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Flashcards in GI Deck (12)
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1
Q

If the patient with esophageal balloon has respiratory distress, what should you do?

A

Cut the balloon

2
Q

If the patient has liver disease, which med will remove nitrogenous materials (blood) out of the gut to prevent ammonia conversion?

A

Sorbitol

3
Q

What effect does Octreotide have? (3)

A

1) reduces abdominal blood flow
2) reduces gastric acid secretion
3) reduces GI mobility

4
Q

What effect does vasopressin have? (2)

A

1) constricts the arteriolar bed

2) decreased portal venous pressure

5
Q

JEOPARDY!!!!

Bluish discoloration around umbilicus, indicating hemhorragic pancreatitis.

A

What is Cullen’s sign ?

6
Q

JEOPARDY!!!!!

Flank discoloration indicating retroperitoneal bleeding.

A

What is Grey Turner’s sign?

7
Q

What is a life threatening complication of Small Bowel Obstruction? (Or just bowel obstruction)

A

Sequestration of fluid from the vasculature to third spaces, leading to HYPOVALEMIA

8
Q

Hand spasms in the patient with inflated blood pressure cuff is an indicator of which electrolyte being low?

A

Low calcium causes hand spasms when BP cuff is inflated (trousseau’s sign)

9
Q

Complications of acute pancreatitis?

A

Atelectasis, LLL
Left pleural effusion
B/L crackles
ARDS

10
Q

Which electrolyte imbalance will increase serum ammonia?

A

Hypokalemia

11
Q

How does increases BUN and increased serum protein and increase in lactic acidosis worsen encephalopathy?

A

Increased BUN, protein and lactic acidosis result in a breakdown of nitrogen. (Ammonia is NH3). So they will all worsen encephalopathy.

12
Q

Why should lactated ringer’s be used with caution in liver failure patients?

A

It can cause lactic acidosis because a healthy liver converts lactated ringers into bicarb. But a diseased liver will not