DISORDERS OF THE GI SYSTEM NURS 5315 TEST 4|2023/24 UPDATE|GRADED A+
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Course
NURS 5315 UTA
Institution
NURS 5315 UTA
Primary manifestations of SRMD
GI bleeding
Cushing Ulcers
Stress ulcers that occur as a result of TBI or brain surgery
Upper GI bleed
any source of bleeding which occurs in the esophagus, stomach or the duodenum.
Upper GI bleed is characterized by...
frank, bright red or "c...
DISORDERS OF THE GI SYSTEM NURS 5315 TEST 4
Primary manifestations of SRMD - correct answer GI bleeding
Cushing Ulcers - correct answer Stress ulcers that occur as a result of TBI or brain surgery
Upper GI bleed - correct answer any source of bleeding which occurs in the esophagus, stomach or the duodenum.
Upper GI bleed is characterized by... - correct answer frank, bright red or "coffee ground" emesis
Upper GI bleed causes - correct answer bleeding varices (varicose veins) in the esophagus or stomach
peptic ulcers
gastritis
Mallory-Weiss tear (tearing of the esophagus from the stomach)
Lower GI bleed is found in the ... - correct answer jejunum, ileum, colon, or rectum
Lower GI bleed causes - correct answer inflammatory bowel disease, cancer, diverticula or hemorrhoids
Type of bleed commonly associated with colon cancer - correct answer occult GI bleed
Blood loss of 1000ml or greater will cause... - correct answer hypotension, tachycardia and if severe enough may lead to hypovolemic shock
Indicator of an upper GI bleed - correct answer Hematemesis
Hematemesis - correct answer bright red, bloody emesis Coffee ground emesis - correct answer indicator of upper GI bleed but is not necessarily emergent
Hematochezia - correct answer presence of bright red blood in the stools
Presence of hematochezia - correct answer suggests that the bleed is in the lower GI tract, usually in the rectum, sigmoid colon or the descending colon
Diarrhea is characterized by... - correct answer loose, watery stools
Acute diarrhea - correct answer presence of 3 loose stools that develops within 24 hours and lasts no longer than 14 days
persistent diarrhea - correct answer Diarrhea which lasts 14-30 days
Chronic diarrhea - correct answer present for longer than 30 days
Osmotic diarrhea - correct answer caused by the presence of a nonabsorbable substance in the intestines
how the laxatives mag citrate, lactulose and MiraLAX work - correct answer pulls water by osmosis into the intestinal lumen and results in large volume diarrhea
causes of osmotic diarrhea - correct answer tube feedings, dumping syndrome, malabsorption, pancreatic enzyme deficiency, bile salt deficiency, small intestine bacterial overgrowth, or celiac disease.
Secretory diarrhea - correct answer large volume losses secondary to infectious causes such as the rotavirus, bacterial enterotoxins, or C-diff
These infections trigger enteroendocrine cells to secrete 5HT and the activation of afferent neurons that stimulate submucosal secretomotor neurons and alter sodium chloride transport resulting in decreased
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