Digestive System Anatomy

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Included In This Lesson

Study Tools For Digestive System Anatomy

Anatomy of Pancreas in Upper GI Tract (Image)
Stomach Digestion (Picmonic)
Small Intestine Digestion (Picmonic)
GI Tract Anatomy (Cheatsheet)
Digestion Process (Cheatsheet)
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Outline

Overview

  1. General Structures
    1. Mouth → Oropharynx → Esophagus → Stomach → Small Intestine → Large Intestine → Anus
    2. Ancillary Glands
      1. Salivary
      2. Pancreas
      3. Liver
  2. General Functions
    1. Physical & chemical breakdown of large food stuffs into smaller nutrients
    2. Absorption – organic nutrients, vitamins, water, electrolytes
    3. Elimination of wastes (feces)

Nursing Points

General

  1. Physical / Chemical Digestion Process
    1. Mouth
      1. Mastication – chewing (physical breakdown)
      2. Salivary glands – release amylase
        1. Starches partially broken down into maltose
        2. Enzyme deactivated in stomach
      3. Deglutition – swallowing
        1. Bolus of food rolled by tongue to oropharynx
        2. Skeletal muscles contract (reflex)
        3. Bolus pushed into esophagus
        4. Pushed into stomach by peristalsis
    2. Stomach
      1. Gastric glands secrete gastric juices
        1. Hydrochloric Acid
        2. Pepsinogen converts to Pepsin
        3. pH 1.5 – 2.5
        4. Kills bacteria in food
        5. Pepsin + HCl digest proteins into proteoses and peptones
      2. Infants secrete rennin, which curdles milk in stomach
      3. Muscular contractions
        1. Mix and churn food with gastric juices → chyme
          1. pH 2.0
        2. Pushes chyme through pyloric sphincter to duodenum
    3. Small Intestine – majority of digestion and absorption happens here
      1. Pancreatic secretions
        1. Duodenum
        2. Inactive enzymes
        3. Sodium Bicarb → neutralizes chyme
      2. Duodenal cells secrete enteropeptidase
        1. Activate digestive enzymes from pancreas
      3. Chemical digestion
        1. Proteoses and peptones into peptides by Trypsin
        2. Starches fully broken down into maltose by Amylase
        3. Lipids emulsified by Bile
        4. Lipids broken down into fatty acids and glycerol by Lipase
      4. Succus entericus secreted from glands in small intestine → Enzymes
        1. Break down peptides into Amino Acids
          1. Dipeptidase
          2. Aminopeptidase
          3. Carboxypeptidase
        2. Maltose → 2 glucose by Maltase
        3. Sucrose → glucose + fructose by Sucrase
        4. Lactose → glucose + galactose by Lactase
      5. Muscular movements move food
        1. Segmental contractions (mix)
        2. Peristalsis (move)
      6. Absorption
        1. 10-20% of monosaccharides, fatty acids, and glycerol absorbed into capillaries
        2. 80% synthesized back into triglycerides and absorbed into lacteals (lymph) along with fat-soluble vitamins
    4. Large Intestine
      1. Bacteria and cellulose moved along tract
      2. Muscular movements – same as small intestine
      3. Absorption – in ascending colon
        1. Water
        2. Vitamin B complex
        3. Vitamin K
        4. NaCl
      4. Defecation – elimination of solid wastes
        1. Peristalsis moves fecal matter into rectum
        2. Stretch receptors → reflex
          1. Peristalsis
          2. Relax anal sphincter
        3. Abdominal muscles contract to help

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Transcript

All right in this lesson we’re going to take a look at the digestive system, and its major structures and functions.

The gastrointestinal tract or the alimentary canal as some people call it has lots of different parts. It’s basically a long tubing system and its main purpose is the physical breakdown of food into nutrients and then the absorption of those nutrients vitamin water and electrolytes.Not everything that we eat gets absorbed, so there are always some waste and these wastes are eliminated through feces.

When we look at the general structure of the GI tract the basic structures are the mouth, oropharynx, esophagus, stomach, small intestine, large intestine, and anus. There’s also some ancillary glands which help to produce enzymes that help the chemical breakdown of food. These glands are the salivary glands, pancreas, and also liver.

