Your patient is receiving tube feeding through an NG tube. How often and with ___ mL should the tube be flushed?
30mL every 4 hours
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Your patient is receiving TPN. How often should blood sugar checks be done?
Every 6 hours.
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Where is pain most common with Crohn's disease?
RLQ
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Where is pain most common with ulcerative colitis?
LLQ
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When should a daily dose of H2 Receptor Antagonists be taken?
Evening (basal acid)
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You patient has a BMI of 29. Are they considered obese?
No, BMI 30+ is obese; they are considered overweight
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Your patient is admitted with appendicitis and will have surgery today. An enema should be given preop to help clear out stool prior to surgery. True or False?
False: Enema/laxative= increase risk for bowel perforation
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What part of the GI tract can Crohn's affect?
All- Gums to Bums
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Blood in the stool is more common with ulcerative colitis or crohn's disease?
ulcerative colitis
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What is the most common test for Crohn's disease?
CT
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What are risk factors for GERD?
Overweight/Obesity, Pregnancy, Delayed Emptying of Stomach, Diseases of Connective Tissue
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What can worsen GERD symptoms?
Smoking, Chocolate, Coffee, Fatty Foods, Alcohol, Large Meals, Eating Too Close to Bedtime, Ibuprofen/Aspirin
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Barrett Esophagus is considered "pre-cancer". True or False
True: Barretts is cell changes- precursor to esophageal adenocarcinoma
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Prior to prescribing these meds as a treatment for your patient, which labs need to be checked for each? Tums? MOM?
Tums: Calcium; MOM: Magnesium
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How do proton pump inhibitors work?
Inhibit the stomach's H+/K+ ATPase proton pump; Most potent inhibitors of acid production
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Eating small meals can help manage symptoms of both GERD and PUD. True or False?
