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 Hepatitis is an inflammation of the liver cells.
 The disease progresses with the increase in
inflammation and necrosis interfering with
blood flow to the liver.
 Percutaneous/permucosal exposure to blood
or blood products
 Unprotected sex with infected individual
 Perinatal transmission (Infants born to
infected mothers)
 Contaminated needles users
 Asymptomatic
 Malaise
 Fatigue
 Myalgias (muscle pain)
 Hepatic tenderness
 Hepatomegaly and
spleenomegaly
 The HBV vaccine is
the best means of
prevention
 Acute infection:
supportive care such
as rest, proper diet
 Chronic infection:
Antiviral medications
such as Lamivudine
(Epivir-HBV)
 IBD can affect structures or segments along
the gastrointestinal tract.
 The exact cause is unknown and there is no
cure.
 Genetics
 Culture (Caucasians and Jewish)
 Gender and age (young adulthood prone in
females and older adulthood prone in males)
 Diet (low fiber diet)
 Smoking
 Stress
 Autoimmunity and infection
 Abdominal cramping pain
 Diarrhea
 Fever (intermittent)
 Rectal bleeding (Bloody stools)
 Weight loss (malabsorption and nutritional
deficiencies)
 Fatigue
 PUD is an erosion of the mucosal lining of
the stomach or duodenum
 The erosion can lead to exposition of the
epithelium to gastric acid which can
precipitate bleeding and perforation
 Helicobacter pylori (H. pylori) infection
 Nonsteroid anti-inflammatory drug (NSAID)
and corticosteroid use
 Severe Stress
 Type O blood
 Excess alcohol intakes
 Chronic pulmonary or kidney disease
 Dyspepsia- heartburn, bloating, nausea, and
vomiting
 Pain (gastric ulcer: cramps upon ingestion of
food; duodenal ulcer: pain after meal
relieved by eating or antacid)
 Bloody emesis or stools
 Weight loss
 Epigastric pain upon palpation
 GERD is characterized by acidic gastric
content and enzymes leaking into the
esophagus
 These fluids irritate the esophageal tissue
 Obesity
 Older age
 Sleep apnea
 Use of nasogastric tube
 Increased gastic acid caused by stress or
medications such as NSAIDs
 Diet an lifestyle changes
 Medications such as:
Antacids; aluminum hydroxide (Mylanta)
H2 receptor Antagonists; ranitidine (Zantac)
famotidine (Pepcid)
Proton Pump Inhebitors; omeprazole (Prilosec)
Prokinetics; metoclopramide (Reglan)
Fremgen, Bonnie F.
Medical Terminology: A Living Language/
Bonnie F. Fremgen, Suzanne S. Frucht-5th
ed.
Lewis, Dirksen
Medical-Surgical Nursing: Assessment and
Management/ Dirksen Lewis, Heitkemper
Bucher-8th ed.

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Digestive system Ch.8

  • 1.
  • 2.  Hepatitis is an inflammation of the liver cells.  The disease progresses with the increase in inflammation and necrosis interfering with blood flow to the liver.
  • 3.  Percutaneous/permucosal exposure to blood or blood products  Unprotected sex with infected individual  Perinatal transmission (Infants born to infected mothers)  Contaminated needles users
  • 4.  Asymptomatic  Malaise  Fatigue  Myalgias (muscle pain)  Hepatic tenderness  Hepatomegaly and spleenomegaly  The HBV vaccine is the best means of prevention  Acute infection: supportive care such as rest, proper diet  Chronic infection: Antiviral medications such as Lamivudine (Epivir-HBV)
  • 5.  IBD can affect structures or segments along the gastrointestinal tract.  The exact cause is unknown and there is no cure.
  • 6.  Genetics  Culture (Caucasians and Jewish)  Gender and age (young adulthood prone in females and older adulthood prone in males)  Diet (low fiber diet)  Smoking  Stress  Autoimmunity and infection
  • 7.  Abdominal cramping pain  Diarrhea  Fever (intermittent)  Rectal bleeding (Bloody stools)  Weight loss (malabsorption and nutritional deficiencies)  Fatigue
  • 8.  PUD is an erosion of the mucosal lining of the stomach or duodenum  The erosion can lead to exposition of the epithelium to gastric acid which can precipitate bleeding and perforation
  • 9.  Helicobacter pylori (H. pylori) infection  Nonsteroid anti-inflammatory drug (NSAID) and corticosteroid use  Severe Stress  Type O blood  Excess alcohol intakes  Chronic pulmonary or kidney disease
  • 10.  Dyspepsia- heartburn, bloating, nausea, and vomiting  Pain (gastric ulcer: cramps upon ingestion of food; duodenal ulcer: pain after meal relieved by eating or antacid)  Bloody emesis or stools  Weight loss  Epigastric pain upon palpation
  • 11.  GERD is characterized by acidic gastric content and enzymes leaking into the esophagus  These fluids irritate the esophageal tissue
  • 12.  Obesity  Older age  Sleep apnea  Use of nasogastric tube  Increased gastic acid caused by stress or medications such as NSAIDs
  • 13.  Diet an lifestyle changes  Medications such as: Antacids; aluminum hydroxide (Mylanta) H2 receptor Antagonists; ranitidine (Zantac) famotidine (Pepcid) Proton Pump Inhebitors; omeprazole (Prilosec) Prokinetics; metoclopramide (Reglan)
  • 14. Fremgen, Bonnie F. Medical Terminology: A Living Language/ Bonnie F. Fremgen, Suzanne S. Frucht-5th ed. Lewis, Dirksen Medical-Surgical Nursing: Assessment and Management/ Dirksen Lewis, Heitkemper Bucher-8th ed.