When we start at the mouth, the main purpose of the mouth when it comes to food is for chewing or mastication. It is literally the physical breakdown of food. There are some ancillary glands in the mouth, the salivary glands, and they released amylase. Amylase is an enzyme that breaks down starches and then as the food gets to the stomach that amylase is deactivated. There’s another process called deglutition which is the process of swallowing. As we chew our food, that bolus of food gets pushed back to the oropharynx with a tongue. Skeletal muscle contracts, and then that bolus is pushed down into the esophagus which is the main tube that connects the mouth to the stomach. As the bolus of food starts to go down the esophagus peristalsis happens and that bolus of food moves into the stomach.

As food moves from the esophagus to the stomach, glands in the stomach starts to secrete the gastric juices. The primary juice that secreted is hydrochloric acid. There’s also an enzyme called pepsinogen that secreted by the stomach cells, and that’s converted to pepsin. Pepsins main purpose is to break down proteins into smaller peptide chains. Because of the presence of hydrochloric acid the pH in the stomach is about 1.5 to 2.5. And what happens is with such a low PH, that helps to kill bacteria in the food. When we look at pepsin, and we add that to hydrochloric acid, that helps to digest the proteins by converting them into things called proteoses and peptones.

In infants, they also have another enzyme called renin which helps to curdle the milk in the stomach. This helps the infant to stay fuller for a longer period of time, and it also helps for better absorption for the infant.

In the stomach, the muscle walls contract to mix and turn the food and it also helps to combine the food that’s in there with gastric juices to create something called kind. Once chyme is pushed through the pyloric sphincter at the lower end of the stomach, into the first part of the small intestine called the Duodenum

Now that the food is in the small intestine, this is where the majority of digestion happens.

There’s going to be a lot of things that happen in the small intestine, but these are the big main points. It’s much easier for the body to absorb the nutrients if they’re in its simplest form. And that goes for all the macronutrients that we have. So it’s much easier for fat if they’re broken down into fatty acids to be absorbed in the GI tract. So in the small intestine the small intestine focuses on converting fats to fatty acids, proteins being converted into amino acids, and then your carbohydrates or starches, being converted into monosaccharides.

When we look at what happens in the GI tract, as the food comes down to pancreatic enzymes are released from the pancreas into the duodenum. They’re actually inactivated enzymes. But once they get into the duodenum, those enzymes are going to be activated. Muscular movement helps to move the food down, so these are segmental contractions would help to mix food, and peristalsis which helps to move the food. In the resources attached to this lesson, there is an outline which helps to explain which enzymes are related to breaking down all of these macronutrients into micronutrients, so I encourage you to check that out so you have a greater understanding of it. But what you need to know is that these large complex macronutrients are broken down into smaller counterparts. Once they’re ready to be absorbed, about 10 to 20% of them are absorbed as monosaccharides, fatty acids, and glycerol. The other 80% are synthesized back and absorbed by the lacteals, or the lymph portion of the GI tract.

Once the remaining unabsorbed food moves down into the GI tract, this isn’t mainly bacteria and cellulose, this middle contraction and peristalsis propels that bolus, or the remaining waist down. The movement is exactly the same as in the small intestine. The only difference here in the large intestine, is that the large intestine is primarily responsible for the absorption of a lot of things. This includes water, vitamin B complex, vitamin K, and sodium chloride. Once this bolus has moved into the rectum, the defecation process starts. What happens is the stretch receptors inside the rectum initiate the defecation reflex. When this happens, the anal sphincter relaxes, and peristalsis will move the feces out of the rectum and out of the body.

Okay so let’s recap.

The major functions of the GI tract are the chemical and physical breakdown of food into those nutrients and vitamins so that we can observe them.

The mouse main responsibility is to physically break down the food in this is the process of mastication.

The stomach is responsible for utilizing the physical and chemical mixing of food which helps to Initiate breaking down those macronutrients.Don’t forget that the stomach is an extremely acidic environment with a pH of about 1.5 to 2.5.

The small intestine is where the majority of digestion happens with a lot of enzymes breaking these macronutrients down even further.

In the large intestine versus where the major absorption of water, vitamin B, vitamin K, and sodium chloride happen, and this is the part of digestion where the wastes are eliminated through feces.

And that’s it for our lesson on the digestive system. Make sure you check out all the resources attached to this lesson. Now, go out and be your best selves today, and as always, happy nursing!

