Lv One - Exam Three - Bowel Elimination Pp

Front 1

Mouth

Back 1

N - Digestion begin with mastication
Ab - Decrease chewing and oral dryness

Front 2

Esophagus

Back 2

N- Peristalis moves food into stomach
Ab - Reduce motility

Front 3

Stomach

Back 3

N - Stores food, mixes food, liquid and digest juices, moved food into small intest
Ab - decrease acid secretion,
Motility, thickness

Front 4

Small intestine

Back 4

N - Duodenum,jejunum and ileum
Ab - Decrease nutr absorption

Front 5

Large intestine

Back 5

N - The primary organ of bowel elimination
Ab - Develop constipation
fecal imp
Liver decreased in size

Front 6

Anus

Back 6

N - Expels feces and flatus from the rectum
Ab - Muscle tone loss

Front 7

Valsalva maneuver

Back 7

Bare down
Can cause irr heart rhy

Front 8

Subjective Char of constipation

Back 8

Abdominal pain
Anorexia
Rectal pressure
Headache
Incr abdo pressure
Nauses
Pain with defecation

Front 9

Objective Char of constipation

Back 9

Hard, dry, stool
Abd distention
Decreased frequency
Straining at stool
Flatulence
Decreased volume

Front 10

Objective Char of constipation

Back 10

Percussed abd dullness
Vomitting
Hypo.hyperactive bowel sounds

Front 11

Related factors to contributing constipation

Back 11

No routine
Can not sit up
Diet def
Lack of fluid
Lack of exercise
No privacy

Front 12

Related factors to contributing to constipation

Back 12

Adbo muscle weak
Depression
Emotional distress
CNS depressant drugs
Neuro impairement
Overuse of antidiar agents

Front 13

CNS depressant drugs and anticholinergics

Back 13

Ativan
Zanta

Front 14

Related factors for constipation

Back 14

Anesthesis
Surgery
Disease process
Inability to perceive bowel cues
Lack of knowledge

Front 15

Constipation

Back 15

A decrease in a person's normal frequency of defecation accompanied by difficult or incomplete passage of stool and or passage of exc hard dry stool

Front 16

Nursing DX
Risk for constipation

Back 16

Meds
Lack of exercise
Lack of fluid
Diets

Front 17

Nursing DX *****
Perceived Constipation

Back 17

You think you have it
Self prescirbes daily laxa, enemas, suppositories

Front 18

Nursing DX
Fecal impaction

Back 18

Inability to voluntarily or inv passage of stool

Front 19

Bulk Forming****
Laxative

Back 19

Natural least irritating

Front 20

Bulk Forming*****
Action

Back 20

Increases bulk
Absorbs water

Front 21

Bulk Forming*****
Action

Back 21

Give with water
Follow up with water
Enhance actions

Front 22

Bulk Forming
Ad/reaction ***

Back 22

Nausea/Vomit
Obstr to inst and esphog

Front 23

Bulk Formin***
Nursing Interventions

Back 23

Assess for
Distention
Bowel sounds
Unusual pattern
Can pt eliminate

Front 24

Surfactant***
Emollient or wetting agent

Back 24

Prevents straining at stool
no lax effect

Front 25

Surfactant***
Actions

Back 25

Soften stool
Short term Therapy

Front 26

Surfactant****
Adverse Reactions

Back 26

Mushy stool
If immobil can not pass
Digital remove
Cramping

Front 27

Surfactant***
Do not give

Back 27

Within 2 hours of other lax
Pt with CHF r/t Na (fluid retention)

Front 28

Lubricant Laxatives ***

Back 28

Mineral Oil
Coats
Slippery Stool

Front 29

Lubricant Laxatives ***
Action

Back 29

Slippery Stool
Prevents fluid abs from stool

Front 30

Lubricant Laxatives ***
Adv Reactions

Back 30

Overtime can interfere with
fat absopr Vit A, D, E and K

Front 31

Lubricant Laxatives ***
Nursing Consideration

Back 31

Do not take w/in 2 hours of eating - inter with fat absop vitamins
Do not take lying down
Risk for aspir - pneuom

Front 32

Lubricant Laxatives ***
Nursing Consideration

Back 32

If difficult swallowing

Front 33

Laxatives -
Saline cathartics ***

Back 33

Milk of mag
Edemas
Poorly abs salts

Front 34

Laxatives -
Saline cathartics ***
Actions

Back 34

Bulk
Semi liquid
Oral 2-6 hours to work
Rect 5-10 min

Front 35

Laxatives -
Saline cathartics ***
Containdications

Back 35

Do not use in pts with Kidney, Cardiac or Inflam Bowels
Magnes build up

Front 36

Common adverse affect of cathartics is?
*****!!!!!!

Back 36

Diarrhea

Front 37

Laxative
Irritant and stimulant

Back 37

Dulcolax and Castor Oil

Front 38

Laxative
Irritant and Stim
Action

Back 38

Irritates GI, pulls H2O into bowels
Fecal moves to fast for rapid absopr
Watery stool is elimated

Front 39

Laxative
Irritant and Stim
Adverse Reaction

Back 39

cramping
not for LTuse
Electroly imbalance

Front 40

Fecal impaction***
Signs and symptoms

Back 40

First signs in inability to pass stool with peristaisis
Abdomincal distension
Small amounts of BM ooozing
Contin feeling or urge to deecate

Front 41

Fecal impaction***
Signs and symptoms

Back 41

Rectal pain
Naesea/vomitting
SOB
Hypertension
Abd fullness

Front 42

Fecal impaction goes where?

Back 42

Up into colon

Front 43

Peristalsis

Back 43

Movement of stool thru the digestive tract

Front 44

Diarrhea NI
Why is handing washing so important? ***!!!!

Back 44

To prevent
C diff

Front 45

What is C Diff?

Back 45

Clostridium Difficile

Front 46

Pepto Bismol*****!!!!

Back 46

Alumin - Causes constipation
with long term use

Front 47

Imodium ****!!!

Back 47

Opeate
Decrease intest mobilit