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Apex Nursing

Specialty Hub

Gastrointestinal Nursing

GI assessment, upper and lower GI bleeding, cirrhosis and portal hypertension, hepatic encephalopathy, ostomy care, liver laboratory values, and diagnostic procedures — for nursing students, med-surg nurses, and NCLEX preparation.

8 Guides8 References9 Charts

Guides

In-depth guides for gastrointestinal and hepatic nursing practice.

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Gastrointestinal Assessment

11 min

Comprehensive GI assessment guide for nurses — abdominal inspection, auscultation, percussion, palpation, bowel sounds, red flag findings, documentation, and NCLEX pearls.

GastrointestinalRead →

Upper GI Bleeding

12 min

Upper GI bleeding guide for nurses — common causes, hematemesis, melena, assessment findings, hemodynamic instability, treatment overview, nursing priorities, and NCLEX pearls.

GastrointestinalRead →

Lower GI Bleeding

11 min

Lower GI bleeding guide for nurses — common causes, hematochezia, assessment findings, diagnostic workup, treatment overview, nursing priorities, and NCLEX pearls.

GastrointestinalRead →

Cirrhosis & Portal Hypertension

13 min

Cirrhosis and portal hypertension guide for nurses — pathophysiology, ascites, esophageal varices, hepatic encephalopathy, laboratory findings, treatment overview, and nursing priorities.

GastrointestinalRead →

Acute Pancreatitis Nursing Care

10 min

Acute pancreatitis nursing care: autodigestion, gallstones and alcohol as top causes, epigastric pain boring to the back, lipase, Cullen's and Grey Turner's signs, hypocalcemia, and pain-fluids-rest priorities.

GastrointestinalRead →

Cholecystitis & Cholelithiasis Nursing Care

9 min

Cholecystitis and cholelithiasis nursing care: the 5 F's risk profile, RUQ pain after fatty meals, Murphy's sign, obstruction signs, lap chole and T-tube care, and low-fat teaching.

GastrointestinalRead →

Appendicitis & Peritonitis Nursing Care

9 min

McBurney's point, Rovsing's, psoas and obturator signs, rebound tenderness, the sudden pain relief that signals rupture, the no-heat/no-laxatives rule, peritonitis recognition, and post-appendectomy care.

GastrointestinalRead →

Bowel Obstruction Nursing Care

9 min

Bowel obstruction nursing care: mechanical vs functional (paralytic ileus), small- vs large-bowel patterns, adhesions and hernias, the obstipation-distension-vomiting picture, NG decompression, and recognizing strangulation.

GastrointestinalRead →

Clinical References

Quick-access GI references for bedside and NCLEX use.

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Liver Laboratory Values

Liver laboratory values reference for nurses — AST, ALT, ALP, GGT, bilirubin (total, direct, indirect), albumin, INR, ammonia normal ranges, elevated causes, and clinical interpretation.

GastrointestinalOpen →

GI Diagnostic Procedures

GI diagnostic procedures reference for nurses — EGD, colonoscopy, ERCP, capsule endoscopy, abdominal CT: indications, pre-procedure nursing, post-procedure monitoring, and complication surveillance.

GastrointestinalOpen →

Ostomy Basics

Ostomy basics reference for nurses — colostomy, ileostomy, urostomy output characteristics, stoma assessment, peristomal skin care, appliance management, and patient education.

GastrointestinalOpen →

Hepatic Encephalopathy

Hepatic encephalopathy reference for nurses — causes, ammonia metabolism, asterixis, mental status changes, West Haven grading system, lactulose therapy, and nursing management.

GastrointestinalOpen →

Acute Abdomen Assessment Reference

Reference on the named abdominal signs (McBurney's, Rovsing's, psoas, Murphy's, rebound, Cullen's, Grey Turner's), the inspect-auscultate-percuss-palpate sequence, and peritonitis red flags.

GastrointestinalOpen →

Pancreatitis Severity & Labs Reference

Amylase and lipase interpretation, the supporting labs (calcium, glucose, WBC, triglycerides, ALT), Ranson's criteria at admission and 48 hours, and the trend markers (BUN, hematocrit, CRP) that flag severe disease.

GastrointestinalOpen →

Diverticulosis vs Diverticulitis Reference

How out-pouchings form, the asymptomatic vs inflamed states, LLQ pain and fever of diverticulitis, the flipped fiber rule (high-fiber when well, bowel rest in a flare), complications, and the seeds-and-nuts myth.

GastrointestinalOpen →

Biliary Procedures & T-Tube Care Reference

Laparoscopic vs open cholecystectomy, ERCP indications and post-procedure monitoring (pancreatitis, perforation, cholangitis), and T-tube management: bag position, expected drainage, clamping trials, skin protection, and when to report.

GastrointestinalOpen →

Quick Charts

GI comparison charts and assessment reference tables.

All Charts →

Upper vs Lower GI Bleeding Chart

Upper vs lower GI bleeding comparison chart — anatomical source, stool findings, vomiting, BUN:Cr ratio, common causes, diagnostic tests, pharmacologic and endoscopic treatment, and nursing priorities.