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Lower Gastric

Concepts Covered:

  • Digestive System
  • Upper GI Disorders
  • Emergency Care of the Trauma Patient
  • Oncology Disorders
  • Depressive Disorders
  • Medication Administration
  • Liver & Gallbladder Disorders
  • Disorders of Thermoregulation
  • Nervous System
  • Sensory System
  • Multisystem
  • Renal Disorders
  • Cardiac Disorders
  • Newborn Complications
  • Sexually Transmitted Infections
  • Delegation
  • Perioperative Nursing Roles
  • Lower GI Disorders
  • Legal and Ethical Issues
  • Preoperative Nursing
  • Eating Disorders
  • Respiratory Emergencies
  • Studying
  • Neurologic and Cognitive Disorders
  • Disorders of the Posterior Pituitary Gland
  • Disorders of Pancreas
  • Substance Abuse Disorders
  • Hematologic Disorders
  • Pregnancy Risks
  • Gastrointestinal Disorders
  • Noninfectious Respiratory Disorder
  • Integumentary Disorders
  • Respiratory Disorders
  • Immunological Disorders
  • Infectious Respiratory Disorder
  • Communication
  • Musculoskeletal Trauma
  • Disorders of the Thyroid & Parathyroid Glands

Study Plan Lessons

Digestion & Absorption
Hiatal Hernia
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Bariatric Surgeries
Trauma Survey
Stomach Cancer (Gastric Cancer)
Antidepressants
Nursing Care and Pathophysiology for Cholecystitis
Hyperthermia (Thermoregulation)
Inserting an NG (Nasogastric) Tube
NG (Nasogastric)Tube Management
NG Tube Med Administration (Nasogastric)
Cranial Nerves
Sensory Basics
06.03 Multi-System CCRN Important Points for CCRN Review
Antidepressants
Intake and Output (I&O)
Nutrition (Diet) in Disease
Enteral & Parenteral Nutrition (Diet, TPN)
Digestive System Anatomy
Stomach Video
Addicted Newborn
Anti-Infective – Tetracyclines
Accountability and Assistance for Personal Limitations for Certified Perioperative Nurse (CNOR)
Acute Abdomen for Certified Emergency Nursing (CEN)
Advanced Directive and DNR Status Confirmation for Certified Perioperative Nurse (CNOR)
Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)
ARDS causes Nursing Mnemonic (GUT PASS)
Bowel Perforation for Certified Emergency Nursing (CEN)
Cholecystitis for Certified Emergency Nursing (CEN)
Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)
Cimetidine (Tagamet) Nursing Considerations
Cirrhosis for Certified Emergency Nursing (CEN)
Diabetes Insipidus Case Study (60 min)
DKA Treatment Nursing Mnemonic (KING UFC)
Encephalopathy Case Study (45 min)
Famotidine (Pepcid) Nursing Considerations
Ferrous Sulfate (Iron) Nursing Considerations
Gastrointestinal (GI) Bleed Concept Map
GERD (Gastroesophageal Reflux Disease)
GERD causes Nursing Mnemonic (Reflux Is Probably Mean)
Head to Toe Nursing Assessment (Physical Exam)
Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)
Hyperemesis Gravidarum for Certified Emergency Nursing (CEN)
Inflammatory Bowel Disease Case Study (45 min)
Intussusception
Ischemic Bowel for Progressive Care Certified Nurse (PCCN)
Metoclopramide (Reglan) Nursing Considerations
NG Tube Medication Administration
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Appendicitis
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Intussusception
Nursing Care Plan (NCP) for Lyme Disease
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for Gastritis
Omeprazole (Prilosec) Nursing Considerations
Pancreatitis for Certified Emergency Nursing (CEN)
Pancreatitis For PCCN for Progressive Care Certified Nurse (PCCN)
Pantoprazole (Protonix) Nursing Considerations
Patient and Family Teaching (Per Procedure) for Certified Perioperative Nurse (CNOR)
Patient Positioning
Peptic Ulcer Disease Case Study (60 min)
Peritonitis for Certified Emergency Nursing (CEN)
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Ranitidine (Zantac) Nursing Considerations
Sucralfate (Carafate) Nursing Considerations
Toxic Ingestion, Inhalation, Overdose for Progressive Care Certified Nurse (PCCN)
Vitamin B12 Lab Values
Vitamin D Lab Values