Elimination Lecture
Exemplars-
● Neurogenic Bladder-spastic
● Paralytic Ileus-bowel obstruction
● Diverticulitis
A&P review-
Upper GI-mouth to pyloric sphincter
Middle GI- small intestine
Lower- large intestines
Diverticula- small pouch
Diverticulosis- more pouches are formed
Risk factors- age, low fiber, obesity, smoking, regular use of NSAIDS, family history, risk of
bleeding
*Asymptomatic, may have pain or gas every now and then. Changes in bowel habits are
possible
Diverticulitis- it's severely inflamed. Stool gets trapped in the pouches. Can burst. You end up
with peritonitis
Symptoms- acute pain in the left lower quadrant because that’s where the large intestine ends
Fever, WBC is elevated, basic infection signs, pain
Antecedents- Normal bowel movements. After every time someone eats. Melana- blood in the
stool
Attribute deficits- Regular formed stool
Negative consequences- constipation
Interrelated concepts- Alteration in fluid and electrolytes, nutrition, coping, metabolism, mobility
Risk factors- aging, smoking, low fiber diet, sedentary lifestyle, hx of constipation, obesity and
family hx
LATTE-
Look- Left lower quadrant pain, fever, look distressed, rebound tenderness, hypo or hyperactive
bowel sounds
Assessments- bowel sounds, vitals (everything is high), palpate, pain scale, hx of family and
personal medical history
Tests- CBC, Occult blood for stool, CAT scan of abdomen and pelvis, colonoscopy/biopsies
Treatments-NG tube for decompression, NPO, VT propolapsis, IV fluids, antibiotics, surgery is
only for an abscess or an obstruction.
**Education- INCREASE FIBER and MOBILITY, increase fluids
Diverticulitis requires more intervention than diverticulosis
Diverticulitis diet- small multiple snacks throughout the day, low fiber foods and low fat
Exemplars-
● Neurogenic Bladder-spastic
● Paralytic Ileus-bowel obstruction
● Diverticulitis
A&P review-
Upper GI-mouth to pyloric sphincter
Middle GI- small intestine
Lower- large intestines
Diverticula- small pouch
Diverticulosis- more pouches are formed
Risk factors- age, low fiber, obesity, smoking, regular use of NSAIDS, family history, risk of
bleeding
*Asymptomatic, may have pain or gas every now and then. Changes in bowel habits are
possible
Diverticulitis- it's severely inflamed. Stool gets trapped in the pouches. Can burst. You end up
with peritonitis
Symptoms- acute pain in the left lower quadrant because that’s where the large intestine ends
Fever, WBC is elevated, basic infection signs, pain
Antecedents- Normal bowel movements. After every time someone eats. Melana- blood in the
stool
Attribute deficits- Regular formed stool
Negative consequences- constipation
Interrelated concepts- Alteration in fluid and electrolytes, nutrition, coping, metabolism, mobility
Risk factors- aging, smoking, low fiber diet, sedentary lifestyle, hx of constipation, obesity and
family hx
LATTE-
Look- Left lower quadrant pain, fever, look distressed, rebound tenderness, hypo or hyperactive
bowel sounds
Assessments- bowel sounds, vitals (everything is high), palpate, pain scale, hx of family and
personal medical history
Tests- CBC, Occult blood for stool, CAT scan of abdomen and pelvis, colonoscopy/biopsies
Treatments-NG tube for decompression, NPO, VT propolapsis, IV fluids, antibiotics, surgery is
only for an abscess or an obstruction.
**Education- INCREASE FIBER and MOBILITY, increase fluids
Diverticulitis requires more intervention than diverticulosis
Diverticulitis diet- small multiple snacks throughout the day, low fiber foods and low fat
