Chamberlain NR 511 Final
Study online at https://quizlet.com/_hdqy4n
1. Differential diag- Consider type of pain- visceral, parietal
nosis abdominal Consider quality of pain- sharp, burning
pain Consider onset/timing- sudden/intermittent
Consider associated symptoms
2. Assessment of di- acute diarrhea- often sudden onset and viral lasting less than one week, have
arrhea nausea, vomiting and fever may occur
chronic diarrhea- lasts more than 2 weeks reoccurs over months and years,
common causes- IBS, IBD, diet colon cancer
3. Diagnosis of diar- focus on patient history
rhea characteristics of stool
diet
travel
medication
associated symptoms
aggravating and relieving factors
4. Assessment of depends on cause
constipation take history
x-ray
anoscopy
palpation
auscultation
5. Diagnosis of con- dry hard stools with decreased frequency
stipation painful deification
fecal incontinence, small caliber stools, diarrhea
abdominal pain
abdominal distention
anorexia
6.
, Chamberlain NR 511 Final
Study online at https://quizlet.com/_hdqy4n
Management of patient education- activity, diet, bowel habits
constipation increase amount of fiber 25-35 grams per day
pharm- psyllium (bulking), docusate (softer), magnesium hydroxide (laxative),
bisacodyl senna (stimulant), mineral oil (lube)
the only med approved for long term use is bulking agents
7. Management of increase fiber
chronic constipa- laxatives / stool softeners when needed
tion increase fluid
increase activity
8. Assessment for abd. pain in the RLQ*** (McBurney's Points)
appendicitis N/V
pain with cough or movement
rebound tenderness (+Blumberg's)
-ever
Rovsings sign
Psoas sign
Obturator sign
McBurney's sign
9. Diagnosis of ap- labs CBC, wbcs between 10-20,000, HcG rule out pregnancy
pendicitis x-ray, assess for gas, pne, and fecal matter
CT- inflammation or rupture
10. Management of typically surgical
appendicitis cefoxitin 1-2 g every 8 hours
ampicillin 3 g every 6 hours
11. Signs and symp- RLQ pain that is worse with walking or cough
toms of appen- epigastric or periumbicial
dicitis may radiate into testes
temp 99-100
, Chamberlain NR 511 Final
Study online at https://quizlet.com/_hdqy4n
nausea, vomiting diarrhea
when on back may have right knee flexed
guarding
rebound tenderness
12. Assessment of inflammation of the stomach and intestines
gastroenteritis anoreixa, nausea, vomiting, diarrhea
electrolyte imbalances, dehydration, fever
13. Diagnosis of gas- patient history including suspected pathogen, drugs and sugar substitutes
troenteritis stool sample- look for blood, parasites,
blood cultures if signs of typhiod or entric fever
14. Management of at home hydration with sodium content of 45-75 mgs
gastroenteritis immodiun
emperic antibiotics for severe (travelers diarrhea)- azithromycin
15. Sings and symp- cramping abdominal pain
toms if ischemic bloody stools
colitis diarrhea
urgency
nausea/vomiting
low grade fever
abdominal tenderness
bloating
16. Treatment of Gia- Metronidazole
rdia
17. Rome IV Criteria Constipation:
2 or less BMs / wk
Hx of stool withholding
Hx of pain/hard BMs
, Chamberlain NR 511 Final
Study online at https://quizlet.com/_hdqy4n
Large fecal mass in rectum
Hx of large diameter stools
18. Assessment of ul- + pANCA
cerative colitis fever
malaise
rectal bleeding
mild abdominal pain i
confined to colon
mucosa friable
4-10 loose stools per day with blood and mucus
19. Diagnosis of Ul- stool analysis
cerative Colitis sigmoidoscopy
20. Management of mesalamine
Ulcerative Colitis sulfasalazine
loprimide with mild disease
21. Assessment of di- LLQ abdominal pain
verticulitis pain worse after eating
alternate between constipation and diarrhea
maybe bleeding
if fistula forms can pass fecal matter and air in the urine
rebound tenderness
mass
hyper ot hypoactive bowel sounds
22. Diagnosis of di- labs may be mild to moderate leukocytosis, low hematocrit/hemoglobin
verticulitis CT with contrast
followed by coloncsopy
23.
