Flashcards
Bowel Elimination
Cards in this deck (20)
- 1developmental factorstoddler:
toilet training requires cognitive, neural and muscular actions
adolescent - adulthood:
avoid laxatives and enemas (can be dependent on them)
Elderly:
more prone to chronic constipation - 2parasympathetic NS vs sympathetic NSPNS: stimulates peristalsis
SNS: inhibits peristalsis - 3foods that stimulate peristalsisfiber, fruits, vegetables, fluid
- 4bed rest leads to...constipation
- 5______ causes diarrhea b/c cortisol released causes the water to be absorbed in the intestinesanxiety
- 6depression causes ________ ________decreased peristalsis
- 7antibiotics cause ___________constipation
- 8pts who take _______ and _______ need laxatives because they can cause constipationpain meds
iron supplements - 9fiber _________ bowel eliminationpromotes
- 10enemassoften stool
facilitates fecal elimination - 11mineral oil enemascan interfere w/ absorption of fat soluble vitamins
NOT FOR PTs W/ GI BLEED, LOW BLOOD COUNT, AND CARDIAC ISSUES - 12patients should be in what position for enemasSIMs
left lateral side, right leg bent knee - 13the IV bag heightthe higher it is the faster it flows
- 14cleansing vs. retentionCleansing: HYPERTONIC sol. purpose is to remove feces due to fecal impaction. part of pre - op.
Retention: purpose is to administer medications and lubrication. sol. is to remain in bowel for a longer time. ease defecation by lubricating stool and intestinal mucosa. - 15nursing interventions for diarrheaassess cause and eliminate if possible
manage fluid & electrolyte imbalance (I&O)
inspect skin around anus/perineum
teach pt about nutrition
assess for impaction (prolonged accumulation of feces) - 16nursing interventions for constipationpharmacologic: enemas, rectal suppositories, oral intestinal lavage ("stomach pumping")
digital removal: risk for vagal stimulation (leads to bradycardia). valsalva maneuver stimulates vagus nerve & causes bradycardia. do not encourage forcing / bearing down. - 17nursing interventions for bowel incontinencedetermine if there is a pattern
assist pt w/ bedpan or commode
provide skin care
consider bowel training program
rectal tube or incontinence pouch - 18nursing interventions for Flatulence (gas)teach pt about:
foods that contribute
importance of activity
" " of not reclining after meals
use of rectal tube as ordered
medications that may ^ gas formation
" " that can relieve gas formation - 19nursing interventions for managing gastric drainage systemconfirm suction (always intermittent)
irrigation
doc. COCA
empty container
promote comfort (could cause nose bleed & gag reflex)
assess for bowel sounds (turn off suction briefly) - 20hemoccultlab to detect hidden blood
if it turns blue = positive for hidden blood
foods can cause false positives:
iron, horse radish, red meats
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- Nursing Flashcards on Bowel Elimination, created by Ashley S on 16/10/2018.
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- Ashley S
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