what to eat with IBS - Answers high fiber: whole grain, lean protein, leafy veg
Small bowel obstruction concern - Answers Blockage in small intestine
malabsorption; fluid/electrolyte
Signs of small bowel obstruction - Answers Distention, constipation, nausea
Risks of colorectal cancer - Answers Red meat, smoking, bad diet, heavy drinking, older
population, fast foods, low fiber
Diet to prevent colorectal cancer - Answers Avoid bad foods, refined carbs, eat more leafy
vegetables like broccoli, decreased animal fat
Signs of sudden bowel obstruction and what to do first - Answers GI tries to push through =
peristaltic waves, high pitch bowel sounds
- call CT to rule out obstruction
Colostomy poop consistency; parts of colon - Answers Closer to stomach = liquid, more acidic;
closer to rectum = more formed
ascending, transverse, descending, sigmoid
Ostomy Care Teaching - Answers Proper sealant, empty bag when ⅓ to half full, use ostomy
barriers, does not need to be changed every day
what to do before Fecal occult blood test - Answers Lay off NSAIDs and red meat for 48 hours;
does not tell us cancer, does not replace colostomy
Stomatitis - Answers Inflammation of mouth
Mouth care for stomatitis; concern with an oral tumor; concerns wth viscous lidocaine -
Answers Don't use mouthwash, rinse with warm saline, use soft toothbrush, no acidic/spicy
food, don't wear dentures
Oral tumor → is my airway clear
Viscous Lidocaine: once mouth is numb it is prone to injury, check temp and sharp foods
what is our priority concern with Oral cancer; who is it risk; what is a sign of oral cancer -
Answers - Impair swallowing, aspiration precautions: make liquid thicker
- Highest risk: smokers and drinkers
- Mucosal erythroplasia: red spots in mouth → oral cancer
, Abdominal surgery types; what is our concern with open surgery - Answers Laparoscopic: less
invasive, less potential complications; Open: traditional surgery with postop risks like atelectasis
and pneumonia
what is Sialadenitis; what are some interventions - Answers - Salivary gland inflammation
- Warm compress and ivy fluids
(No ice, no glycerine, speaking isn't effective)
risk factors for gastritis; so what are we going to tell our patients - Answers - Risk factors:
chronic NSAIDs use, caffeine, alcohol, steroids
- stop smoking, stop drinking, no caffeine, avoid NSAIDs
intervention for viral gastritis - Answers drink lots of fluids, stay hydrated
main concern for peptic ulcer disease; what are we going to monitor for; what action to take -
Answers - GI bleeding
- monitor for changes in vital signs: low BP, tachycardia, orthostatic hypotension
- action: large bore IV in prep of blood transfusion
symptoms of an upper GI bleed - Answers low BP, tachy, dizzy, blood in vomit (hematemesis)
main concern with gastrectomy and what are the symptoms of it - Answers - Dumping
syndrome (too fast): dizziness, sweating, tachycardia after 30 minutes of eating
what is Crohn's disease - Answers Patchy inflammation, skip lesions, hyperactive bowel sounds
if you have a heavy draining fistula from crohn's, what are we looking out for and how are we
going to intervene? - Answers Diarrhea on the skin → protect skin
Diverticulitis disease; what kind of diet - Answers Outpouching/sacs on bowels; Diet: low
residue (no fiber)
Emergent finding of ostomy - Answers Blue or purple indicates not perfusing
most concerning electrolyte lab result from diarrhea - Answers Potassium: low from diarrhea
Ulcerative colitis concerns - Answers - Severe diarrhea leading to dehydration and hypokalemia
- heart rate: tachycardia,
- dysrhythmias (K+)
Gastroenteritis precautions; how to prevent it from spreading - Answers Contact precaution,
wash hands, don't share dishes/food, clean bathroom