Digestive System: Health History and Assessment Flashcards
Nursing Health History
- Present health history
- Past health history
- Family history
- Lifestyle and health pattern
COLDSPA
Character
Onset
Location
Duration
Severity
Pattern
Associated factors
Types of Abdominal Pain
- Visceral pain
- Parietal pain
Types of Abdominal pain
Caused by distention hollow organs or stretching of solid organs
Visceral pain
Types of Abdominal pain
Description: crampy, achy, dull, burning, colicky, poorly localized
Onset: Gradual
Visceral pain
Types of Abdominal pain
Caused by inflammation or irritation of parietal peritoneum (appendicitis, peritonitis)
Parietal pain
Types of Abdominal pain
Description: sharp, stabbing pain, steady and severe, tenderness, guarding, rigidity
Onset: sudden
Parietal pain
Types of Abdominal pain
Pain occurs, travels or refers from the primary site and becomes highly localized at distant sites
Referred Abdominal Pain
Assessment pattern for abdomen
IAPP (Inspection, Auscultation, Percussion, Palpation)
Nature of Vomitus
Yellowish or greenish
May contain bile
Nature of Vomitus
Bright red (arterial)
Hemorrhage - peptic ulcer
Nature of Vomitus
Dark red (venous)
Hemorrhage - esophageal or gastric varices
Nature of Vomitus
Coffee ground
Digested blood from slowly bleeding gastric or duodenal ulcer
Nature of Vomitus
Undigested food
Gastric tumor, ulcer, obstruction
Nature of Vomitus
Bitter taste
Bile
