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IBS is more common in _________ - ANSWER women
What triggers IBS? - ANSWER Stress/ Foods
Symptoms of IBS include: - ANSWER Abdominal fullness, gas, bloating, and pain.
Alternating, Diarrhea and Constipation.
intestinal obstruction causes - ANSWER blockage of intestinal contents in small
intestine or large intestine
-mechanical: impaction, hernia, twisted bowl, tumor
-functional: paralytic ileus
-neurological
-surgery complications
-electrolyte disturbances
-abdominal blood supply impairment
Chronic diarrhea lasts - ANSWER longer than 14 days
Constipation - ANSWER Hard, slow stools that are difficult to eliminate; often a result of
too little fiber in the diet. Less than 3 stools per week
Laxatives should be taken with: - ANSWER A full glass of agua
Diverticula are - ANSWER saccular dilations or outpouchings of the mucosa that
develop in the colon at points where the vasa recta penetrate the circular muscle layer.
symptoms of diverticulitis - ANSWER diarrhea or constipation, left lower quadrant pain,
bloating, nausea, and vomiting. Diagnosed by CT
What helps control diverticulitis? - ANSWER High-fiber diet, increased fluids, and
medications to control constipation help with diverticulosis. Pain meds/ antibiotics.
Symptoms of IBD - ANSWER diarrhea that may contain blood and mucous, abdominal
pain and cramping, malaise, fever, and weight loss
Inflammatory Bowel Disease is treated by: - ANSWER medication, including anti-
inflammatory agents and low-fat, low-fiber diet that is high in protein and calories
, Appendicitis symptoms: - ANSWER Clients experience right lower quadrant pain and
muscle guarding. Fever, nausea, vomiting, and elevated white blood cell count may also
occur
-CT scan
-Removed surgically/ laparoscopically
Signs and symptoms of peritonitis - ANSWER nausea, vomiting, and severe abdominal
pain and distention
- CAN lead to shock, tachicardia
Peritonitis is treated with - ANSWER broad spectrum intravenous (IV) antibiotics, IV
fluids, and gastric or intestinal decompression. Surgery may be needed to address the
underlying cause
-Patients placed in SEMI-Fowler
Bowel Perforation:
s/s - ANSWER pain, fever, abdominal distention
colostomy connects - ANSWER part of the colon to the abdominal wall so that fecal
matter may collect in a colostomy bag
An ileostomy - ANSWER created at the end of the small intestine (ileum)
Stool from an ileostomy is - ANSWER liquid, since it has not yet reached the colon
Stoma Care - ANSWER Inspect the stoma for pink or deep red color, which indicates
good bleed supply. A dark purple or black stoma should be reported immediately.
Observe for signs of edema (swelling should decrease during the postoperative period).
Know that fecal output may not occur for 2 to 4 days after surgery.
Peristomal Care - ANSWER Keep the area of skin around the stoma clean and
protected. Do not allow fecal matter to seep around the opening of the collection device.
Follow provider orders for a skin barrier and monitor of signs of skin breakdown or
infection. Note that fungal skin infections can occur.
Appliance Management - ANSWER Change the appliance - or collection device -
according to provider orders (generally twice a week). New appliances are trimmed to a
certain size using a template based on the stoma measurements. The pouch should be
emptied when it is half full. Reinforce client teaching about emptying the pouch and
changing the appliance.
Intake and Output - ANSWER Measure intake and output. Accuracy of measurement is
very important, especially if the stool is mostly liquid in consistency. Once the client is