NURS 3290 Lecture Notes - Lecture 14: X-Ray, Antiemetic, Stomach Cancer

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Treatment: h2 receptor antagonists, iv luid, ng lavage (stomach pumping), aniemeics, bland diet, antacids. Epigastric pain ater eaing not relived by antacids. Tests: gastroscopy, gastric analysis: achlorhydria (absence of hcl in gastric secreions) Gastroduodenostomy (billroth 1): creates new connecion between stomach and duodenum, in gastric cancer or to bypass pyloric obstrucion. Gastrojejunostomy (billroth 2): joins stomach and proximal jejunum. Total gastrectomy: remove stomach and atach esophagus to small intesine. Parial gastric resecion: only part of stomach removed. Cyanocobalamin (b12) for total gastrectomy deiciency can happen when there are stomach problems. More common in men but is increasing in women, Barium swallow: followed by x ray to idenify anatomical abnormaliies. Hemorrhage > shock > perforaion > peritoniis (inlammaion ater rupture) > gastric outlet obstrucion. Causes: pud, gastriis, esophageal varices, cancer, inlammaion of gi lining from ingested materials. Recovery posiion, raise hob, abcs, cbc, wbc, hgb, ptt, inr, group and match blood type.

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