1. Impact of malnutrition: Low mood
Weight loss
Low energy
Muscle wasting
Increased risk of fractures
Increased risk of hospital admissions
Confusion
Infections
Reduced independence
Increased risk for falls
Reduced mobility
2. Risks associated with obesity: Type 2 DM
Dyslipidemia
Cancer
Mood disorders
Heart disease
Reproductive disorders
Liver disease
Hypertension
3. Promotion of normal elimination: (POOPER SCOOP)
Position (upright, sitting)
Outpput (adequate hydration)
Offer fluids
Privacy
Exercise
Report results
Size (amount)
Consistency
Occult blood
Odor
Peristalsis
4. Foods that prevent constipation: Fresh fruit
Whole wheat toast
5. Expected findings with prolonged diarrhea: Hypotension
Elevated temperature
Poor skin turgor
6. GERD: Gastroesophageal reflux disease
Acid splashing in esophagus, burning tissue
,7. Risks for GERD: Obesity
Smoking
Pregnancy
Drinking alcohol
Acidic foods
8. Gastric reflux: Lower esophageal sphincter open allowing acid reflux
9. GERD ssx: Heart burn
Abdominal cramping
Nausea/vomiting
Tooth decay
10. GERD trigger foods: Foods difficult to digest
Gas forming foods
GMO foods
Things that relax LES (spicy, acidic, ETOH)
Refined carbohydrates
Food additives
Acid containing foods
Mint
Sugar alcohols
Too much sugar
11. Goals for tx of GERD: Eliminate symptoms
Heal esophageal mucosa
Maintain remission for a lifetime
Manage or prevent complications
12. Nursing care for GERD: Sit patient up during and after meals
Tums/Antacids
H2 receptor blockers
PPIs
13. Tums/Antacids: Neutralize pH
14. H2 receptor blockers: Pepcid
Decreases acid production
15. PPIs: Blocks proton pumps to block acid
Stronger than H2 receptor blocker
16. GERD education: Avoid triggers
Eat small frequent meals and not before bed
Untreated can lead to permanent damage
17. Expected finding for a patient with GERD: Loss of tooth enamel
18. Risk factors for PUD: Stress
H. Pylori
, Alcohol
Smoking
19. Duodenal ulcers: Most common
Well nourished
Pain 2-3 hours after eating
Food main decrease pain
20. Stress ulcers: Physiological stress shock
Cushing's ulcer - brain injury
Cushing's ulcer - extensive burns
21. Gastric ulcers: Weight loss
HCL normal or hyposecretion
Pain 1/2-1 hr after meals
Vomiting
Eating main increase pain
22. Upper GI bleed causes: Esophagus
-Esophageal varices
-Mallory-weiss tear
Stomach
-Ulcers
-Acute gastritis
Duodenum
-Ulcers
23. Lower GI bleed causes: Ileum, jejunun, colon
-polyps
-Cancer
-IBS
-diverticulitis (colon)
24. Dark tarry stools: Upper GI bleed
25. Bright red stools: Lower GI bleed
26. Chrons disease: Has a discontinuous pattern throughout the GI
Can affect the entire GI tract
27. Ulcerative colitis: Starts at the rectum and progresses continuously through
the colon
Affects only the colon
28. Ulcerative colitis ssx: Abdominal pain
Rectal bleeding
Bloody diarrhea
29. Chrons disease ssx: Abdominal pain
Diarrhea
Weight loss
Low energy
Muscle wasting
Increased risk of fractures
Increased risk of hospital admissions
Confusion
Infections
Reduced independence
Increased risk for falls
Reduced mobility
2. Risks associated with obesity: Type 2 DM
Dyslipidemia
Cancer
Mood disorders
Heart disease
Reproductive disorders
Liver disease
Hypertension
3. Promotion of normal elimination: (POOPER SCOOP)
Position (upright, sitting)
Outpput (adequate hydration)
Offer fluids
Privacy
Exercise
Report results
Size (amount)
Consistency
Occult blood
Odor
Peristalsis
4. Foods that prevent constipation: Fresh fruit
Whole wheat toast
5. Expected findings with prolonged diarrhea: Hypotension
Elevated temperature
Poor skin turgor
6. GERD: Gastroesophageal reflux disease
Acid splashing in esophagus, burning tissue
,7. Risks for GERD: Obesity
Smoking
Pregnancy
Drinking alcohol
Acidic foods
8. Gastric reflux: Lower esophageal sphincter open allowing acid reflux
9. GERD ssx: Heart burn
Abdominal cramping
Nausea/vomiting
Tooth decay
10. GERD trigger foods: Foods difficult to digest
Gas forming foods
GMO foods
Things that relax LES (spicy, acidic, ETOH)
Refined carbohydrates
Food additives
Acid containing foods
Mint
Sugar alcohols
Too much sugar
11. Goals for tx of GERD: Eliminate symptoms
Heal esophageal mucosa
Maintain remission for a lifetime
Manage or prevent complications
12. Nursing care for GERD: Sit patient up during and after meals
Tums/Antacids
H2 receptor blockers
PPIs
13. Tums/Antacids: Neutralize pH
14. H2 receptor blockers: Pepcid
Decreases acid production
15. PPIs: Blocks proton pumps to block acid
Stronger than H2 receptor blocker
16. GERD education: Avoid triggers
Eat small frequent meals and not before bed
Untreated can lead to permanent damage
17. Expected finding for a patient with GERD: Loss of tooth enamel
18. Risk factors for PUD: Stress
H. Pylori
, Alcohol
Smoking
19. Duodenal ulcers: Most common
Well nourished
Pain 2-3 hours after eating
Food main decrease pain
20. Stress ulcers: Physiological stress shock
Cushing's ulcer - brain injury
Cushing's ulcer - extensive burns
21. Gastric ulcers: Weight loss
HCL normal or hyposecretion
Pain 1/2-1 hr after meals
Vomiting
Eating main increase pain
22. Upper GI bleed causes: Esophagus
-Esophageal varices
-Mallory-weiss tear
Stomach
-Ulcers
-Acute gastritis
Duodenum
-Ulcers
23. Lower GI bleed causes: Ileum, jejunun, colon
-polyps
-Cancer
-IBS
-diverticulitis (colon)
24. Dark tarry stools: Upper GI bleed
25. Bright red stools: Lower GI bleed
26. Chrons disease: Has a discontinuous pattern throughout the GI
Can affect the entire GI tract
27. Ulcerative colitis: Starts at the rectum and progresses continuously through
the colon
Affects only the colon
28. Ulcerative colitis ssx: Abdominal pain
Rectal bleeding
Bloody diarrhea
29. Chrons disease ssx: Abdominal pain
Diarrhea
