Exam # 4 Study Guide:GI & Neuro

Exam # 4 Study Guide:GI & Neuro 1. Post-paracentesis complications Infection; Ascitic Leakage around site ; Abdominal wall hematoma 2.What do we encourage our patients to do after completing an oral barium diagnostic procedure? Drink plenty of fluids; Eat lots of food high in fiber ; Eat lots of fruits and vegetables 3.Know what hematochezia is and what labs you should be assessing if your patient is experiencing this. Hematochezia= Rectal bleeding. The blood is bright red. Labs: Cbc, Sigmoidoscopy, Physical exam of the rectum, Fecal occult blood 4.H. Pylori. What is it? How do you get it? What does it cause in the body? How is it treated? H. Pylori is an infection. Occurs in your stomach when there is bacteria. Is usually passed from person to person via saliva– vomit or stool. May also be spread from food and water. It attacks your stomach, causes inflammation,it can cause peptic ulcers, or gastritis. TX– abx and ppi’s 5. Know everything about dumping syndrome Eat smaller meals ; Avoid intake at fluids at meal times; No foods in high carbs S/S– dizziness, Palpitations, cramping, weakness 6.What are the potential complications with TPN? Dehydration & electrolyte imbalances; Thrombosis; Hyperglycemia & hypoglycemia; Infection; Liver failure 7. Post-liver biopsy nursing care Apply pressure. Position the patient on the r side for 2-4 hours with a small pillow under the coastal margin to provide extra pressure. Bedrest for at least 24 hours. VS 15 mins for 1 hour, q30 mins for q4 hours thereafter for 24 hrs. Monitor for pt bleeding and respiratory distress. Resume normal diet as ordered 8.GERD lifestyle changes you should teach your patient Decrease LES. No caffeine, chocolate, fatty foods, alcohol, peppermint. Avoid high levels of estrogen/progesterone since they increase GERD. Avoid bending; it tends to increase the amount of stomach acid that gets into the esophagus.