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Assessment of a patient with a GI disorder. By Gabie Gomez. Assessment ( subjective). Past history: smoking, alcohol use, medication abuse, recent travel, food intake. Pain (oral, tongue,throat, abdominal) Appetite Pyrosis Dysphagia Dyspepsia (nausea, eructation, distention) Weakness

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Presentation Transcript
assessment subjective
Assessment (subjective)
  • Past history: smoking, alcohol use, medication abuse, recent travel, food intake.
  • Pain (oral, tongue,throat, abdominal)
  • Appetite
  • Pyrosis
  • Dysphagia
  • Dyspepsia (nausea, eructation, distention)
  • Weakness
  • Diarrhea or Constipation
assessment objective
Assessment (objective)
  • Vitals signs
  • Feel for hard spots/distention(palpitate 4 quadrants)
  • Skin color
  • Edema
  • Abdomen distention
  • Wheezing
  • Weight Loss
  • Stool color, consistency, presence of ascites, frequency, blood, and last BM
  • Hematemesis
outcomes planning
Outcomes/Planning
  • Relief pain and discomfort
  • Stabilization of fluid and electrolyte imbalance
  • Having no complications
  • Resume normal activity
  • If possible return to normal pancreatic and liver function
  • Patient will feel rested and assist in ADL’s.
implementation
Implementation
  • Assessment
  • Monitor nutritional status
  • Administer medication
  • Relieving pain
  • Managing fluid and electrolyte imbalance
  • Prevent wound infections
  • Eliminate smoking, and excessive alcohol abuse
  • Promote normal bowel elimination
  • Stoma care
slide8
Meds
  • Antacids( maalox, mylanta, titrialac)

Action: Neutralizes gastric acid.

Side Effects: Constipation, chalky taste, diarrhea, increased thirst, stomach cramps

Nursing Implication: Monitor electrolyte with long tem use

Intervention: Do not take antacids if you have signs of appendicitis or an inflamed bowel.

slide9
Meds
  • Antiemtic: (Dramamine,Compazine, Promethazine,Reglan)

Action: Blocks central vomiting center.

Side Effects: Drowsiness, dry mouth, constipation

Nursing Implication: Avoid the use with other CNS depressants and alcohol.

Intervention: They may may produce hypotension when used with antihypertensives, nitrates, or acute ingestion of alcohol.

slide10
Meds
  • H2 receptor blockers (Zantac, Pepcid, axid, Tagamet)

Action: decrease acid by blockingthe production of gastric acid, used to heal ulcers and relieve the symptoms of pain

Side Effects: confusion, headache, constipation, diarrhea.

Nursing Implications: Increases serum levels, effects anticoagulants

Interventions: Do not give histamine receptor antagonist within 2 hours of antiacids.

slide11
Meds
  • Antibacterial therapy (Flagyl, tetracycline, biaxin, prilosec)

Action: kills or prevents the growth of certain bacteria and protozoa (single cell animals).

Side Effects:clumsiness, dizziness, or unsteadinessfever or chills, sore throat, numbness, tingling, pain or weakness in the hands or feet, seizures (convulsions) skin rash, itching

Nursing Implications: Smoking should be eliminated

Interventions:Dietary modifications are necessary, foods and beverages irritating to the pt. should be avoided .

slide12
Meds
  • Proton pump inhibitor: ( Zantac, Pepcic, Nexium)

Action: antisecretory agent that inhibits secretion of gastrin by the parietal cell of the stomach.

Side effects: Headache, dizziness, abdominal pain, nausea, vomiting, bone marrow suppression(rare).

Nursing Implications: Inhibits hepatic metabolism of warfarin, phenytonin and other drugs.

Interventions: Do not chew or crush capsule contents

slide13
Meds
  • Mucosal healing agents(Carafete)

Action: Heals ulcers without antisecretory properties, possibly by adhering to the proteins in the ulcer base.

Side effects: Constipation, hypophosphatemia

Nursing Implication: Take Carafate 2 a other drugs can interfere with absorption.

Intervention:If Carafate is taken with certain other drugs, the effects of either could be increased, decreased, or altered.

slide14
Meds
  • Antisecretory and cytoprotective: (Cytotec)

Action: prostaglandin (hormone-like substance), reduces the production of stomach acid and protects the stomach lining against NSAID induced ulcers.

Side effects:Constipation, gas, indigestion, headache, heavy menstrual bleeding, cramps, paleness, stomach or intestinal bleeding, vomiting

Nursing Implications: Avoid with the use of alcohol or sedatives

Interventions: To reduce the risk of diarrhea, take Cytotec with food and avoid taking it with a magnesium-containing antacid

the end

THE END

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