Ch. 59 Noninflammatory Intestinal Disorders
What is a common concern of a patient with IBS?
Pain in the lower left quadrant of the abdomen
What is the treatment of choice for a Hernia?
What are the most common signs of CRC?
rectal bleeding, anemia, and a change in stool consistency
Post colostomy, which problems should the nurse report to the surgeon?
Signs of ischemia and necrosis (dark red, purplish, or black color; dry, firm or flaccid)
Mucocutaneous separation (breakdown of the suture line securing the stoma to the abdominal wall)
Severe pain that stop and changes to tenderness on palpation, indicates what problem?
It indicates perforation of intestines
Why should ecchymosis be reported?
may indicate internal bleeding and should be reported immediately because bowel or major organ may be damaged
what are polyps?
They are small growths covered with mucosa and attached to the surface of the intestine
What is the most important preventative measure for hemorrhoids?
prevention of constipation
What is the classic symptom of malabsorption?
What kind of drug therapy would be prescribed for a patient with IBS?
Either bulk forming (psyllium hydrophilic mucilloid, Metamucil)
or antidiarrheal agents (loperamid- Imodium, psyllium, alosteron-Lotronex)
Abdominal pain that increases with cough or movement and is relieved by bending the right hip or the knees can suggest what?
perforation and peritonitis
What is peritonitis?
is a life threatening, acute inflammation of the visceral/parietal peritoneum and endothelial lining of the abdominal cavity
What is the classic sign of peritonitis?
rigid, boardlike abdomen
What is gastroenteritis?
an increase in the frequency and water content of stools and or vomiting as a result of inflammation of the mucus membranes of the stomach and intestinal tract
What are the three mort common bacteria associated with gastroenteritis?
E.coli, Campylobacter and shigellosis
Why aren't drugs that suppress intestinal mobility prescribed for a pt diagnosed with gastroenteritis?
Use of these drugs can prevent the infecting organisms from being eliminated from the body
What is ulcerative colitis?
widespread inflammation of mainly the rectum and rectosigmoid colon, but can extend to the entire colon when the disease is extensive
What laboratory values are consistent with Inflammatory bowel disease?
An increased WBC count, C- reactive protein or erythrosedimentation rate (ESR) Blood levels of Na and K may be low
How can taking sulfasalazine (Azulfidine) help a client with Crohn's disease?
The drug decreases abdominal cramping by slowing peristalsis
What is a fistula?
abnormal tract between two or more body areas