-
antidiarrheal meds contraindicated when?
infectious diarrhea. needs to run its course
-
types of stool tests?
- stool culture
- O&P- ova and parasites.
-
toxic megacolon
- acutely enlarged colon
- complication of other intestinal disorders
-
antidiarrheal meds
- pepto bismol
- immodium
- Lomotil
-
common meds to cause constipation?
- opioids, antacids (aluminum-containing), calcium channel blockers
- *any type of anticholinergic
-
insufficiency of __ & __ causes constipation?
fluid and fiber
-
hard stool, straining, hemmorhoids, thrombosed anal veins
symptoms of constipation
-
bearing down does what CV-wise?
slows down HR. may cause cardiac arrest
-
drug therapy for constipation?
laxatives
-
IBS has no ______ component!
inflammatory
-
appendix in what quadrant?
RLQ (tail of the cecum)
-
Blumberg's sign?
rebound tenderness
-
pain of appendicitis?
begins as periumbilical pain, shifts to RLQ. localized tenderness
-
McBurney's point
RLQ pain. exactly where appendix is
-
psosas sign
increased pain when legs are extended. pt will usually curl into ball
-
perforation can lead to
sepsis
-
abscess formation
body is walling off to protect itself from the infection/inflammation
-
CBC results for appendicitis?
- elevated WBC
- "shift to the left" - bandemia
-
bandemia ("left shift")
higher concentration of bands (immature WBCs) - sign of infection
-
peritonitis S/S
abd pain, shallow respirations, fever, distention, N/V
-
difference between IBS and IBD
IBS has NO inflammatory factors
-
inflammatory bowel diseases?
- autoimmune diseases
- genetic and environmental factors
-
ulcerative colitis location where?
from anus to colon.
-
chron's disease location where?
anywhere from anus to mouth
-
severe, constant abdominal pain is a sign of what?
peritonitis, acute perforation
-
S/S of ulcerative colitis?
bloody diarrhea, lower abd cramping, increased output, increased bleeding, systemic symptoms
worry for F/E imbalance, anemia
-
intestinal complications of ulcerative colitis?
- hemorrhage, strictures, perf, toxic megacolon
- ^ risk for colon cancer
-
systemic complications of ulcerative colitis?
joints, skin (psoriasis), mouth, eyes, malabsorption, gallstones, kidney stones, liver disease, osteoporosis
-
S/S of liver disease?
jaundice, ascites, weight loss, weakness
-
mesalamine
oral agent to decrease inflammation
-
corticosteroids (ulcerative colitis)
- decrease inflammation
- used during flares
-
anticholinergic agents
"dry you up"
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