GI Elimination - Exam 6 Flashcards

1
Q

Excretion of waste products from kidneys and intestines

A

Elimination

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2
Q

Process of elimination of waste

A

Defecation

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3
Q

Semisolid mass of fiber, undigested food, inorganic matter

A

Feces

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4
Q

Inability to control urine or feces

A

Incontinence

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5
Q

To urinate

A

Void

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6
Q

To urinate

A

Micturate

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7
Q

Painful or difficult urination

A

Dysuria

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8
Q

Blood in the urine

A

Hematuria

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9
Q

Frequent night urination

A

Nocturia

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10
Q

Large amounts of urine

A

Polyuria

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11
Q

Voiding at frequent intervals

A

Urinary frequency

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12
Q

The need to void at once

A

Urinary urgency

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13
Q

Presence of large protein in urine

A

Proteniuria

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14
Q

Difficulty initiating urine

A

Hesitancy

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15
Q

Leakage of urine despite voluntary control of urination

A

Dribbling

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16
Q

Accumulation of urine in bladder without the ability to completely empty

A

Retention

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17
Q

Urine remaining post void >100ml

A

Residual

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18
Q

Bowel elimination process

A
  • fecal material reaches rectum
  • stretch receptors initiate contraction of sigmoid colon/rectal muscles
  • internal anal sphincter relaxes
  • sensory impulse cause voluntary “bearing down”
  • external sphincter relaxes

~ valsalva maneuver

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19
Q

Developmental stage

A

Bowel elimination patterns change throughout the life span

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20
Q

Factors affecting bowel elimination- personal factors

A

-privacy is important to most people, as sufficient time
- fast paced jobs may cause a person to ignore the need to defecate

21
Q

Sociocultural factors

A
  • stress has major influence
  • can cause diarrhea or constipation
  • stress is primary risk factor in development of irritable bowel syndrome
22
Q

Nutrition/hydration

A
  • regular intake of food promotes peristalsis
  • regular intake schedule
  • irregular scheduled = irregularity
  • high fiber
  • fluid intake
23
Q

Activity

A
  • can stimulate peristalsis
  • sedentary people have weaker abdominal muscles
  • patients with limited activity often experience constipation
24
Q

Medications

A
  • all oral medications have the potential to affect function of the GI tract
25
Q

Surgery and procedures

A
  • bowel manipulation can lead to a paralytic ileus
  • NG tube on low or intermittent suction
26
Q

Pregnancy

A
  • morning sickness
  • slowing of intensional motility
  • risk of hemorrhoids
27
Q

Pathological conditions

A
  • neurological disorders that affect innervation of lower GI tract
  • cognitive conditions that limit the ability to sense “the urge”
  • pain or immobility that leads to sluggish peristalsis
28
Q

Planning outcomes/ evaluation

A
  • the general overall is for the patient to have soft, formed, regular bowel movements
  • and to be free nausea, vomiting, bloating
29
Q

Promoting regular defecation

A
  • privacy
  • correct position (seated upright)
  • timing
    > often occurs after meals
    > some patients may need assistance
30
Q

Fluid intake

A

At least 6-8 oz glasses

31
Q

Proper diet

A

Fresh fruits, vegetables, whole grains, fiber

32
Q

Exercise

A

3-5 times a week
ROM for patients on bed rest
Positioning
Encourage exercise

33
Q

Flexi- seal rectal tube

A
  • inserted into the rectum
  • connected to collection bag
  • for use with severe incontinence
34
Q

Bristol stool chart - 1

A

Severe constipation - separate head lumps

35
Q

Bristol stool chart -2

A

Mild constipation - lumpy and sausage like

36
Q

Bristol stool chart -3

A

Ideal - sausage shape with cracks

37
Q

Bristol stool chart -4

A

Ideal- smooth, soft sausage

38
Q

Bristol stool chart - lacking fiber

A

5 lacking fiber- Soft blobs with clear edges

39
Q

Bristol stool chart -6

A

Mild diarrhea - mushy consistency

40
Q

Bristol stool chart -7

A

Severe diarrhea- liquid consistency

41
Q

Fluid balance - what 2 hormones

A
  • Antidiuretic hormone (ADH)
  • aldosterone produced by adrenal gland
42
Q

Antidiuretic hormone (ADH) is produced by

A

Pituitary gland

43
Q

Antidiuretic hormone (ADH)- if ADH is high causes more

A

Water to be absorbed creating a high concentration but small volume of urine

44
Q

Aldosterone produced by the adrenal gland regulates

A

Water reabsorption and changes urine concentration

45
Q

What helps control secretion of potassium

A

Alsosterone

46
Q

The kidneys produced approximately x-xmL per hour or 1500mL per day

A

50-60mL

47
Q

Normal voiding is typically x to x times per day, this depends on fluid intake

A

5-6

48
Q

Characteristics of normal urine - specific gravity

A

Measure of dissolved solutes in a solution

49
Q

Sh

A