Helllo friends
Here i am providing you .GAstrointestinal system important notes based on examination point of view and will help to crack nurse grade 2nd examination or nursing officer examination. you can also get pdf file for Download at the end of notes. you can also get pdf file for Download at the end of notes.
Also Get Previous Year quetion paper and prepration notes for staff nurse Grade 2nd or nursing officer recruitments in PGIMER, Aiims DELHI, DSSB,RAILWAY, GMCH, JIPMER and Various state examination
Here i am providing you .GAstrointestinal system important notes based on examination point of view and will help to crack nurse grade 2nd examination or nursing officer examination. you can also get pdf file for Download at the end of notes. you can also get pdf file for Download at the end of notes.
Also Get Previous Year quetion paper and prepration notes for staff nurse Grade 2nd or nursing officer recruitments in PGIMER, Aiims DELHI, DSSB,RAILWAY, GMCH, JIPMER and Various state examination
Gastrointestinal system important points
- In acute pancreatitis, pain is severe and unrelenting located in the epigastric area and radiating to the back.
- In Cholecystitis pain is in right upper quadrant radiating to the right scapula and shoulder
- Fatigue and malaise are common in hepatitis A.
- The nurse highest priority after gastroduodenoscopy is to assess return of gag reflex.
- In chronic gastritis the patient is risk of deficiency of Vitamin B12
- Following cholecystectomy drainage from the t tube is initially bloody and then turns to greenish brown colour.
- The normal output from t tube is 500 to 1000ml per day.
- Crohns disease is characterized by non bloody diarrhoea.
- For the observation of presence of asterixis , ask the patient to extend the arm , the flapping movement will be observed of fingers and wrist.
- High protein diet should be avoided in patient with cirrhosis of liver because of high Ammonia level.
- In duodenal Ulcer the pain is relieved by taking meals.
- In patient with hiatal hernia if if he experiences heartburn following meal, lying recumbent following Meal is avoided.
- Protruding stoma :- bowel protruduce through stoma
- Sunken and hidden stoma :- stoma retraction
- Narrowed and flattened stoma :- stenosed
- Dark and bluish coloured stoma :- compromised circulation
- Following colostomy , within 72 hour of surgery the patient should begin to pass stool via colostomy
- The most frequent complication after ileostomy is fluid and electrolyte imbalance.
- Early sign and symptoms of dumping syndrome is sweating and pallor.
- Kocher’s incision is usually used in abdominal cystectomy
- Normal Ammonia level is 10 to 80 mcg/dl.
- Mosoprostol causes diarrhoea and abdominal pain and it is contraindicated in pregnancy.
- Tablet sucralfate is taken orally and should be taken empty stomach. One hr before meal.It may cause constipation.
- Nizatidine is drug of choice in liver disease.
- Antacid calcium carbonate side effect is constipation.
- Milk alkali syndrome (headache, urinary frequency, anorexia, nausea and fatigue can occur)
- To treat this pt should avoid milk products and vitamin D supplement.
- Metoclopramidecan cause restlessness, drowsiness and extrapyramidal reaction. It is usually administered 30 min before meals and bedtime.
- Metoclopramide can precipitate hypertensive crises in patient with pheochromocytoma.
- Metoclopramide can cause parkinsonian disease
- Alosetron is used for severe ibs.
- Antiemetics like ondesetron can cause drowsiness, therefore primary intervention is to protect patient from injury.
- The patient recieving lexative needs to increase fluid intake to prevent dehydration.
- Lactulose is used in prevention and treatment of portal sysremic encephalopathy.
- Loperamide is antidiarrheal agent. It is also used to reduce the volume of drainage from ileostomy.
- The most frequent central nervous system side effect of medication cemitidine is confusion
Pdf file download here :- Gastrointestinal disorders imp. Points