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GASTRIN
hormone released by the stomach (continues)
3-1
(continued)
Stomach
Gastric juices are digestive secretions of the
stomach
Hydrochloric acid prepares the gastric area for
enzyme action.
As the hydrochloric acid is released, a thick mucus is
also secreted to protect the stomach from this harsh acid.
Pepsin breaks down proteins.
In children, rennin breaks down milk proteins, and
gastric lipase breaks down the butterfat molecules
of milk.
3-2
Functions of the stomach
Temporary storage of food
Mixing of food with gastric juices
Regulation of a slow, controlled emptying of
food into the intestine
Secretion of the intrinsic factor for vitamin B12
Destruction of most bacteria inadvertently
consumed
3-3
• You are preparing a teaching plan for the
nursing staff working on a gastrointestinal
floor.
• You plan to review the anatomy and
physiology of the stomach.
3-11 3-4
Copyright © 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved.
• You are preparing a teaching plan for the
nursing staff working on a gastrointestinal
floor.
• You plan to review the anatomy and
physiology of the stomach.
3-11 3-5
Copyright © 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved.
• Complete the following objectives to prepare
for your class:
Identify the three parts of the stomach.
Define chyme.
Identify the condition that results from lack of the
intrinsic factor in the stomach.
3-12 3-6
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• Fundus: upper portion of the stomach
• Body of the stomach: middle area
• Pylorus: end of stomach near small intestines
• Chyme: semiliquid mass of food and gastric
juices
• Pernicious anemia: lack of intrinsic factor
3-13 3-7
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Small Intestine
Hormones released
Secretin causes pancreas to release sodium
bicarbonate to neutralize acidity of chyme.
Cholecystokinin (CCK) triggers gallbladder
to release bile.
Bile
Emulsifies fat after it is secreted into small
intestine
Produced in liver; stored in gallbladder
(continues)
3-8
(continued)
Small Intestine
Enzymes are found in the pancreatic juice
that is secreted into small intestine:
Pancreatic proteases (trypsin,
chymotrypsin, carboxypeptidases): split
proteins
Pancreatic amylase: converts starches
(polysaccharides) to simple sugars
Pancreatic lipase: reduces fats to fatty acids
and glycerol
(continues)
3-9
(continued)
Small Intestine
Prepares foods for absorption
Produces enzymes
Lactase, maltase, sucrase convert lactose,
maltose, sucrose to simple sugars.
Peptidases reduce proteins to amino acids.
3-10
• A client with a duodenal ulcer asks you where
the ulcer is located.
How do you respond?
3-17 3-11
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• A client with a duodenal ulcer asks you where
the ulcer is located.
How do you respond?
3-17 3-12
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• The small intestine is divided into three
sections.
• The duodenum is the first section of the small
intestine.
• The jejunum is the middle section and the
ileum is the last section.
3-18 3-13
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Large Intestine
Colon walls secrete mucus to protect it
against acidic digestive juices in chyme.
Major tasks of the large intestine:
Absorb water
Synthesize some B vitamins and vitamin K
Collect food residue
3-14
• You are providing preoperative teaching to a
client who is going to have intestinal surgery.
• The client asks you to explain the structure of
the large intestine.
• How do you respond?
3-20 3-15
Copyright © 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved.
• You are providing preoperative teaching to a
client who is going to have intestinal surgery.
• The client asks you to explain the structure of
the large intestine.
• How do you respond?
3-20 3-16
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• The cecum (blind pocket), colon, and rectum
make up the large intestine. Contents travel
through:
Ascending colon
Transverse colon
Descending colon
Sigmoid colon
Rectum
Anal canal
3-21 3-17
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