Adult Health - Module 9 Flashcards
Lack of Peristalsis
Absent bowel sounds for 5 minutes in each quadrant
Sunken abdomen indicates
Malnutrition
Rebound tenderness indicates
Peritoneal irritation
RUQ pain indicates
Acute cholecystitis
Upper middle pain indicates
Acute pancreatitis
RLQ pain indicates
Acute appendicitis
LLQ pain indicates
Acute diverticulitis
GI Labs
CMP (Complete metabolic panel) CBC Liver Enzymes Pancreatic Enzymes Stool culture
CMP
Complete metabolic panel. Check K+, Na+, Mg+, BUN, Creatinine.
Liver Enzymes
AST, ALT, alkaline phosphatase
Pancreatic enzymes
Amylase/Lipase
Normal lab values for Liver Enzymes
AST: 0-35 units/L
ALT: 4-36 units/L
ALP: 30-120 units/L
Normal lab values for Pancreatic Enzymes
Amylase: 6.6-35.2 units/kg
Lipase: 0-160 units/L
Stool culture purpose
Assess blood, mucus, WBC, or parasites in feces.
Which disease is diagnosed with stool sample?
C-dif.
Upper GI diagnostic tests
Fluoroscopy and X-ray.
Interventions: Contrast Medium and patient should be NPO for 8 hours. Educate that stool may be white for 72 hours
Lower GI diagnostic tests
Fluoroscopy of colon and X-ray to find polyps, tumors, and lesions.
Interventions: Uses Contrast medium and administer laxatives/Barium enemas to clear the bowels. Elderly/Immobile do not tolerate this type of test well.
Abdominal Ultrasound
Identify size/configuration of organs, gallstones, and appendicitis.
Interventions: NPO for eight hours