Nur 2603 Exam 2 Comprehensive Focused Review 2

lOMoARcPSD|28205643 NUR 2603 Exam 2 Comprehensive Focused Review 2NUR2603 Exam 2 Focused Review GI Disorders Common symptoms of GI disorders Dysphasia- difculty swallowing Esophageal Pain-heart burn(pyrosis), chest pain, obstruction, spasms Abdominal pain Vomiting Intestinal Gas-distention, belching Diarrhea constipation Peptic Ulcer Disease Complication: Gastritis, bleeding of ulcers, perforation of ulcer into muscle Cause: NSAIDs, Pylori. Treatment: Stop NSAIDS and treat H. Pylori with antibiotics, medication to reduce acid = proton pump and H2 antagonist S/S: Epigastric pain, GI bleeding with no warning signs Pathophysiology: Injury to the mucosa of the esophagus, stomach, and duodenum caused by action of acid and pepsin Pseudomembranous colitis Complications: Cause: Antibiotics use, Clostridium difcile (exposure to antibiotics) Treatment: Stop antibiotics (if possible), treat ischemia, oral antibiotics (metronidazole, vancomycin), and treatment of contributing conditions, fecal transplant tube in stomach and transfer stool from health person to unhealthy person, ColectomyS/S: Diarrhea (often bloody), abdominal pain, fever, leukocytosis, sepsis, colonic perforation(rare). Pathophysiology: Acute inammation and necrosis of large intestineAppendicitis Complications: Causes: Obstruction of fecalith Treatment: Surgical removal, antibiotics with uids/electrolyte replacement, tube drainage and antibiotics for localized abscesses S/S: Periumbilical pain, RLQ pain (McBurneys Point), nausea, vomiting, fever, diarrhea, RLQ tenderness, systemic signs of inammation. Note: Unlike gastritis, pain