-
LOWER GASTROINTESTIANAL SYSTEM
- SMALL INTESTINES
- LARGE INTESTINES
- RECTUM
- ANUS
-
APPENDICITIS=INFLAMMATION OF THE APPENDIX S/S
FEVER, NAUSEA, VOMITING, ANOREXIA, PAIN RIGHT LOWER QUADRANT " AKA" "MCBURNEY'S POINT"
-
PERITONITIS=INFLAMMATION/INFECTION OF PERITONEAL CAVITY S/S
- ABDOMINAL PAIN
- ABDOMINAL RIGIDITY
- NAUSEA/ VOMITING
- FEVER
-
PERITONITIS NURSING DIAGNOSES
- ACUTE PAIN
- DEFICIENT FLUID VOLUME
- IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENT
-
DIVERTICULOSIS/DIVERTICULITIS
- DIVERTICULUM= OUTPOUCHING OF BOWEL MUCOUSE MEMBRANE
- DIVERTICULOSIS= MULTIPLE DIVERTICULA
- DIVERTICULITIS= INFLAMMATION/ INFECTION OF DIVERTICULUM
-
DIVERTICULOSIS/DIVERTICULITIS CAUSES
- CHRONIC CONSTIPATION
- DECREASED INTAKE OF DIETARY FIBER
-
CROHN'S DOSEASE
- INFLAMMATORY BOWEL DISEASE
- ANY PART OF THE INTESTINE
- REMISSIONS AND EXACERBATIONS
- CAUSE UNKNOWN
- HEREDITARY
-
-
CROHN'S DISEASE S/S
- ABDOMINAL PAIN OR CRAMPING
- WEIGHT LOSS
- DIARRHEA
- FLUID AND ELECTROLYE IMBALANCE
-
CROHN'S DISEASE COMPLICATIONS
- MALNUTRITION
- FISSURES= UNNATURAL TRACTS OR ULCERS
- ABSCESSES
- FISTULAS = ABNORMALCONNECTIONS BETWEEN STRUCTURES
-
DIAGNOSIS CROHN'S DISEASE
- LABORATORY TESTING
- ENDOSCOPY WITH BIOPSY
- ULTRASOUND
- MULTIPHASE CT ENTEROGRAPHY
- MAGNETIC RESONANCE ENTEROGTROGRAPHY
-
THERAPEUTIC INTERVENTIONS CROHN'S
- ANTI-INFLAMMATORIES
- ANTIDIARRHEAL
- ANTIBIOTICS
- BIOLOGICS
- CORTICOSTERIODS
- IMMUNOSUPPRESSANTS
- AVOID OFFENING FOODS
- SURGERY IF NECESSARY
- ELEMENTAL FORMULA OR TPN IF REQUIRRED
- SUPPORT AND EDUCTION
-
ULCERATIVE COLITIS
- INFLAMMATORY BOWEL DISEASE
- COLON AND RECTUM
- REMISSIONS AND EXACERBATIONS
-
ULCERATIVE COLITIS S/S
- ABDOMINAL PAIN
- 5 TO 20 STOOLS DAILY
- RECTAL BLEEDING
- FECAL URGENCY
- ANOREXIA
- WT LOSS
- CRAMPING
- VOMITING
- FEVER
- DEHYDRATION
-
THERAPEUTIC INTERVENTIONS ULCERATIVE COLITIS
- AVOID OFFENDING FOODS
- ANTI-INFLAMMATORIES
- ANIDIARRHEAL
- IMMUNOSUPPRESSANTS
- CORTICOSTERIODS
- SURGERY IF NECESSARY
- ELEMANTAL FORMULA OR TPN IF REQUIRED
-
INFLAMMATORY BOWEL DISEASE
- ACUTE PAIN
- DIARRHEA
- DEFICIENT FLUID VOLUME
- ANXIETY
- IMPAIRED SKIN INTEGRITY
- INEFFECTIVE NUTRITIONS: LESS THAN BODY REQUIREMENTS
- INEFFECTIVE COPING
-
-
IRRITABLE BOWEL SYNDROME S/S
- GAS
- BLOATING
- CONSTIPATION
- DIARRHEA
- ABDOMINAL PAIN
- DEPRESSION
- ANXIETY
-
IRRITABLE BOWEL SYNDROME
