NR 576 Week 8 Final Study Guide Worksheet

Disease Risk Subjec琀椀ve Finding Objec琀椀ve Diagnos琀椀cs Treatment Educa琀椀on Findings Gastroesophageal Stomach or Heartburn/reflux Occult blood in History alone Mild to moderate s/s- Encourage the Reflux Disease duodenal contents occurs when lying stool has sensi琀椀vity h2 blockers (琀椀dine) pa琀椀ent to (GERD)- back flow into down or a昀琀er of 80%, bid, if no stop using BURNING PAIN esophagus ea琀椀ng. ambulatory improvement start PPI NSAIDS, avoid Lifestyle- reclining Epigastric pain esophageal ph weight li昀琀ing. a昀琀er ea琀椀ng, / CHEST PAIN , monitoring, - severe s/s- Lifestyle Erosive alcohol, spicy intermi琀琀ent pain barium endoscopy done modi昀椀ca琀椀on esophagus- food, Sour taste in swallow upper - PPI- 8 week course Weight loss associated with heavy li昀琀, straining, morning, endoscopy - Maintenance Small and epigastric pain, nico琀椀ne, alcohol, belching,cough with biopsy therapy is frequent meals, di昀케culty caffeine especially at night. necessary for avoid high fat, swallowing and ,hoarsness severe erosive spicy food, reflux, can lead Di昀케culty esophagi琀椀s. caffeine, onions, to esophageal swallowing feels garlic, quit bleeding and like some food got smoking, avoid common in ETOH stuck, pharyngi琀椀s, 琀椀ght garments use and NSAIDS, worse with bending around the heart burn is also at waist waist, sleep with s/s head of bed elevated. Heartburn Most common Burning sensa琀椀on Endoscopy Clinical -Antacid - calcium Teach the cause is GERD - Regurgita琀椀on Esophageal ph diagnosis carbonate pa琀椀ent that Spicy food, - Dysphagia monitoring -H2 receptor- antacids may fa琀琀y,acidic, fried, - Chest pin antagonist contain caffeine, alcohol rani琀椀dine and magnesium, and carbonated famo琀椀dine which may beverages -PPI - cause diarrhea. Obesity omeprazole, Pregnancy lansoprazole Hiatal hernia Smoking jrb/2021 Disease Risk Subjec琀椀ve Finding Objec琀椀ve Diagnos琀椀cs Treatment Educa琀椀on Findings H. Pylori- is a type - poor sanita琀椀on, Burning an gnawing Chronic h pylori Urea breath Amoxicillin, Prac琀椀ce good of bacteria that crowded living pain in upper could lead to test- measure clarithromycin and hygiene and infects the condi琀椀ons abdomen between anemia - iron levels of omeprazole for 2 avoid stomach lining - Increase with age meals or during de昀椀ciency due to carbon dioxide weeks contaminated and can lead to - Close contact night chronic bleed in breath a昀琀er food and various with infected Nausea vomi琀椀ng from ulcer diges琀椀on of water gastrointes琀椀nal person Loss of appe琀椀te solu琀椀on Medica琀椀on condi琀椀ons, - Higher Indiges琀椀on containing adherence including gastri琀椀s, prevalence in urea pep琀椀c ulcers, and developing -Stool an琀椀gen even stomach countries test cancer Upper endoscopy Biopsy Cons琀椀pa琀椀on- Elderly- Ribbon like stool Stool for Increase dietary 昀椀ber change in bowel polypharmacy, lack occult blood to 25-35 mg/day, pa琀琀ern, decrease of dietary 昀椀ber, exercise, adequate frequency or habitual use of hydra琀椀on. increase in laxa琀椀ves, IBS, Medica琀椀on- bulking di昀케culty of Sedentary lifestyle, agents ( psyllium). defeca琀椀on. hypothyrodism, Stool so昀琀ners- diabetes , meds- docusate, saline codeine, morphine, laxa琀椀ves- magnesium calcium channel sulfate, s琀椀mula琀椀ng blockers laxa琀椀ves, lubricants- mineral oil. jrb/2021 jrb/2021 Disease Risk Subjec琀椀ve Finding Objec琀椀ve Diagnos琀椀cs Treatment Educa琀椀on Findings Diver琀椀culi琀椀s- Obesity, Low Le昀琀 lower quadrant Inflamed Stool - posi琀椀ve High 昀椀ber diet, daily - colonoscopy, occurs most o昀琀en 昀椀ber diet, chronic pain and diver琀椀cula- fever, for occult 昀椀ber supplement follow up descending