| stable angina | 75% occlusion, high HR or BP, eathing large meal |
| unstable angina | 90% occlusion, chest pain increased freq poorly relieved rest |
| variant angina | arterial spasm in normal or diseased CA |
| microvascular angina | contriction of myocardial capillaries too small for test to detect |
| Coronary Angioplasty aka | balloon |
| Coronary Angioplasty procedure | balloon tipped catheter inserted, inflated to increase lumen |
| Care after Coronary Angioplasty | no lifting more 10lbs, bike, driving, mowing 3 days |
| atherectomy | removal of hard plaque - rotorooter |
| Cardiac tamponade results in | impaired filling of blood, death if not treated |
| Right heart failure s/s | JVD distension, peripheral edema |
| Left heart failure s/s | crackles, S3 gallop, friction rub |
| Thrombosis | formation of blood clot |
| Thrombus | stationary blood clot |
| Embolus | moving clot |
| Thrombophlebitis | inflammation of vein accompanied by clot or thrombus |
| damaged cells release enzymes n 2 blood stream | cardiac markers |
| cardiac markers (6) | myoglobin, troponin T troponin I CK-MB AST LDH |
| biggest test to confirm MI | troponin - healthy person will not have elevated |
| M O N A | morphine, ox, nitro, asa |
| MI Treatment PCTA | balloon angioplasty - 2 hr w/sx |
| MI surgical treatment | CABG - Coronary artery bypass |
| MI meds | asa, antiplatelet, hypertension |
