MODULE 3: ELIMINATION GI Elimination (Chapters 52 & 55-57):

 Assessment techniques o Start at RUQ o Inspection, auscultation, palpation  Do NOT palpate if appendicitis or abdominal aneurysm is suspected. o Percussion and deep palpation: APRN’s & HCP’s  Diagnostics (labs, endoscopy, ERCP, etc.) o Labs  CBC  PT, LFT’’s, bilirubin, & ammonia  Renal panel  Amylase/Lipase  Urine tests  Stool tests  Guiac fecal occult blood test (gFOBT)  Fecal immunochemical test (FIT)  Fecal Analysis o Imaging  X-rays  Double-contrast barium enema  CT scan or MRI  Endoscopy  Esophagogastroduodenoscopy (EGD)  Endoscopic retrograde cholangiopancreatography (ERCP)  Colonoscopy  Ultrasound  Disease processes (Gastritis, PUD, Bowel obstruction, colorectal cancer, Crohn’s disease, UC, IBS, appendicitis, etc.) o Gastritis – inflammation of gastric mucosa  Health Promotion & Maintenance  Balanced diet: o Limit caffeine o Limit acidic foods o Small, frequent meals o Avoid alcohol or tobacco  Regular exercise  Stress-reduction  Avoid excessive use of aspirin, NSAIDs.  Diagnosis:  EGD w/ biopsy *gold standard*