Either po or flush tube monitor skin turgor for

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Either PO or flush tube Monitor skin turgor for hydration Encourage to swallow small amounts of water if allowed Care of dry mouth skin, and signs of tenting for dehydration Illness/Disease – PUD; IBS/IBD; Dwarfism; hypothyroidism, hyperthyroidism; DM 1 & 2. PUD - Peptic Ulcer Disease ( Risk factors H. Pylori Smoking, Blood O, Caffeine, HX PUD, Stress Drugs: Corticosteroids, NSAIDs, Platelet inhibitors Etiology, H.Pylori - Gram Negative Bacterium
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Too much gastric acid NSAIDS Hyposecretion of adequate mucus S/S, complications (SATA) . Related nursing assessment, nursing actions (including patient teaching). Patient statements that indicates understanding of illness and their change in lifestyle/behavior. Medications indicated – purpose, related nursing assessment, nursing actions (including patient teaching). Proton Pump Inhibitors (Prilosec) MOA: Reduces acid secretion, by reversing H,K,-ATPase Short term use, 4-8 weeks for PUD/GERD Onset 1hr , Takes 2 hrs , Lasts 72hrs Take before breakfast, empty stomach SE: Headache, Nausea, diarrhea, rash, abd pain Long term = gastric cancer CNS depressant = increase blood levels Warfarin = increase likelihood of bleeding Alcohol = aggravate stomach mucosa, and decrease the effectiveness of omeprazole Nelfinavir/Rilpivirine = Lowers serum levels of these drugs Check LFT - meds might store in the liver PATIENT TEACHING
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Never crush or chew Low fat diet, Increase Exercise, No drink/smoke, NSAIDS, Caffeine Med takes days to week to work REPORT IMMED - severe abd pain, blood vomit/stool Check up/Lab work H2-receptor antagonists (Tagamet) Antacids Antibiotics Misoprostol (Cytotec - Category X - kills fetus) IBS - Irritable Bowel Syndrome Known as spastic colon/mucous colitis Lower GI disorder SI/SX Abd pain, cramping, bloating, gas Constipation alternating w/ diarrhea, mucus in stool Functional bowel disorder Impatied function w no detectable disease Factors of stress and diet TX Identification and avoidance of triggers Symptomatic Tx Anticholinergic Meds
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Reduce bowel spasms Dicyclomine (Bentyl) Alosetron (lotronex) women 18+ severe diarrhea IBD - Inflammatory Bowel Disease Ulcerative colitis - Erosions in large intestine Crohn's disease - ulceration in distal part of small intestine Symptoms range from mild to acute Abd cramp and diarrhea Periods of remissions and exacerbations TX 5-aminosalicylic acid (5-ASA) agents Sulfonamide Sulfasalazine (Azulfidine) Treat Crohn’s disease Don’t administer - allergic to sulfonamide antibiotics or Lasix Don’t crush or chew Preg Category B SE: GI RELATED - nausea, vomit, diarrhea, dyspepsia, abd pain Skin rashes, may impair male fertility, photosensitivity Blood dyscrasias, divide dose evenly Contraindications Sensitivity, pre existing anemia, folate disorders = can cause blood dyscrasias Hepatic impairment - hepatotoxicity
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  • Fall '17
  • Blood sugar, Ulcerative colitis

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