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associated with right-sided lesions dull abdominal painmelena (black, tarry stools)associated with left-sided lesions(obstruction)abdominal paincrampingnarrowing stoolsconstipationdistention
bright red blood in the stool. Symptoms associated with rectal lesionstenesmus (feeling of incomplete defecation)rectal painalternating constipation and diarrheabloody stool Diagnosis:SCREENING is important (colonoscopy)Adults should start to get screened at 50 years oldComplications:Tumor growth may cause partial or complete bowel obstruction or perforation. Treatment:Depends on the stage of the disease and consists of surgery to remove the tumor, supportive therapy, and adjuvant therapySurgery is the mainstay of treatment for colorectal cancer. It may be curative or palliative.Surgical management: Page 1346
12.Ostomies*Ostomy care/Nursing Interventions (Table 47-7 and 47-8)1.Sigmoid(Solid/formed feces)2.Descending(Semi-formed)3.Transverse(Formless)4.Ascending(Semi-liquid)5.Cecostomy(Semi-fluid/Fluid)6.Ileostomy(Semi-fluid/Fluid)
13.Total Parenteral NutritionRequires central line with PUMPProvide needed calories, spares body proteins from catabolism for energy requirementsComplicationsFluid Imbalance- TPN hyperosmolar stimulates fluid shifts. Esp. watch those withCRI or CHFElectrolyte Imbalances- may need to alter contents of TPN. Monitor serum and electrolyte values frequentlyHyperglycemia- frequent blood glucose checks(Listen to lecture to fill in)Keep refrigeratedCentral line neededFilter neededDedicated lineDiscontinue gradually to avoid _______________May have to start taking __________Recipe changes dailyChange tubing with each new bagALWAYS on a pump!Most frequent complication is _______
*Fill in for reviewCrohn’s DiseaseUlcerative ColitisEpidemiologyPathophysiologyManifestations
Describe the collaborative care and nursing management of the following Acute appendicitisPeritonitisGastroenteritisPUDGERD
Formulate nursing diagnoses and therapeutic nursing interventions for persons experiencing GI tract disorders.