Test 5 Study Guide copy.docx - Test 5 Med/Surg 54 55 56 57...

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Test 5 Med/Surg: Chapter 52, 53, 54, 55, 56, 57, 58, 59 Chapter 52 Amylase - Carbs Lipase - Fats Trypsin - Proteins Parietal cells - absorbs B12 Peristalsis -muscle contraction that moves food through digestive tract Dyspepsia - Indigestion, heartburn Gallbladder - stores bile Liver - produces bile Fat-soluble vitamins- A,D,E,K Aspirin overdose- Tinnitus Protonix (Pantoprazole)- give before meals Best indication of bowl movement- passing gas Small intestine: Duodenum, Jejunum, Ilium Steatorrhea - fat in the stool Inspection: -Distension -Scabs -Don’t push on area Percussion : -Typnay -Sounds dull over impacted area Assessment: -Changes in weight -Any changes in bowel function -Use of laxatives -History of smoking -History of GERD -History of alcohol -Pain medications (can lead to constipation) -Bleeding (Aspirin) -Appetite increase or decrease Diagnostics: -Colonoscopy -Drink Golytely -EGD (esophagogastroduodenoscopy) Auscultation : -5 to 30 bowel sounds per quadrant -Listen for 1 full minute -Start with right lower
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  • Summer '16
  • SusanJ.Hart
  • Nursing

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