Maegan's Exam #3 - Elimination Flashcards Preview

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Flashcards in Maegan's Exam #3 - Elimination Deck (95)
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1

What are the 11 Parts to the Anatomy of Bowel Elimination?

  

1. Small Intestine

2. Large Intestine

3. Duodenum

4. Jejunum

5. Ileum

6. Ascending

7. Transverse

8. Descending

9. Sigmoid

10. Rectum

11. Anus

 

2

Small Intestine;

Absorbs nutrients & _______

Small Intestine;

Absorbs nutrients & WATER

3

What does the Colon/Large Intestine Reabsorb?

Water

4

What is the term for the bowel moving through the intestine?

Parastolosis

(Moving Content Forward)

5

What is the purpose of the Mucoid (Mucous) Protection?

To protect from stomach acid and hold feces together.

6

If you get a disease in the intestine's, there might be a problem doing what?

Absorbing Nutrients

7

When waste products are in the lower GI for extended period of time what happens?

More Water is removed

RESULTING IN:

Hard, Dry Stools

8

What are the characteristics of NORMAL feces?

Brown in Color

Have fecal odor from normal flora (Bacteria)

Small amounts of fat

Soft and formed

9

How many times a day/week is considered

"Normal" Defication?

Several Times a Day

2-3 Times Per Week

(Remember, Norms are different for everyone, Look for variation in their NORMS)

10

What can Cause BLACK TARRY STOOLS?

Upper GI Bleed

Increase in Iron

11

What causes Hard, dry stools?

Dehydration

12

What can cause watery stools?

Poor Absorbtion

Poor Movement

13

What would cause Ribbon-Like, Narrowed Stools?

Obstruction of Rectum

14

What can cause pieces of undigested food in stool?

Malabsorbtion

15

What can cause shreds of mucous?

Inflammatory condition

16

What is large amounts of fat in stools called?

Steatorrhea

17

What is the definition of Constipation?

Hard, infrequent stools that may be painful

18

What are some causes of constipation?

Lack of fiber

Inactivity

Lack of adequate water intake

Poor habits - no regularity, no time, avoiding urge

Overuse/Dependent on laxatives

Medications - Narcotics, antacids, statins, iron, Anticholinergic

Neurological - Stroke (CVA) Spinal Cord Damage

Certain Foods - Cheese, Eggs, Milk

19

What causes Hemorrhoids (Enlarged Vein)?

Straining

Prolonged Sitting

Chronic Constipation

Obesity

Pregnancy/Labor

20

What are anal fissures?

Cracklike Lesion

Tear in lining of anus

21

What is Fecal Impation?

Large or hard fecal mass

Results from Prolonged retention and accumulation of fecal material. (Poor defecation habit)

Will Experience the passage of liquid fecal seepage (Diarrhea) and no normal stool.

 

22

What are some Constipation Interventions?

Increase Fiber

Increase fluid to 2000-3000ml/Day if not contraindicated

Offer warm fluids especially after breakfast (Increases Parastolosis)

Measure I/O

Avoid highly refined foods like fast food, sweetners & Flours

LAST RESORT - Laxatives

 

23

What is gas or air in colon passed through the anal canal called?

FLATUS

24

What  can cause Flatus?

Action of bacteria on chyme

Swallowed air

Gas forming foods- IE Cabbage, Onion

Food Allergies

(Usually absorbed into the bloodstream)

25

What are some Flatus Interventions?

Avoid Gas-producing foods

Provide low fat meals

Warm blanket or pad to abdomen (Increases blood flow)

Correct positioning for meals

Obtain order for rectal tube

Avoid chewing gum or drinking with a straw

Enemas PRN

26

What is liquid, unformed stools with increased frequency of defication?

DIARRHEA

27

What is a result of Diarrhea?

Serious Fluid and Electrolyte Imbalance

Especially in Very young and older adults

28

What are some causes of Diarrhea?

Bacterial/Viral Infections

Medication Side Effects

Drug or Food Allergies

Malabsorbtion Syndrome

Digestive Diseases (Crohn's)

29

What are some Diarrhea Interventions?

Provide liquid diet and advance as tolerated
(Allow bowel to rest andn Rehydrate them)

Monitor and Record amount, Consistency, and Frequency of stools, monitor skin for breakdown, and monitor for dehydration

Give meds as appropriate including PRN anal ointments/barriers & antidiarrheals

Teach to avoid ETOH(Alcohol) and Caffeine if chronic

 

30

What are Fecal Impaction Interventions?

Manual Rectal Exam PRN

Assess Abdominal Distention

Enemas as Ordered