Tips on How to Review for ISPN Examinations
20
Gastrointestinal Disorders and Medications
胃肠系统疾病及用药
The gastrointestinal (GI) tract is a 23- to 26-foot-long (7 m to 7.9 m) pathway that extends from the mouth to the esophagus, stomach, small and large intestines, and rectum to the terminal structure, the anus. As with all other organ systems, the GI tract is subject to circulatory disturbances, faulty nervous system control, and aging. Therefore, abnormalities of the GI tract can also affect other organ systems, including bleeding, perforation, obstruction, inflammation, and cancer. Congenital, inflammatory, infectious, traumatic, and neoplastic lesions have been encountered in every portion and at every site along the length of the GI tract.
For review of GI disorders and medications, main points will focus on diagnostic tests and nursing care related to the various gastric or intestinal disorders, GI tubes, gastric surgery, cirrhosis, hepatitis, pancreatitis, and colostomy care as well as preprocedure and postprocedure care of the client undergoing a gastrointestinal diagnostic test. Special attention should be paid to anything different from care of other systems, such as diet restrictions before and after the diagnostic test and the importance that the gag reflex or bowel sounds must return before allowing a client to consume food or fluids.
As usual, our discussion of this subject will include:
1. Anatomy and Physiology
2. Assessment and diagnostic procedures
3. GI intubation and special nutritional modalities
4. Common gastrointestinal disorders and interventions
5. Gastrointestinal medications
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