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Med/Surg
Midterm: F&E, Digestive Tract
32
Nursing
Undergraduate 2
02/29/2012

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Cards

Term
What is a normal urine pH?
Definition
5-8
Term
What is a normal urine specific gravity?
Definition
1.010-1.025
Term
What is normal osmolality?
Definition
250-900
Term
Normal hematocrit level?
Definition
Females 38-47
Males 40-54
Term
Normal serum creatinine?
Definition
0.6-1.5
Term
Normal BUN level?
Definition
8-20
Term
Normal serum sodium level?
Definition
136-145
Term
Normal serum potassium level?
Definition
3.5-5
Term
Normal serum chloride level?
Definition
98-107
Term
Normal serum calcium level?
Definition
9-11
Term
S/S of GERD?
Definition
- N/V
- anorexia
- a feeling of fullness
- pain in the stomach area
Term
Treatment for GERD?
Definition
- fluids and food are withheld until the acute symptoms subside.
- IV fluids
- antacids
- VB12 for anemia
Term
Treatment for H. pylori?
Definition
- Omeprazole+ amoxicillin+ clarithromycin
Term
Nursing considerations for GERD?
Definition
- check for dehydration
- no meals before bed
- stay away for NSAIDS
Term
What is GERD?
Definition
Backward flow of gastric juices from the stomach into the esophagus.
Term
What is a peptic ulcer?
Definition
Loss of tissue from lining of the digestive tract.
Term
S/S of a peptic ulcer?
Definition
- burning pain
- nausea
- anorexia
- weight loss
Term
Treatment of a peptic ulcer?
Definition
- drug therapy:(Reglon, Carafate, and H2 receptors
- diet therapy
Term
Nursing considerations for a peptic ulcer?
Definition
- Pyloric Obstruction: swells so much causes blockage
Term
This peptic ulcer usually occurs 2-4 hours after a meal and is relieved with food?
Definition
Duodenal peptic ulcer
Term
This peptic ulcer usually occurs 1-2 hours after meals and worsens with food?
Definition
Gastric peptic ulcer
Term
What is diverticulitis?
Definition
Small saclike pouches in the intestinal wall.
Term
S/S of diverticulitis?
Definition
- rectal bleeding
- pain in LLQ
- N/V
- urinary problems
Term
Nursing interventions for diverticulitis?
Definition
- Pt can not eat: seeds, uncooked vegs, nuts, popcorn, corn
Term
Treatment for diverticulitis?
Definition
- stool softeners
- avoid opioids (Morphine)
- bedrest
- NPO
- gastrointestinal decompression
Term
What is an appendicitis?
Definition
Inflammation of the appendix.
Term
S/S of an appendicitis?
Definition
- pain at Mcburney point: RLQ
- Temp
- N/V
- elevated WBC
- increase pulse
- absent bowel sounds (peritonitis)
Term
Treatment for an appendicitis?
Definition
- NPO
- Surgery immediately
- wait 6-8 for surgery is appendicitis is already ruptured
Term
Nursing considerations for an appendicitis?
Definition
- do not give laxatives or heat
- if ruptured elevate HOB
- put in side-lying or semi-fowler position to decrease pain
Term
What is peritonitis?
Definition
Inflammation of peritoneum caused by chemical or bacterial contamination of the peritoneal cavity.
Term
S/S of peritonitis?
Definition
- pain over affected area
- rebound tenderness
- rigid and distended abdomen
- fever
- tachycardia
- N/V
- tachypnea
- hypotension
Term
Treatment for peritonitis?
Definition
- Surgery to close up rupture
- gastrointestinal decompression
- IV fluids
- antibiotics
- analgesics
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