100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Jean Inman_ Domain II Part II - Questions with Explanations of Answers $9.30   Add to cart
Quickly navigate to
Preview
  2.  
  3. Jean Inman Domain
  4.  
  5. Jean Inman Domain
  6.  
  7. Jean Inman Domain

Exam (elaborations)

Jean Inman_ Domain II Part II - Questions with Explanations of Answers
 7 views  0 purchase
  • Course
  • Jean Inman Domain
  • Institution
  • Jean Inman Domain

Jean Inman_ Domain II Part II - Questions with Explanations of Answers

Preview 2 out of 15  pages

Document information

  • June 16, 2024
  • 15
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • jean inman domain ii part ii questions with exp

Written for

  • Jean Inman Domain
  • Jean Inman Domain
  • Jean Inman Domain
All documents for this subject (153)

Seller

avatar-seller
stuviaexam

Content preview

Jean Inman: Domain II Part II
GI Ulcer - ✅✅--Eroded mucosal lesion
-Tx: Antacids, antibiotics if d/t *H. Pylori*

-Drug therapy: Cimetidine, Ranitidine...H2 blocker; prevents binding of histamine to
receptor, decreases acid secretion

-Diet: as tolerated, well-balanced, avoid late night snacks.

-Omit gastric irritants: Cayenne + Black pepper, large amounts of chili powder,
excess caffeine or etoh

Hiatal Hernia - ✅✅--Protrusion of the stomach above the diaphram into the chest
-Diet: *Small* frequent bland feedings, avoid late night snacks, caffeine, chili powder
and black pepper

Dumping Syndrome - ✅✅--*Follows a gastrectomy* (Billroth I, II)
-S/s: Cramps/full feeling, rapid pulse, weakness, perspiration, dizziness

-When rapidly hydrolyzed, CHO enters jejunum, water is drawn into GI
osmotically...casuses decrease in in vascular fluid compartment and peripheral
vascular resistance....BP drops....could cause reactive hypoglycemia....

Billroth I - ✅✅--Also known as gastroduodenostomy
-Attaches remaining stomach to duodenum

Billroth II - ✅✅--Also known as gastrojejunostomy
-Attaches it to the jejunum. When food bypasses the duodenum, the secretion of
secretin and pancreozymin by the duodenum is reduced. These hormones normally
stimulate hte pancreas, so now little pancreas secretion.

-*Calcium and iron absorption are adversly affected*

Considerations in Billroth I and II - ✅✅-*Anemia*
-B12 deficiency - lack of instrinsic factor and bacteral overgrowth in loop being
bypassed interfere w/ B12 abs....pernicious anemia dx using "Schilling Test"

, -Folate deficiency - needs B12 to transport inside the cell, also d.t poor folate intake
and low serum iron


*Diet*

-Small frequent, dry feedings
-Fluid only before or after meals
-Restrict hypertonic concentrated sweets...50-60% complex CHO...Lactose may be
poorly tolerated
-Protein at each meal
-Moderate fat
-B12 injections may be needed

Gastroparesis - ✅✅ --Delayed gastric emptying...could be d/t surgery, DM (high BG
detrimental to gastric nerves), viral infections, obstruction

-Prokinetics such as erythromycin, metoclopramid increase stomach contractility

-Diet: small frequent meals, pureed food, avoid high fiber, avoid high fat (liquid fat
may be better tolerated)

-Bezoar formation may be d/t undigested food or meds...tx includes enzyme or
endoscoptic therapy

Tropical sprue - ✅✅--Bacterial, viral, parasitic infection
-Chronic GI distress, intestinal lesions, may also effect stomach

-Diarrhea, malnutrition, deficiencies of B12 and folate d/t decreased HCl and intrinsic
factor

-Tx: antibiotics, high calories, high protein, B12 injections, oral folate supps

Celiac disease, gluten induced enteropathy (non-tropical sprue) - ✅✅ --Gluten
refers to large stoarge proteins (*Prolamins*: gliadin in wheat, secalin in rye, hordein
in barley, avenin in oats)

-Rxn to gliadin affects jejunum and ileum (proximal intestine)

-Malabsorption...leads to loss of fat soluble vitamins, macrocytic anemia, weight loss,
diarrhea, steatorrhea, iron deficiency anemia

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller stuviaexam. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $9.30. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79223 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$9.30
  • (0)
  Add to cart