Oozing of diarrhea stool is a sign liquid portion

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oozing of diarrhea stool is a sign (liquid portion seeps around impacted mass); anorexia, N/V, abdominal distension, rectal pain are also signs; gently perform digital exam and palpate for mass (stimulates the Vagus Nerve) Lactose intolerant: client lacks enzyme needed to digest cow’s milk sugar lactose; results in diarrhea, cramps, or flatulence (can be mistaken for food allergy, but this is different) Laxatives: soften stool and promote peristalsis; milder than cathartics; overuse can cause serious diarrhea that leads to dehydration and electrolyte depletion; alter other medications by changing transit time (the time the medication is in the GI tract and available for absorption) Cathartics: soften stool and promote peristalsis; chronic use causes large intestine to lose muscle tone and become less responsive to stimulation by laxatives Ostomy: location of ostomy determines the consistency of the output (closer to ascending colon, stool is more liquidy; stool is more of a solid the closer you get the the descending colon) Paralytic ileus: direct manipulation of the bowel that temporarily stops peristalsis; usually lasts about 24 to 48 hours; surgery causes Stoma: temporary or permanent artificial opening in the abdominal wall Valsalva maneuver: voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway; assists in stool passage; patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound should avoid straining to pass a stool -Demonstrate ostomy pouching procedures (p. 1211-1215) -Review procedures for FOBT (p. 1189) -Review enema/digital stool removal procedures (p. 1199-1202) -Review common gastric decompression tubes (Levine/Salem Sump- usually large bore) (p.1203) -Demonstrate ability to measure/insert/secure/maintain/ (irrigate) and check for placement of NG tube for gastric decompression (p. 1204-1209) -Identify factors affecting bowel elimination (p. 1177-1178) -Review common elimination problems (p. 1179-1181) -Review bowel diversion (colostomy/ileostomy) locations and indications -Review normal/abnormal age appropriate fecal characteristics (p. 1190) -Review EBP for treatment of constipation in the elderly Chapter 48 Skin & Wound Care ABD (abdominal pad)- type of large dressing; disadvantage- if on abdomen while pt is laying on back blood may drain down their sides and pool behind them; check for this w/ I&O Decubitus ulcer, pressure sore, bed sore (other names for pressure ulcer)- localized injury to the skin and other underlying tissue, normally over a bony prominence, as a result of pressure or pressure in combination with shear and/or friction. Pressure ulcers usually develop within first 2
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Skills Test 3 weeks of hospitalization. HBOT (hyperbaric oxygen therapy)- helps oxygen move through cells better; helps healing (person stands in transparent hyperbaric chamber for therapy) Maceration- process of softening a solid by steeping in a fluid Necrosis- cell death/tissue death NPWT- (negative pressure wound therapy) or VAC (vacuum assisted closure) Undermining (
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