Study online at https://quizlet.com/_hdqy4n
1. Differential diag- Consider type of pain- visceral, parietal
nosis abdominal Consider quality of pain- sharp, burning
pain Consider onset/timing- sudden/intermittent
Consider associated symptoms
2. Assessment of di- acute diarrhea- often sudden onset and viral lasting less than one week, have
arrhea nausea, vomiting and fever may occur
chronic diarrhea- lasts more than 2 weeks reoccurs over months and years,
common causes- IBS, IBD, diet colon cancer
3. Diagnosis of diar- focus on patient history
rhea characteristics of stool
diet
travel
medication
associated symptoms
aggravating and relieving factors
4. Assessment of depends on cause
constipation take history
x-ray
anoscopy
palpation
auscultation
5. Diagnosis of con- dry hard stools with decreased frequency
stipation painful deification
fecal incontinence, small caliber stools, diarrhea
abdominal pain
abdominal distention
anorexia
6.
, Chamberlain NR 511 Final
Study online at https://quizlet.com/_hdqy4n
Management of patient education- activity, diet, bowel habits
constipation increase amount of fiber 25-35 grams per day
pharm- psyllium (bulking), docusate (softer), magnesium hydroxide (laxative),
bisacodyl senna (stimulant), mineral oil (lube)
the only med approved for long term use is bulking agents
7. Management of increase fiber
chronic constipa- laxatives / stool softeners when needed
tion increase fluid
increase activity
8. Assessment for abd. pain in the RLQ*** (McBurney's Points)
appendicitis N/V
pain with cough or movement
rebound tenderness (+Blumberg's)
-ever
Rovsings sign
Psoas sign
Obturator sign
McBurney's sign
9. Diagnosis of ap- labs CBC, wbcs between 10-20,000, HcG rule out pregnancy
pendicitis x-ray, assess for gas, pne, and fecal matter
CT- inflammation or rupture
10. Management of typically surgical
appendicitis cefoxitin 1-2 g every 8 hours
ampicillin 3 g every 6 hours
11. Signs and symp- RLQ pain that is worse with walking or cough
toms of appen- epigastric or periumbicial
dicitis may radiate into testes
temp 99-100
, Chamberlain NR 511 Final
Study online at https://quizlet.com/_hdqy4n
nausea, vomiting diarrhea
when on back may have right knee flexed
guarding
rebound tenderness
12. Assessment of inflammation of the stomach and intestines
gastroenteritis anoreixa, nausea, vomiting, diarrhea
electrolyte imbalances, dehydration, fever
13. Diagnosis of gas- patient history including suspected pathogen, drugs and sugar substitutes
troenteritis stool sample- look for blood, parasites,
blood cultures if signs of typhiod or entric fever
14. Management of at home hydration with sodium content of 45-75 mgs
gastroenteritis immodiun
emperic antibiotics for severe (travelers diarrhea)- azithromycin
15. Sings and symp- cramping abdominal pain
toms if ischemic bloody stools
colitis diarrhea
urgency
nausea/vomiting
low grade fever
abdominal tenderness
bloating
16. Treatment of Gia- Metronidazole
rdia
17. Rome IV Criteria Constipation:
2 or less BMs / wk
Hx of stool withholding
Hx of pain/hard BMs
, Chamberlain NR 511 Final
Study online at https://quizlet.com/_hdqy4n
Large fecal mass in rectum
Hx of large diameter stools
18. Assessment of ul- + pANCA
cerative colitis fever
malaise
rectal bleeding
mild abdominal pain i
confined to colon
mucosa friable
4-10 loose stools per day with blood and mucus
19. Diagnosis of Ul- stool analysis
cerative Colitis sigmoidoscopy
20. Management of mesalamine
Ulcerative Colitis sulfasalazine
loprimide with mild disease
21. Assessment of di- LLQ abdominal pain
verticulitis pain worse after eating
alternate between constipation and diarrhea
maybe bleeding
if fistula forms can pass fecal matter and air in the urine
rebound tenderness
mass
hyper ot hypoactive bowel sounds
22. Diagnosis of di- labs may be mild to moderate leukocytosis, low hematocrit/hemoglobin
verticulitis CT with contrast
followed by coloncsopy
23.
