Disorders of the GI Tract - Nursing Management and Nutrition

Flashcards covering key concepts and nursing management related to disorders of the gastrointestinal tract, focusing on nutrition and related disorders.

What is the nursing management for patients receiving enteral nutrition support?

Use the nursing process as a framework.

What are some types of enteral feeding delivery methods?

Continuous infusion, cyclic feeding, intermittent, and bolus.

What are the two main categories of nutrition discussed in the lecture?

Enteral nutrition and total parenteral nutrition.

What is a common complication of enteral nutrition?

Aspiration.

What condition indicates the need for parenteral nutrition?

Insufficient oral or enteral intake.

What is the priority concept of the chapter?

Nutrition.

What are the purposes of enteral nutrition?

To provide nutrition when the patient cannot eat orally but has an intact GI function.

What does a clear liquid diet consist of?

Fluids that are clear and liquid at room temperature.

What is a duodenal ulcer?

An ulcer that occurs in the first part of the small intestine.

What is a common clinical manifestation of gastric ulcers?

Weight loss.

What medication class is commonly used for peptic ulcer disease?

H2R blockers.

What nursing consideration is critical when administering parenteral nutrition?

Monitor blood sugars every 4-6 hours.

What is a potential complication of parenteral nutrition?

Infection and sepsis.

What dietary modifications may be necessary for patients with Crohn’s disease?

High protein, high calorie, low fiber diet.

What procedure is often performed for severe ulcerative colitis?

Total colectomy with ileostomy.

What are the signs and symptoms of inflammatory bowel disease?

Chronic diarrhea, abdominal pain, weight loss, and fatigue.

What does a nursing diagnosis of 'Imbalanced Nutrition' indicate?

Nutritional intake is insufficient compared to the body's requirements.

What is dumping syndrome?

Symptoms such as nausea and diarrhea that occur after eating due to rapid gastric emptying.

How is aspiration as a complication of enteral nutrition managed?

By ensuring proper tube placement and maintaining head of bed elevation at 30 degrees.

What kind of diet is recommended for patients after GI surgery?

Clear liquid diet followed by gradual diet advancement.

What should be monitored to manage a patient receiving total parenteral nutrition?

Fluid and electrolytes.

What is the common cause of peptic ulcer disease?

H. pylori infection and NSAID use.

What are the common diagnostic assessments for peptic ulcer disease?

Testing for H. pylori, hemoglobin and hematocrit, and EGD.

What represents a priority collaborative problem for patients with peptic ulcer disease?

Acute pain due to gastric and/or duodenal ulceration.

What is the nursing implementation for managing nutrition therapy in ulcer patients?

Educate patients on dietary modifications and medication adherence.

What surgical intervention is performed for chronic peptic ulcer disease?

Vagotomy and plication or antrectomy.

How is Crohn's disease differentiated from ulcerative colitis?

Crohn's can occur anywhere in the GI tract and may involve all layers of the bowel wall.

What is the common laboratory finding in inflammatory bowel disease?

Anemia due to blood loss and malabsorption.

What medication class is used for treating flare-ups of IBD?

Corticosteroids.

What are some social determinants of health to assess in nutritional status?

Access to food, education, and socioeconomic status.

What common symptom indicates a complication of inflammatory bowel disease?

Weight loss and dehydration.

What is the role of a nurse when educating a patient about enteral nutrition?

Ensure understanding of administration techniques and potential complications.

What does 'advance diet as tolerated' refer to?

Increase diet progression based on patient’s condition and tolerance.

How often should patients receiving parenteral nutrition be weighed?

Weekly, and notify if weight changes exceed 1kg/day.

What are the risks associated with corticosteroid treatments in IBD?

Potential side effects such as osteoporosis and hyperglycemia.

What indicates a need for immediate medical intervention in cases of GI bleeding?

Active GI bleeding is a life-threatening emergency.