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30 Cards in this Set
- Front
- Back
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Flush with how much water between each med?
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5 ml
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What is the most important factor to note about stools?
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Consistency
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What is the valsalva maneuver?
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Holds breath, closses glottis, tightens abdominal muscles. Increases intra-abdominal pressure
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What is melena?
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Dark tarry substance - blood
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What is steatorrhea?
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Abmormally fatty stools - foul smell, float
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Any pt at bed rest is at risk for?
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Constipation
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What medications may contribute to constipation?
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Narcotic analgesics General anesthetic, diuretics, sedatives, antidepressants, anticholinergics, calcium channel blockers
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Mineral oil as a laxative does what?
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Interferes with vitamin absorption
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Barium enemas can cause what?
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Impaction
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Very active bowel sounds mean what?
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Diarrhea may be coming
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If a pt has not had a bm in how long, do you need to take measures?
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3 days
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What is the longest that self medication for diarrhea should occur?
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48 hours
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What should the volume of an enema for an adult be?
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500 to 1000 ml
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How long do you hold a retention enema?
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30 mins
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Where should the enema container be held?
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12 - 18 inches above anus
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Temp of solution should be?
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105 degrees
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How many enemas can be given before checking with MD
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3
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How far in do you go for an adult?
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2 to 4 inches
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What is the vagal response?
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May cause slow pulse or cardiac dysrhythmia
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When using stool softeners, how much fluid intake?
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2500 ml
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What are appliances
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Devices to catch output
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After ileostomy, the stoma will secrete mucous for how long??
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48 hours
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What is effluent?
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Fecal matter
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What foods may decrease stool odor?
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Spinach, parsley, beet greens, buttermilk yogurt
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What foods increase flatus:
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Beef carbonated beverages dried peas and beans
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How often do you empty an ileostomy?
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4 X a day
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What foods to avoid for an ostomy pt?
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Popcorn, fruits with seeds
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What does a pale stoma mean?
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Compromised blood supply
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How often should bowel status be monitored?
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Every patient every day
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How is fecal impaction treated?
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Oil retention enema followed several hours later by cleansing enema
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