lower gi study guide flss
- 2 diagnostic
- abdominal surgery has chancer too with powerpoint presentation
- drop factor drug calc
- bulk forming laxative (only 1 we talked about)
- inflammatory drug
- immunosuppressant
diagnostics
coloscopy: prep, diet the day before, how does the diagnostic see. air in
colon andthen dialate it. anus to the secrum. not just the anus or recutm
to symroid
do not use __ and why
ibs (know the diet) nongluten, high fiber. fomaps food idk(green at trop
red at bottom)know what they can have. they can have yogurt. something
with rasins
low fiber foods. residue is what is left over and goes through intestinal
tract (hardly anything left over after everything is done)
low fiber is anything that is refined (esp. juices, white rice, and pancake
batter) especially with ibd
high fiber foods for constipation and diverticulitis (broccoli, cabbage,
cauliflower, whole wear bread and rice)
uc and chrons- know similarities (both inflammatory disease) affed by
what? know and look on the page that compares the two.
10-20 stools a day, you have a low h&h. uc not stomach, or small
intestines. from the large
low resude, fat, lactose (cheese and cottage)
small frequent meals.
higher protein and calorie dese foods
ud and chrons pts suppulement snakcs with high proteins and something
else
s/s of fiisula to the bladder
acute. abdomen vital sings low bp if perforation (before anything else)
, treatment is crystalloids and oxygen (if no oxygen, give fluids) do not
send to ct unless bp goes up
pts at risk for dehense and wound infcection… increase temp, redness in
the area, sramining in the area, green or purulent. risk would be larger
folks, abd surgery, or already depealted of surgery
abd surgery and they have increased perstolist they will not have
morement of gas through the colon. they will be distended. other tubes:
millker abbot, ng, or cantor tubes
approproiate orders for immediety or just. whole system and stuff.
morphine would be a good iv medication! a good dose for morphine would
be 4mg q4h. no po meds. they need to be npo until bowel sounds returns.
starting with ice chips. they can discontinue scd when they start walking
and teds 48 hours after. vital signs frequency is q15 q30 qhour for s/s of
bleeding
appendectomy s/s would be starts ___ ends up ___
do abc when assessing the status. are they breathing? are they sats and
hr ok? npo for 48 hours untul bowel sounds. no enema, suppostories, or
heating pads. you can use ice! will have scd teach: early ambulation helps
w bleeding, clot formation, turn cough and deep breath. abd surgrey? use
a splint and incentive spiratamer.
appendicitis? greater first for getting parentinitus.
that is bacterial and it is low bp, and high hre… this comes from third
spaces.
s/s: low bp, elevated rr and hr, rigid abd and board like abd. n/v
diahrrea and cdiff, goal is to prevent spread of infection. you do this by??
med to help: give antibiotics like vanocymin and metrovenical.
care: washing hands with soap and water, no alcohol. wash pt room with
10% bleech solution. drink plenty of fluids. spoar last months
- 2 diagnostic
- abdominal surgery has chancer too with powerpoint presentation
- drop factor drug calc
- bulk forming laxative (only 1 we talked about)
- inflammatory drug
- immunosuppressant
diagnostics
coloscopy: prep, diet the day before, how does the diagnostic see. air in
colon andthen dialate it. anus to the secrum. not just the anus or recutm
to symroid
do not use __ and why
ibs (know the diet) nongluten, high fiber. fomaps food idk(green at trop
red at bottom)know what they can have. they can have yogurt. something
with rasins
low fiber foods. residue is what is left over and goes through intestinal
tract (hardly anything left over after everything is done)
low fiber is anything that is refined (esp. juices, white rice, and pancake
batter) especially with ibd
high fiber foods for constipation and diverticulitis (broccoli, cabbage,
cauliflower, whole wear bread and rice)
uc and chrons- know similarities (both inflammatory disease) affed by
what? know and look on the page that compares the two.
10-20 stools a day, you have a low h&h. uc not stomach, or small
intestines. from the large
low resude, fat, lactose (cheese and cottage)
small frequent meals.
higher protein and calorie dese foods
ud and chrons pts suppulement snakcs with high proteins and something
else
s/s of fiisula to the bladder
acute. abdomen vital sings low bp if perforation (before anything else)
, treatment is crystalloids and oxygen (if no oxygen, give fluids) do not
send to ct unless bp goes up
pts at risk for dehense and wound infcection… increase temp, redness in
the area, sramining in the area, green or purulent. risk would be larger
folks, abd surgery, or already depealted of surgery
abd surgery and they have increased perstolist they will not have
morement of gas through the colon. they will be distended. other tubes:
millker abbot, ng, or cantor tubes
approproiate orders for immediety or just. whole system and stuff.
morphine would be a good iv medication! a good dose for morphine would
be 4mg q4h. no po meds. they need to be npo until bowel sounds returns.
starting with ice chips. they can discontinue scd when they start walking
and teds 48 hours after. vital signs frequency is q15 q30 qhour for s/s of
bleeding
appendectomy s/s would be starts ___ ends up ___
do abc when assessing the status. are they breathing? are they sats and
hr ok? npo for 48 hours untul bowel sounds. no enema, suppostories, or
heating pads. you can use ice! will have scd teach: early ambulation helps
w bleeding, clot formation, turn cough and deep breath. abd surgrey? use
a splint and incentive spiratamer.
appendicitis? greater first for getting parentinitus.
that is bacterial and it is low bp, and high hre… this comes from third
spaces.
s/s: low bp, elevated rr and hr, rigid abd and board like abd. n/v
diahrrea and cdiff, goal is to prevent spread of infection. you do this by??
med to help: give antibiotics like vanocymin and metrovenical.
care: washing hands with soap and water, no alcohol. wash pt room with
10% bleech solution. drink plenty of fluids. spoar last months
