Powerpoint B Flashcards
what disease has this Pathophysiology
Cause is unknown
Abdominal pain and altered bowel habits for which no other cause can be found
IBS
what disease has this Clinical Manifestations
Diarrhea
Constipation
Flatus
Abdominal pain
IBS
what disease has this Medical Management – Diagnosis
Rome IV Diagnostic criteria
IBS
what disease has this Nursing Management – Assessment and analysis
Clinical manifestations include abdominal distention and altered bowel habits
IBS
what disease has this Nursing Management – Nursing diagnoses
Chronic pain
Ineffective coping
Ineffective health maintenance
IBS
what disease has this as Nursing Interventions – Assessments
Vital signs Intake and output Serum electrolytes Pain Bowel pattern Weight Psychosocial assessment
IBS
what disease has this as Nursing Interventions – Actions
Administer ordered IV solutions
Establish trusting relationship
Avoid foods that exacerbate clinical manifestations
Establish regular bowel routine
Implement complementary and alternative medicines
IBS
what disease has this as Nursing Interventions – Teaching
Avoid trigger foods Keep a food diary Consume regular meals and drink adequate water Encourage regular exercise Smoking cessation
IBS
what disease has this as Nursing Management –
Evaluating care outcomes
Stable vital signs and weight
Decrease in clinical manifestations
Patient’s understanding and adhering to nutrition and activity recommendations
IBS
what disease has these Clinical Manifestations Persistent diarrhea Abdominal pain or cramps Fever Weight loss Fluid imbalance Malnutrition Mouth ulcers Anemia Blood from rectum
IBD
what disease has these Medical Management – Diagnosis
Colonoscopy
Sigmoidoscopy
Barium enema
IBD
what disease has this Treatment
Fluid and electrolyte management
Rest
Medications
IBD
what disease has this Treatment
Fluid and electrolyte management
Rest
Medications
IBD
what disease has this Surgical Management
Colectomy
IBD
what disease has this Complications
Perineal abscess
Fistula
Strictures
IBD
what disease has this Nursing Management – Assessment and analysis
Frequent diarrhea leads to extreme losses of fluid and electrolytes and hypokalemia
IBD
what disease has this Nursing Management – Nursing diagnoses
Deficient fluid volume
Diarrhea
Imbalanced nutrition, less than body requirements
Ineffective coping
IBD
what disease has these nursing intervention Actions
Encourage smaller frequent meals
Encourage patient to engage in mealtime with family
Encourage periods of rest
Establish therapeutic relationship
Make appropriate referral to interprofessional team
Pain management
Provide meticulous skin care
IBD
what disease has these teachings?
Teaching
Importance of adequate nutrition
Indications, actions, and side effects of prescribed medications
Importance of regular follow-ups and annual colonoscopy
IBD
what disease has these Evaluating care outcomes
Maintain healthy weight
Stable vital signs
Fluid and electrolytes balance
IBD
name the types of hernias
Hiatal Inguinal -Indirect iguinal hernia -Direct iguinal hernia Femoral Umbilical Ventral or incisional
what disease has these risk factors?
Obesity Smoking Excessive wound tension Malnutrition Pregnancy Medications
IBD
what disease has these risk factors?
Obesity Smoking Excessive wound tension Malnutrition Pregnancy Medications
IBD
what disease has this Pathophysiology
Intestines protrude through abdominal opening
Reducible vs incarcerated
Caused may include
Straining, lifting heavy objects, sudden twists, pulls or muscle strain, weight gain, chronic cough
hernia
what disease has this Clinical Manifestations
Bulge or visible swelling
hernia
what disease has this Medical Management – Diagnosis
Physical examination
Herniography
hernia
what is the surgical management for hernia?
hernia repair
what disease has these
Complications
Strangulation of intestine
Recurrence
what disease has this Nursing Management – Assessment and analysis
Clinical manifestations are related to location and type of hernia
hernia
what disease has this Nursing Interventions – Assessments
Vital signs
Pain
Intake and output
Surgical site
hernia
what disease has this Nursing Interventions – Assessments
Vital signs
Pain
Intake and output
Surgical site
hernia
what disease has this Actions
Deep breathing
Pain medication
Ice pack
Clear liquid diet and advance as tolerated
Hernia
what disease has these Teaching Discourage coughing Avoid heavy lifting Pain management Observe incisions
hernia
what disease has these Teaching Discourage coughing Avoid heavy lifting Pain management Observe incisions
hernia
what disease has this discription Dilated veins in the rectum
May be internal or external
If blood clots form in the external hemorrhoids, inflamed and painful
Thrombosed are hemorrhoids contained clotted blood
hemorrhoids
what disease has these Risk Factors: Increased pressure in the rectal blood vessels.
