N/V And Constipation

Question 1

Complication of constipation

Answer 1

FOR- PHUN

Fecal impaction
Obstruction
Rectal prolapse
Perforation
Hemorrhoid
Urinary retention
N/V

Question 2

Causes of nausea and vomiting

Answer 2

DOGMAMI

Drug
Opioids
GI irritation
Metabolic causes
Anxiety
Movement
ICP

Question 3

Opioid induced constipation

Answer 3

Delayed gastric emptying r/t pyloric constriction

Peristalsis suppression

⬆ Water and fluid reabsorption

Enhanced sphincter tone- weak defecation reflex

Question 4

Constipation intervention

Answer 4

• be aggressive until final hours
• laxative and softener
• AVOID BULK FORMING lax
• enemas, disimpaction