Chapter 38 Management of Patients with Intestinal and Rectal Disorder Notes

Chapter 38 Management of Patients with Intestinal and Rectal Disorder Notes

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Chapter 38 Management of Patients with Intestinal and Rectal Disorders Constipation Infrequent/ irregular Causes: medications, chronic laxative use, weakness, immobility, fatigue, inability to increase intra-abdominal pressure, diet, ignoring urge to defecate, and lack of regular exercise Older age Perceived constipation: subjective problem Constipation Manifestations Less than 3 BMs per week Distended Not hungry Headache Tired Indigestion Straining Hard, dry stool Complications Hypertension Fecal impaction Hemorrhoids Fissures Mega colon Patient Learning Needs What is normal? Fiber and water Go when you must go! Exercise Laxatives Diarrhea More than 3 stools/ day, lots of loose stool Urgency, perianal discomfort, incontinence
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Unformatted text preview: • Acute or chronic • Infections, medications, tube feeding formulas, metabolic/ endocrine disorders, various disease processes Diarrhea Manifestations • Abdominal cramps • Distention • Anorexia • Thirst • Borborygmus • Tenesmus Complications • Fluid and electrolyte imbalances • Dehydration – Muscle weakness, numbness/ tingling, hypotension, drowsy, • Skin breakdown • Cardiac dysrhythmias Patient Learning Needs • When to seek help? • Rest • Diet and fluid intake • Avoid irritating foods/ drinks • Perianal skin care • Medications • Avoid milk, fat, whole grains, fresh fruit, and vegetables – Lactose intolerance...
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  • Fall '13
  • Cannon
  • Gastroenterology, muscle weakness, Patient Learning Needs, perianal skin care, Intestinal and Rectal Disorders

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