involves removal of the colon, rectum, and anus with closure of the anal opening.
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proctocolectomy with a permanent ileostomy
Physical (______________) obstructions are visible, but obstructions caused by impaired
neuromuscular function or a poor blood supply to the intestines cannot be seen.
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mechanical
Two types of hiatal hernia
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sliding and paraesophageal
Often done after vagotomy to increase gastric emptying
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Pyloroplasty
Interprofessional Care of:
diagnostic assessment: Exam, CBC, Erythrocyte sedimentation rate, serum
chemistries, testing of stool for occult blood and infection, capsule endoscopy,
radiologic studies with barium contrast. sigmoidoscopy and/or endoscopy with
biopsy
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Inflammatory bowel disease
,Inspect the lips for symmetry, color, and size. Observe the lips, tongue, and buccal
mucosa for lesions and patchy pigmentation. Note any distinctive odors.
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Mouth assessment
Etiology: chronic, recurrent. related to systemic disease, trauma, stress.
Manifestations: ulcers of mouth and lips causing pain. Ulcers surrounded by
erythematous base
Treatment: Corticosteroids (topical or systemic) Tetracyline oral suspension.
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Aphthous stomatitis (canker sores)
Manifestations of obstructed bile flow
Etiology: no bile flow to duodenum, bilirubin accumulates in blood
Manifestations:
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Jaundice
• Teach the patient and family how to avoid _________ _________ ________. The patient who
needs regular administration of ulcerogenic drugs, such as aspirin, corticosteroids, or
, NSAIDs, needs teaching about the potential for GI bleeding and may need
coadministration of a PPI, H2 receptor blocker, or misoprostol.
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future bleeding episodes
a feeling of discomfort in the epigastrium with a conscious desire to vomit.
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Nausea
The goals for the patient with ________ include normal bowel elimination patterns, quality
of life appropriate to disease progression, relief of pain, and feelings of comfort and
well-being.
• Psychologic support for the patient and family is important. The recovery period is
long, and the cancer could return.
• Bowel surgery can disrupt nerve and vascular supply to the genitals. Radiation
therapy and chemotherapy can change sexual function.
Give this one a try later!
colorectal cancer
include partial or complete gastrectomy, vagotomy, and/or pyloroplasty.
Give this one a try later!
Give this one a try later!
proctocolectomy with a permanent ileostomy
Physical (______________) obstructions are visible, but obstructions caused by impaired
neuromuscular function or a poor blood supply to the intestines cannot be seen.
,Give this one a try later!
mechanical
Two types of hiatal hernia
Give this one a try later!
sliding and paraesophageal
Often done after vagotomy to increase gastric emptying
Give this one a try later!
Pyloroplasty
Interprofessional Care of:
diagnostic assessment: Exam, CBC, Erythrocyte sedimentation rate, serum
chemistries, testing of stool for occult blood and infection, capsule endoscopy,
radiologic studies with barium contrast. sigmoidoscopy and/or endoscopy with
biopsy
Give this one a try later!
Inflammatory bowel disease
,Inspect the lips for symmetry, color, and size. Observe the lips, tongue, and buccal
mucosa for lesions and patchy pigmentation. Note any distinctive odors.
Give this one a try later!
Mouth assessment
Etiology: chronic, recurrent. related to systemic disease, trauma, stress.
Manifestations: ulcers of mouth and lips causing pain. Ulcers surrounded by
erythematous base
Treatment: Corticosteroids (topical or systemic) Tetracyline oral suspension.
Give this one a try later!
Aphthous stomatitis (canker sores)
Manifestations of obstructed bile flow
Etiology: no bile flow to duodenum, bilirubin accumulates in blood
Manifestations:
Give this one a try later!
Jaundice
• Teach the patient and family how to avoid _________ _________ ________. The patient who
needs regular administration of ulcerogenic drugs, such as aspirin, corticosteroids, or
, NSAIDs, needs teaching about the potential for GI bleeding and may need
coadministration of a PPI, H2 receptor blocker, or misoprostol.
Give this one a try later!
future bleeding episodes
a feeling of discomfort in the epigastrium with a conscious desire to vomit.
Give this one a try later!
Nausea
The goals for the patient with ________ include normal bowel elimination patterns, quality
of life appropriate to disease progression, relief of pain, and feelings of comfort and
well-being.
• Psychologic support for the patient and family is important. The recovery period is
long, and the cancer could return.
• Bowel surgery can disrupt nerve and vascular supply to the genitals. Radiation
therapy and chemotherapy can change sexual function.
Give this one a try later!
colorectal cancer
include partial or complete gastrectomy, vagotomy, and/or pyloroplasty.
Give this one a try later!