GastrointestinalOpen →

Liver Lab Values Chart

Liver lab values chart for nurses — AST, ALT, ALP, GGT, bilirubin (total/direct/indirect), albumin, INR, ammonia, platelets with normal ranges, elevated/decreased causes, and clinical interpretation flags.

GastrointestinalOpen →

Ostomy Comparison Chart

Ostomy comparison chart for nurses — colostomy, ileostomy, urostomy side by side: anatomical source, location, output character, skin risk, pouch type, diet, and key nursing considerations.

GastrointestinalOpen →

Hepatic Encephalopathy Staging Chart

Hepatic encephalopathy staging chart — West Haven Criteria Grades 0 through 4 with mental status, neurological findings, and stage-specific nursing priorities.

GastrointestinalOpen →

Feeding Tube Types Comparison Chart

NG (Levin, Salem sump), small-bore ND/NJ, PEG, and PEJ tubes compared by placement, duration, best use, feeding method, and the key nursing consideration for each.

GastrointestinalOpen →

Acute Abdominal Pain by Location Chart

RUQ, epigastric, LUQ, RLQ, LLQ, and periumbilical pain mapped to the likely conditions and their hallmark signs — a fast bedside differential for the acute abdomen.

GastrointestinalOpen →

Small vs Large Bowel Obstruction Chart

Small-bowel vs large-bowel obstruction by onset, vomiting, distension, pain, obstipation, common causes, and the acid-base/electrolyte pattern — telling SBO from LBO at the bedside.

GastrointestinalOpen →

Cholecystitis vs Pancreatitis Chart

Pain location and radiation, hallmark signs (Murphy's vs Cullen's/Grey Turner's), key labs (alk phos/bilirubin vs lipase), causes, diet, and complications for the two upper-abdominal emergencies that share a gallstone link.

GastrointestinalOpen →

Appendicitis vs Diverticulitis Chart

Appendicitis vs diverticulitis by pain location (RLQ vs LLQ), typical age, hallmark signs, diet/management, and complications — two inflammatory conditions that mirror each other on opposite sides.

GastrointestinalOpen →

Suggested Learning Path

Build gastrointestinal nursing competency with this recommended sequence.

1
Gastrointestinal AssessmentInspection, auscultation, palpation, percussion, bowel sounds, abdominal signs, and nursing assessment priorities
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2
GI Diagnostic ProceduresEGD, colonoscopy, ERCP, capsule endoscopy, abdominal CT: indications, pre-procedure prep, and post-procedure monitoring
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3
Upper GI BleedingHematemesis, melena, peptic ulcer disease, varices, octreotide, PPI therapy, and emergent nursing management
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4
Lower GI BleedingHematochezia, diverticulosis, colorectal cancer, IBD, angiodysplasia, and nursing assessment priorities
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5
Upper vs Lower GI Bleeding ChartSide-by-side: source, stool findings, BUN:Cr ratio, causes, diagnostic tests, and nursing priorities
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6
Liver Laboratory ValuesAST, ALT, ALP, GGT, bilirubin, albumin, INR, ammonia — normal ranges and clinical interpretation
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7
Liver Lab Values ChartLiver labs side-by-side: normal ranges, hepatocellular vs cholestatic patterns, and nursing significance
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8
Cirrhosis and Portal HypertensionPathophysiology, ascites, varices, hepatorenal syndrome, MELD scoring, and nursing priorities
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9
Hepatic EncephalopathyAmmonia metabolism, asterixis, West Haven grading, lactulose and rifaximin therapy, and nursing management
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10
Hepatic Encephalopathy Staging ChartWest Haven Criteria Grades 0–4: mental status, neurological findings, and stage-specific nursing priorities
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11
Ostomy BasicsColostomy, ileostomy, urostomy — stoma assessment, peristomal skin care, appliance management, and patient education
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12
Ostomy Comparison ChartColostomy vs ileostomy vs urostomy: anatomical source, output character, skin risk, pouch type, and nursing considerations
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13
Acute Abdomen AssessmentThe named signs (McBurney's, Murphy's, rebound, Cullen's/Grey Turner's), the inspect-auscultate-percuss-palpate sequence, and peritonitis red flags
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14
Acute Pancreatitis Nursing CareAutodigestion, lipase over amylase, hypocalcemia, and the aggressive-fluids / pain-control / rest-the-pancreas priorities
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15
Cholecystitis & Cholelithiasis Nursing CareThe 5 F's, Murphy's sign, biliary obstruction signs, lap chole and T-tube care, and low-fat teaching
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16
Appendicitis & Peritonitis Nursing CareMcBurney's point, the sudden pain relief that means rupture, no heat / no laxatives, and post-appendectomy care
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17
Bowel Obstruction Nursing CareMechanical vs ileus, SBO vs LBO, NG decompression, fluid and potassium priorities, and spotting strangulation
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Related Specialties

Gastrointestinal nursing knowledge connects directly to these specialty areas.