Constipation, Pregnancy, and Prolonged sitting and standing
hemorrhoids
what disease has these Signs and symptoms
Rectal pain and itching
Bleeding with defecation
External hemorrhoids easy to see; appear red/bluish
hemorrhoids
what disease has these Medical Management – Diagnosis
Digital examination
Anoscopy
Sigmoidoscopy
hemorrhoids
what disease has this Surgical Management Rubber band ligation Bipolar, infrared and laser coagulation Sclerotherapy Cryosurgery Hemorrhoidectomy
hemorrhoids
what disease has these Complications Infection Pain Urinary retention Fecal impaction Damage to sphincter Bleeding Abscess formation
hemorrhoids
what disease has these Nursing Management – Assessment and analysis
Clinical manifestations may be accompanied by bleeding
hemorrhoids
what disease has these Nursing Management – Nursing diagnoses
Acute pain
Knowledge deficit
Risk for altered bowel elimination
hemorrhoids
what disease has these Nursing Management – Nursing diagnoses
Acute pain
Knowledge deficit
Risk for altered bowel elimination
hemorrhoids
what disease has these Assessments
Vital signs Visual inspection of rectal area Frequency and character of bowel movements Bowel habits postoperatively Pain
hemorrhoids
what disease has these
Actions Analgesia prior to first bowel movement after surgery Local anesthetics Corticosteroids Provide cold packs and sitz baths Administer laxatives Apply local moist heat
what disease has these Clinical Manifestations
Diarrhea Steatorrhea Flatulence Weight loss Signs of malabsorption
Celiac Disease
what disease has these Assessment and analysis Diarrhea Flatulence Abdominal bloating Steatorrhea Weakness, fatigue Weight loss Anemia Orthostatic hypotension Hypocalcemia
Celiac Disease
what disease has this Nursing Interventions – Assessments
Vital signs Serum electrolytes C B C Intake and output Stool characteristics D X A Current knowledge of gluten-free diet
Celiac Disease
what disease has these Actions
Refer patient to dietician
Refer to support group
Develop trusting relationship
Celiac Disease
what disease has these Teaching
Use dishwasher
Diet adherence
Read food labels
Gluten-free resources
Celiac Disease
what disease has this Pathophysiology
Outpouching of intestinal wall that becomes inflamed
Diverticulitis
what disease has this Clinical Manifestations
Abdominal pain
Fever
Leukocytosis
Palpable mass
Diverticulitis
what disease has this Diagnosis
Abdominal x-ray
C T scan
Diverticulitis
what disease has this Treatment
Broad-spectrum antibiotics
Clear liquid diet
I V fluids
N P O and bowel rest
Diverticulitis
what disease has this Management
Indicated for perforation, obstruction, abscess formation, fistula formation
Diverticulitis
what disease has this Management
Indicated for perforation, obstruction, abscess formation, fistula formation
Diverticulitis
what disease has these Complications
Perforation Microperforation Abscess Fistula formation Bowel obstruction Bleeding
Diverticulitis
what disease has these Complications
Perforation Microperforation Abscess Fistula formation Bowel obstruction Bleeding
Diverticulitis
what diseas has this assesment and analysis Clinical manifestations related to inflammation or infection, as well as G I manifestations
Diverticulitis
what disease has this Assessments
Vital signs Serum potassium Intake and output Pain Mental status
Diverticulitis
what disease has this Assessments
Vital signs Serum potassium Intake and output Pain Mental status
Diverticulitis
what disease has this Actions Administer I V fluids Administer ordered antibiotics Nasogastric tube to lower intermittent suction Provide oral care
Diverticulitis
what disease has this Teaching
Dietary recommendations
Avoid straining, bending, lifting
Weight reduction
Complete antibiotic therapy as prescribed
Diverticulitis
what disease occurs
More males than females
Typically ages 10–19
Appendicitis
what disease has this Pathophysiology
Opening to appendix becomes blocked
Mucosa secretes fluid
Venous engorgement
Restricted blood flow
Appendicitis
what disease has these Manifestations
Periumbilical abdominal pain
Anorexia
Nausea
Vomiting
Appendicitis
what disease has this Diagnosis
Clinical presentation
Ultrasound
C T scan
Appendicitis
what disease has this Diagnosis
Clinical presentation
Ultrasound
C T scan
Appendicitis
what disease has these
Complications
Rupture
Sepsis
Appendicitis
what disease has thhis Assessment and analysis
Clinical manifestations related to inflamed appendix which progresses to gangrene or rupture if not treated
Appendicitis
what disease has this Assessments Vital signs Intake and output Pain Rebound tenderness White blood cell count
Appendicitis
what disease has this Assessments Vital signs Intake and output Pain Rebound tenderness White blood cell count
Appendicitis
what disease has these Actions Keep N P O Administer IV fluid as prescribed Prepare patient for O R Provide comfort measures Position patient supine with H O B elevated Advance diet as tolerated after surgery
Appendicitis
what disease has these Actions Keep N P O Administer IV fluid as prescribed Prepare patient for O R Provide comfort measures Position patient supine with H O B elevated Advance diet as tolerated after surgery
Appendicitis
what disease has these Teaching Turn, cough, deep breathe, incentive spirometer Early ambulation Take full course of antibiotics Wound care
Appendicitis
what disease has these Teaching Turn, cough, deep breathe, incentive spirometer Early ambulation Take full course of antibiotics Wound care
Appendicitis