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21 Cards in this Set
- Front
- Back
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The GI tract consists of what 5 things?
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Mouth
Esophagus Stomach Small Intestine Large Intestine Anus |
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Name some factors that influence bowel elimination -
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age psycological factors
diet personal habits position pain pregnancy meds diagnostic tests surgery fluid intake anesthesia activity |
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List some common bowel elmination problems -
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constipation
impaction diarrhea incontinence flatulence hemorrhoids bowel diversions -ostomies -ileoanal pouch anastomosis |
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What types of questions would you ask during a history assessment?
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frequency of stools?
description of stool? appetite - change in wt? bowel routine? use of aids? artifical orifice? diet hx, reg / irr fluid intake med hx emotional state exercise pain |
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What do you assess or analize?
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color
odor consistency frequency amount shape constituents |
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What type of test is typically elevated in patients with colorectal tumors?
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CEA
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What type of test measures microscopic blood in stools (common screening test) ?
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Fecal Occult Blood Test
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What type of test uses a sample placed in a sterile container labeled and bagged?
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Culture & Sensitivity
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What type of test uses a small amount of stool and it's placed in sterile container, labeled, bagged and taken to lab. This specimen should be fresh.
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Stool for O&P
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What type of test uses a plain film of abdomen?
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KUB
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This type of test is used
-to examine structure and motility of upper GI tract. -NPO at midnoc -remove jewelry -after test increase fluids -may need laxative -BARRIUM TURNS VERY HARD & CAN OBSTUCT BOWEL IF NOT PASSED! |
UGI - Barium Swallow
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What type of test uses
-visualization whith a lighted scope inserted thru the mouth, may use air for better visualization. -NPO at midnoc -consent -light sedation -post - observe for signs of perferation, bleeding & oversedation |
Upper GI Endoscopy
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This type of test
-is an X-ray of lower GI tract -barium & air are used as contrast medium -NPO after midnoc -bowel prep with laxatives & possible enema -post may need laxative in order to expel barium -need to enc. fluids rest. |
Barium enema
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High frequency sound waves bounced off body parts; possible NPO
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Ultrasound
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This test usues
-visualization of entire colon with a lighted scope thru the rectum -clear liquids day before -NPO at midnoc -consent -enemas til clear morning of test -light sedation before -post observe for signs of perforation, bleeding & oversedation |
Colonoscopy
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This is an exam of
-anus, rectum, sigmoid colon with a lighted tube -similiar prep to colonoscopy, -consent -post similiar to colonoscopy |
Flexible Sigmoidoscopy
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This test requires
-possible NPO -consent -lie still -light sedation? |
CT
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List the nursing diagnosis for Bowel Elimination -
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constipation
constipation/perceived diarrhea bowel incontinence body image - disturbed skin integrity - impaired or risk for impaired pain, acute pain, chronic self-care deficit, toileting |
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What factors impaire/promote intestinal elimination?
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regular habits
positioning cathartics anti-diarrheals enemas fluid & foods exercise comfort skin integrity self concept |
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This type of test uses
-magnet and radio waves -used to produce a picture -NPO for 4 to 6 hrs prior -consent -no metal implants |
MRI
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What 4 tests require a consent?
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MRI
Flexible Sigmoidoscopy Upper GI Endoscopy Colonoscopy |
