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24 Cards in this Set
- Front
- Back
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What stimulates the urge to go?
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Relaxation on internal sphincter
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what muscles contract to expel feces?
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abdominal muscles
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what is vasalve maneuver?
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the voluntary contraction of abdominal muscles while maintaining forced expiration against a closed airway
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Do fluids prevent/promote constipation?
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PREVENT
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physical activity increases/decreases peristalsis
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INCREASES
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Psychological Factors
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STRESS-- constipation or diarrhea
DEPRESSION-- constipation |
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Personal Habits
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time of day, location, environmental distractions
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Position
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lying in bed on a bedpan is not normal
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pain does what to normal elimination?
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inhibits it.
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pregnancy can lead to...?
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constipation
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Laxatives
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promote peristalsis
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Narcotics
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depress peristalsis
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Constipation Prevention includes: (4 things)
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1. increased dietary fiber
2. increased fluid intake 3. moderate exercise 4. elimination of laxative use |
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what is an enema?
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a solution inserted into the rectum and sigmoid colon to treat constipation or empty bowel before diagnostic procedure or abdominal surgery
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What would be some contraindications for enemas?
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bowel obstruction, inflammation, infection of the abdomen, and recent rectal or anal surgery
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Enema solution should be: (warm or cold when administering?)
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warm -- NOT COLD --if solution is too cool, it will cause spasms
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Constipation occurs from:
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immobility, surgery, medications, or neurologic deficits
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Removing fecal impaction is performed when the feces:
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is hard, and unable to pass through anus.
-- will be uncomfortable has to be manually removed |
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when finished removing fecal impaction, check for:
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rectal bleeding or slowed heart rate
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Use a rectal tube to:
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1. manage flatulence following abdominal surgery
2. reduce abdominal distention due to flatulence 3. control unmanageable diarrhea to prevent skin breakdown (USUALLY FOR GAS) |
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What is a bowel diversion?
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special interventions to create an opening in abdominal wall for elimination
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Return flow enema:
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put 100 - 200 ml in, and then let it back out and hopefully gas will come with it.
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guiac test/fecal occult blood test
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detects microscopic amounts of blood in stool
-used in diagnosing gastric or intestinal irritation, GI bleed, upper GI ulcers and colon cancer |
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MELENA
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black, "tarry" stool
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