Week 3 Slide Notes p2 Flashcards
Components of the small intestine
Duodenum - Jejunum - Ileum
Components of the large intestine
Cecum - Ascending colon - Transverse colon - Descending colon - Sigmoid colon - Rectum - Anus
IBS
Chronic changes in bowel function
Females are at higher risk
IBS CM
Constipation and diarrhea , abdominal pain, bloating or distension
Management of IBS
Stress reduction. excersice, adequate sleep.
Medication
Psyllium (Fiber)
IBS-D: Loperamide, Alosetron
IBS-C: Lubiprostone
Dicyclomine
Antidepressants
Nusing Management of IBS
Really high fiber diet of 30-40gm per day
Avoid
Peppermint oil, Probiotics, ETOH, Smoking, And fluids with meals
Peritonitis
Inflammation of the peritoneum
Usually bacterial, can be either primary or secondary.
Primary is Spontaneous Bacterial Peritonitis
Secondary is perforation of the organs
Clinical Manifestations of Peritonitis
Paralytic Ileus
Signs of Shock
Abdominal Distention
Pain Worse with movement and rebound tenderness
Management of Peritonitis
Diagnosed via Ab X-ray, US, CT scan, CBC Electrolytes
The goal is to identify and treat the source.
Medications will be antiemetics, IV ANTIBIOTICS, and analgesia
Will get NG tube
Hot Belly CM
Peritonitis
Increased BP, Pulse, and Temp
Presents with dehydration, distentiosn, repound tenderness, fever, N/V, and anorexia
Diverticular disease
Diverticulum is a saclike herniation of the lining that is common to the colon.
Splits into itis vs osis. Like as in diverticulosis.
Can lead to fistulas, peritonitis, perforation, hemorrhage, and obstruction
Diverticulitis CM
- Acute onset of cramping LLQ (usually) and
pain (mild to severe) - Constipation
- Bloating
- Nausea
- Fever
- Bleeding
Diverticulosis CM
Mild Sx, may be chronic constipation
