Assessment of GI System (Ch. 44)

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Discharge teaching after colonoscopy with removal of polyp

-mild cramping and flatulence resolves after 24hrs -minimal bleeding normal -report s/s of perforation (excessive bleeding, N/V, fever)

Barium enema

3 cleansing enemas before

Enzymes that act on proteins

In stomach--> pepsin and hydrochloric acid In pancreas--> trypsin

lipase

acts on lipids (triglycerids)

ptyalin (salivary amylase)

digestion of starches

When gastric analysis testing reveals excess secretion of gastric acid, which diagnosis is supported?

duodenal ulcer

bile

enzyme secreted by liver and gallbladder

Post-barium enema

increase water intake

gastrin

inhibits gastric secretion and inreases production of bicarbonate-rich pancreatic juices, thus inhibiting gastric motility

increases gastric juices

gastrin

Hemoccult test

avoid red meat

pepsin

protein digestion

trypsin

protein digestion (from pancreas)

Glucagon

relaxes colonic musculature and reduces spasms

inhibits gastric secretions secretions (somewhat)

secretin

Liver bx

take vitamin K before

What age-related change increases r/f anemia?

atrophy of gastric mucosa--> reduces hydrochloric acid which then impairs absorption of iron and vitamin b12

Barium swallow

avoid smoking at least 1 day before

(((((((Prepping for barium swallow

avoid smoking for 24 hours before

hydrogen breath test evaluates absorption of?

carbohydrates

increases gastric secretions

cholecystokinin

most common symptom in GI dysfunction

dyspepsia (indigestion)

Excessive vomiting puts pt at r/f which acid-base imbalance?

metabolic alkalosis and hypokalemia

inhibitors effect on gastric secretions

neuroregulator: epinephrine

Which procedure is performed to examine and visualize lumen of small bowel?

small bowel enteroscopy

((((((Prepping for barium enema

three cleansing enemas before

***********************************Prepping for liver bx

vitamin k beofre

landmark for upper boundary for auscultating bowel sounds

xiphoid process


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