Hemorrhoids Flashcards
1
Q
Dilated and painful veins in the rectum, anal canal, inside or outside the anal sphincter
A
Hemorrhoids
2
Q
Classification of Hemorrhoids
A
Internal Hemorrhoids
External Hemorrhoids
3
Q
Hemorrhoids above the anal sphincter
A
Internal Hemorrhoids
4
Q
Hemorrhoids below the anal sphincter
A
External Hemorrhoids
5
Q
Risk factors
AC-FOS-4P
A
- Familial tendency
- Straining at stool
- Prolonged sitting or standing
- Pregnancy, prolonged labor
- Obesity
- Portal HPN
- Anal intercourse
- Colon malignancy
6
Q
Assessment
A
Anal itching
Bleeding with defecation of hard stool and pain d/t stretching and irritation of mucosa
7
Q
Assessment
Extreme pain d/t thrombosis and edema
Appear reddish, blue lump
Hint: External and Edema
A
External Hemorrhoids
8
Q
Assessment
Not usually painful until it bleeds and prolapse when enlarged
Some protrudes during defecation and retracts after defecation
A
Internal Hemorrhoids
9
Q
Diagnostic Procedures
A
- Digital Rectal Examination
- Sigmoidoscopy
- Colonoscopy to R/O colorectal cancer
10
Q
Nursing Management
A
- High fiber diet and increase OFI
- Administer stool softeners and use ointments
- Apply ice packs for several hours followed by warm packs
