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NURSING 3191 - Exam 1 Review.

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NURSING 3191 - Exam 1 Review.

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3191 Exam 1 Blueprint Notes


Chpt 43: Assessment of Digestive and Gastrointestinal Function


1. Describe the structure and function of the organs of the gastrointestinal (GI) tract.
 Small intestine
o Area of GI tract to allow secretion of mucus and absorption of nutrients that allow
them (nutrients) to move into the blood stream.
o Longest portion of the GI tract, consisting of three parts—duodenum, jejunum, and
ileum—through which food mixed with all secretions and enzymes passes as it
continues to be digested and begins to be absorbed into the bloodstream
 Large bowel
o Water reabsorption
o The portion of the GI tract into which waste material from the small intestine passes
as absorption continues and elimination begins; consists of several parts—ascending
segment, transverse segment, descending segment, sigmoid colon, and rectum; also
known as the colon
 Stomach
o Stores and mixes food with secretions
o Secretes HCl, a highly acidic fluid in response to the presence or anticipated
ingestion of food.
 Portal venous system
o Blood supply of GI tract
o Consists of 5 veins:
 Splenic vein
 Inferior mesenteric vein
 Gastric vein
 Superior mesenteric vein
 Cystic vein


2. Major function of the GI system
 Ingestion, digestion, absorption, elimination
o Breakdown of food particles into a molecular form for digestion
o The absorption into the blood stream of small nutrient molecules produced from
digestion
o Elimination of undigested unabsorbed food stuffs and other waste products.
 Ingestion: phase of the digestive process that occurs when food is taken into the GI tract via
the mouth and esophagus

, 3191 Exam 1 Blueprint Notes


 Digestion: phase of the digestive process that occurs when digestive enzymes and secretions
mix with ingested food and when proteins, fats, and sugars are broken down into their
component smaller molecules
 Absorption: phase of the digestive process that occurs when small molecules, vitamins, and
minerals pass through the walls of the small and large intestine and into the bloodstream
 Elimination: phase of the digestive process that occurs after digestion and absorption, when
waste products are evacuated from the body

3. Explain the mechanical and chemical processes involved in digesting and absorbing nutrients
and eliminating waste products.
 Mechanical
o Mertriculation
 Chewing
o Swallowing
 reflex controlled by medulla oblongata
 Chemical
o Enzyme and acid release


4. Enzymes responsible for the process of digestion/role of intrinsic factor and Role of acid in
the stomach r/t disease
 Secreted from salivary glands
o Ptyalin – begins digestion of starch in mouth
 Secreted by intestinal mucosa
o Amylase – begins digestion of starch in mouth
 Secreted by stomach/gastric mucosa
o Pepsin – protein
 Secreted by the pancreas
o Amylase – starch
o Lipase – lipids/fats
o Trypsin – digestion of protein
 Secreted by stomach
o Hydrochloric acid (HCl) – secreted in response to the actual or anticipated presence of
food.
o Acid secreted by the glands in the stomach; mixes with chyme to break it down into
absorbable molecules and to aid in the destruction of bacteria
 Intrinsic factor – b12
o Intrinsic factor helps b12 absorption in the ileum. An absence in intrinsic factor or b12 can
result in pernicious anemia.
 Labs would show decreased hematocrit and hemoglobin
 Anus
o Last section of the gastrointestinal (GI) tract; outlet for waste products from the GI system

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