Nursing 1180A/B Chapter 22: Gastrointestinal Assessment - Jensen's Health Assessment Reading Notes
22 Mar 2016
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Pregnant women: abdomen muscles relax allows uterus to protrude in abdominal cavity for fetus, rectus abdominis muscles separate, stomach is pushed into diaphragm, compression of bowels decreased bowel sounds. Newborns, infants, children: newborn"s gi takes up a lot of room intrinsically, abdominal muscles are not developed common protuberance. Organs are more easily palpated: intolerance of certain formulas/new foods, pica excessive ingestion of non-foods, toilet training may result in constipation, childhood obesity and malnutrition. Adolescents: most common age for development of eating disorders. Older adults: reduced production of saliva and stomach acid, gastric motility and peristalsis are slow. May lead to difficulty swallowing, malabsorption, etc: lack of teeth difficult and painful mastication, reduced muscle mass and tone may contribute to constipation, may be malnourished due to difficult preparing/acquiring food, medications. African canadians: sickle-cell disease, glucose-6-phosphate dehydrogenase (g6pd) deficiency. Drug induced anemia caused by genetic lack of g6pd enzyme in rbcs. Hemolysis may be triggered by aspirin-containing medications.
