2. Cushing Ulcers: Stress ulcers that occur as a result of TBI or brain
surgery
3. Upper GI bleed: any source of bleeding which occurs in the esophagus,
stomach or the duodenum.
4.Upper GI bleed is characterized by...: frank, bright red or "coffee ground"
emesis
5. Upper GI bleed causes: bleeding varices (varicose veins) in the
esophagus or stomach
peptic
ulcers
gastritis
Mallory-Weiss tear (tearing of the esophagus from the stomach)
6. Lower GI bleed is found in the ...: jejunum, ileum, colon, or rectum
7. Lower GI bleed causes: inflammatory bowel disease, cancer,
diverticula or hemorrhoids
8. Type of bleed commonly associated with colon cancer: occult GI bleed
9. Blood loss of 1000ml or greater will cause...: hypotension, tachycardia
1/
,and if severe enough may lead to hypovolemic shock
10.Indicator of an upper GI bleed: Hematemesis
11.Hematemesis: bright red, bloody emesis
12.Coffee ground emesis: indicator of upper GI bleed but is not
necessarily emergent
13.Hematochezia: presence of bright red blood in the stools
14.Presence of hematochezia: suggests that the bleed is in the lower
GI tract, usually in the rectum, sigmoid colon or the descending colon
15.Diarrhea is characterized by...: loose, watery stools
16.Acute diarrhea: presence of 3 loose stools that develops within 24
hours and lasts no longer than 14 days
17.persistent diarrhea: Diarrhea which lasts 14-30 days
18.Chronic diarrhea: present for longer than 30 days
19.Osmotic diarrhea: caused by the presence of a nonabsorbable
substance in the intestines
20.how the laxatives mag citrate, lactulose and MiraLAX work: pulls water
by osmosis into the intestinal lumen and results in large volume
diarrhea
21.causes of osmotic diarrhea: tube feedings, dumping syndrome,
2/
, malabsorp- tion, pancreatic enzyme deficiency, bile salt deficiency,
small intestine bacterial overgrowth, or celiac disease.
22.Secretory diarrhea: large volume losses secondary to infectious
causes such as the rotavirus, bacterial enterotoxins, or C-diff
23. These infections trigger enteroendocrine cells to secrete 5HT and the
ac- tivation of afferent neurons that stimulate submucosal secretomotor
neurons
3/
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