Lower GI-original-chapter 43

Lower GI-original-chapter 43 - Lower Gastrointestinal...

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Click to edit Master subtitle style 5/8/11 Lower Gastrointestinal Problems Chapter 43
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5/8/11 Overview Constipation Inflammatory
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5/8/11 Diarrhea May be acute or chronic Acute may be Viral, bacterial, parasitic Chronic Treatment depends on cause Foods and medications that cause are avoided Antidairraheal agents given (Table 43-3
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5/8/11 Acute Abdominal Pain Symptom of many different types of tissue injury damage to abdominal to pelvic organs and blood vessels Pain common symptom of an acute abdomen Causes: Appendicitis, bowel obstruction,
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5/8/11 Acute Abdominal Pain Emergency management Table 43-13 pg 1045 Take vital signs immediately Look for signs of hypovolemia (increased pulse and decreased BP) Through pain assessment Assess abdomen Bowel sounds
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5/8/11 Irritable Bowel Syndrome Common problem affecting 10% to 15% of Western populations 2 to 2.5 times as many women as men seek health care services Characterized by intermittent and recurrent abdominal pain and stool pattern irregularities May be due to alterations in the enteric nervous system and/or autonomic nervous system
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5/8/11 IBS Clinical Manifestations Symptoms Diarrhea Constipation Alternating diarrhea/constipation Abdominal distention Excessive flatulence Bloating Continual defecation urge, urgency
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5/8/11 IBS Diagnostic Studies No specific findings Diagnosis made based on symptoms and ruling out other conditions Physical examination Past health history Psychosocial factors Family history Drug/diet history
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5/8/11 IBS Collaborative Care Patients do better with therapy if They have a trusting relationship with care provider Coping mechanisms Symptoms are less severe/frequent Based on dominant symptoms and their severity and on psychosocial factors Medical management
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5/8/11 IBS Collaborative Care Diet modification Fiber therapy (20 g/day) Antispasmodics Antidiarrheals Laxatives Serotonergic agents Antidepressants
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5/8/11 IBS Nonpharmacologic Treatments Education and reassurance Relaxation Stress management techniques Alternative therapies
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5/8/11 IBS Nutritional Therapy Eliminate gas-producing foods Brown beans Brussels sprouts, cabbage, cauliflower, raw onions Grapes, plums, raisins Eliminate fructose, sorbitol Determine if lactose intolerant
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5/8/11 Appendicitis Inflammation of the appendix Most common cause is obstruction of the lumen by feces Typical presentation: Pain, periumbilical, localizes at McBurney’s point rebound tenderness and guarding Low grade fever Anorexia nausea and vomiting WBC with diff elevated white count
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5/8/11
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5/8/11 Fig. 43-1
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5/8/11 Appendicitis Pre-op Interventions NPO IV fluids Monitor pain level Monitor for peritonitis Monitor bowel sounds Ice packs to abdomen
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5/8/11
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This note was uploaded on 05/08/2011 for the course NURSING 318 taught by Professor Turner during the Spring '11 term at Southwestern Adventist.

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Lower GI-original-chapter 43 - Lower Gastrointestinal...

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