THERAPEUTIC INTERVENTION
- HIGH FIBER AND BRAN DIET
- AVOID TRIGGER FOODS
- SMALLER, FREQUENT MEALS
- STRESS MANAGEMENT
- BEHAVIORAL THERAPY
- EXERCISE
- MEDICATION
-
ABDOMINAL HERNIAS
- TYPES OF HERNIAS
- 1. INGUINAL
- 2. UMBILICAL
- 3. VENTRAL ( INCISIONAL)
-
CELIAC DISEASE
- DAMAGES TO THE LINEING OF THE SMALL INTESTINE ADAMAGE DUT TO EATING GLUTIN
- "WHEAT, BARLEY, TYE, AND POSSIBLE OATS"
-
THERAPEUTIC INTERVENTIONS FOR ABSORPTION DISORDERS
CELIAC DISEASE= HIGH-CALORIE, HIGH-PROTEIN, GUTEN-FREE DIET
-
BOWEL OBSTRUCTION
FLOW OF INTESTINAL CONTESNTS IS BLOCKED
- MECHANICAL= BLOCKAGE OCCURS WITHIN THE INTESTINE
- NON-MECHANICAL=PERISTALSIS IS IMPAIRED
- BOTH CAN BE PARTIAL OR COMPLETE
-
S/S BOWEL OBSTRUCTION
- ABDOMINAL PAIN
- BLOOD AND MUCUS PER RECTUM
- FECES AND FLATUS CEASE
- FECAL VOMITING MAY OCCUR
- BOWEL SOUNDS HIGH-PITCHED/TINKLING OR ABSENT
- ABDOMINAL DISTENTION
- FLUID/ ELECTROLYTE IMBALANCE
-
BOWEL OBSTRUCTION DIAGNOSIS
- ABDOMINAL X-RAY
- CT SCAN
- CBC AND ELECTROLYTES
-
THERAPEUTIC INTERVENTION BOWEL OBSTRUCTION
- NPO
- FREQUENT MOUTH CARE
- NASOGASTRIC TUBE
- FLUID AND ELECTROLYTE REPLACEMENT
- MEDICATION
- ANTIBIOTICS ANTI-EMETICS
- ANALGESICS
- SURGERY
-
LOWER GASTROINTESTINAL BLEEDING
- NURSING CARE
- MONITOR STOOLS, BLEEDING
- VITAL SIGNS
- DIAGNOSTIC PREP
-
COLORECTAL CANCER
CAUSED BY LACK OF DIETARY FIBER ANEMIA ABSTRUCTION
- S/S
- CHANGE IN BOWEL HABITS
- BLOOD OR MUCUS IN STOOLS
- ABDOMINAL OR RECTAL PAIN
- WT LOSS
- ANEMIA
- OBSTRUCTION
-
COLORECTAL CANCER
DIAGNOSIS
- COLONOSCOPY WITH BIOPSY
- SIGMOIDOSCOPY WITH BIOPSY
- PROCTOSIGMOIDOSCOPY
- CT SCAN
- ABDOMINAL AND RECTAL EXAMINATION
- IMMUNOLOGICAL TESTS
- FECAL OCCULT BLOOD
- CEA
-
COLORECTAL CANCER
THERAPEUTIC INTERVENTIONS
- SURGERY
- RESECTION
- ABDOMINAPERINEAL RESECTION
- COLOSTOMY
- RADIATION
- CHEMOTHERAPY
- MONOCLONAL ANTIBODY THERAPY
- ANALGESICS
- TPN AS NECESSARY
-
OSTOMY/STOMA/ABDOMINAL OSTOMIES
- SURGICALLY CREATED OPENING DIVERTS STOOLS OR URINE TO OUTSIDE OF BODY
- PORTION OF BOWEL SUTURED ONTO ABDOMEN
- IIEOSTOMY, COLOSTOMY, UROSTOMY
-
FOODS THAT CAN CAUSE ILEOSTOMY BLOCKAGE
COLE SLAW , CELERY, CORN, POPCORN, COCONUT, MUSHROOMS, NUTS, CHINESE VEGETABLE, GREEN LEAFY VEGETABLES, SPINACH, COLLARDS, MUSTARDS, APPLES, GRAPES, POTATOES, RAISINS, FIGS, APRICOTS, SAUSAGE, HOT DOGS BOLOGNA
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