NURS 3234 Lecture Notes - Lecture 14: Upper Gastrointestinal Series, Ileus, Bowel Obstruction
Document Summary
Gastrointestinal facts: factors affecting bowel elimination, age, diet and fluid intake*, activity*, psych, habits, pain, surgery, meds, decrease, in peristalsis. What does normal bowel function look like: strong peristaltic movements 1- 4x/day, bowel movements every day not every patient, slight pain with bowel movements abnormal, absence of flatus abnormal. Pain meds: physical assessment abdomen, anal area, bs"s, laboratory tests occult blood/stool culture, diagnostic tests bowel prep for colonoscopy, barium enema, upper gi series, cancerous may need more frequent colonoscopies. Nursing diagnoses: bowel incontinence, constipation, risk for constipation, gas/pain, hemorrhoids, bowel diversion, diarrhea, self care deficit: toileting. Simple conditions turn dangerous: constipation, bedrest, anxiety, pain, valsalva and heart, impaction, know the symptoms, bowel obstruction, diarrhea, fluid loss, dehydration (killer of children, electrolyte loss, ph imbalances (k, bicarb, bleeding, infection, c. diff, skin. ), normal stoma appearance bradycardia/hypotension: red, moist, patent, bowel training, skin integrity, hemorrhoids, temporary or permanent artificial opening in the abdominal wall =
