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21 Cards in this Set
- Front
- Back
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Colon cancer metastasizes |
by direct extension spreads through blood or lymph liver is the most frequent site of invasion
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S/S of colon cancer |
changes in stool blood in stools or rectal bleeding anemia abdominal distention/fullness (L is rectal tumors, cancer, bright red blood, constipation, or obstruction. R melana pain) pain weight loss |
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Colon cancer Stage 1 |
tumor penetrated but not through bowel wall
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colon cancer Stage 2 |
Penetrated through bowel wall. No lymph involvement
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Colon cancer Stage 3 |
Lymph node no involved |
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Colon cancer Stage 4 |
Advance tumor spread to liver, lung, or bone |
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Post-op care fro colon cancer |
colostomy care wound/drain assessment and care pain management diet antipuretic meds & sitz bath (for relief of rectal itching) Assess for complications PCA pump for pain management NPO until bowel sounds Phantom pain in rectum |
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Assessment of Stoma |
Color/integrity-reddish pink and moist and protrudes 3/4" Complications-ischemic, neurotic, dark red purple white or black Skin surrounding-avoid skin breakdown Pouch system- empty @ 1/3-1/2 full Function of 3-6 days post op out put liquid @ first unusual bleeding or separation is BAD! |
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Colostomy education |
avoid broccoli, brussel sprouts, cauliflower, cabbage, egg, fish, garlic, cucumber, and drinking through a straw Use charcoal filters and deoderizers breath mints also work
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Metabolic alkalosis affects of obstructions |
Obstructions high in the small intestines cause a loss of gastric hydrochloride
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No compromise affects of obstructions |
obstruction below the duodenum but above the large bowel result in a loss of both acid and base |
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Metabolic acidosis affects of obstructions |
Obstruction at the end of the small intestines and lower in the intestinal tract can cause a loss of alkaline fluids |
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Bowel obstruction |
bowel sounds will be high-pitched then absent |
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Inguinal hernia |
a loop of the intestines protrudes directly through a weak area of the abdominal wall in the groin region. |
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Femoral hernia |
bulging located near the groin and thigh that occurs when a small part of intestine pushes through the wall of the femoral canal |
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Umbilical hernia |
pushes through the abdominal wall at the umbilicus usually from obesity or pregnancy if not congenital |
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Incisional/ventral hernia |
a hernia at the site of previous surgery |
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Hirschsprung's Disease |
congenital anganglionic megacolon Mechanical obstruction caused by inadequate motility of part of the intestine associated with Down Syndrome Sphincter fails to relax
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Diagnosis of Hirschsprungs |
Distended abdomen Contracted anal sphincter Small-caliber empty rectum
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Pyloric Stenosis |
The circumferential muscle of the pyloric sphincter becomes thickened resulting in elongation and narrowing of the pyloric channel
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Signs and Symptoms of Pyloric Stenosis |
Projectile vomiting classic (30-60 mins after eating) Palpable "olive like" mass (RUQ of abdomen) can lead to: dehydration Failure to thrive
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