NSG 3105 Lecture Notes - Lecture 5: Ileus, Upper Gastrointestinal Series, Pressure Measurement

• School: University of Ottawa
• Department: Nursing
• Course: NSG 3105
• Professor: Backman

Document Summary

Incidence increases bc associated with weak diaphragm, obesity, kyphosis, use of corsets (all increase pressure in abdo: 1st indications are bleeding due to esophagitis or resp. complications related to aspiration. Intestinal obstruction: mechanical occlusion of lumen usually in sm. intestine or ileum, carcinoma common in lg. intestine, nonmechanical neuromuscular or vascular disorder ex. Inspect for scares, palpable masses, distension: nsg diagnoses, acute pain related to abdo distention and increased peristalsis, deficient fluid volume related to decreased intestinal fluid absorption or loss of fluids (vomiting) Sodium and chloride: transcellular (small amount in cs space, gi, pleura, synovial cavity, peritoneum, 1l water weighs 1kg therefore very critical to monitor weight. Imbalances common in most pts with major illness either direct (ex. Diuretics, iv therapy: extracellular fluid volume, hypovolemia ex. diarrhea, correct underlying cause and replace water and e, balanced iv solutions (ex. Lr) or isotonic nacl (rapid), or blood: hypervolemia ex.