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Constipation/Diarrhea
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22
Nursing
Undergraduate 1
05/08/2012

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Cards

Term
What is feces made of?
Definition
75% Water
25% OTHER (1/3 dead bacteria, 1/3 undigested food, 1/3 MIXTURE fats, inorganic salts, LIVE bacteria, dead cells, mucus and protein)
Term
What is the definition of constipation?
Definition
Slow movement of feces/infrequent BM's of hard, dry stool.
Term
What are some causes of constipation?
Definition
Ignoring the delay to urge
Food allergies
Hormonal imbalances
metabolic disturbances
Term
What is acute diarrhea definition? Chronic?
Definition
- Loose stools 3x per day
- Lasts for more than 14 days
Term
Name 2 infectious VIRUS and 2 Parasites that cause diarrhea:
Definition
Rota- and Noro- - VIRUS
Giardia lamblia and Cryptosporidium
Term
how does Rotovirus cause diarrhea?
Definition
malabsorptive diarrhea by reducing the area of the gut by blunting the villus
Term
What are four offending bacteria?
Definition
E Coli
C Diff
Salmonella
Cholera
Term
What are the bacterial mechanisms of disturbances in the gut (likely to be BLOODY)?
Definition
1. Altered SECRETIONS and ABSORPTION
2. Production of POISONS
Term
What is the stool vol, respone to fasting, osolarity and ion gap in OSMOTIC diarrhea?
Definition
- Moderately increased
- Diarrhea STOPS when fasting
- Normal to increased Osmol
- >=100mOsm/kg
Term
What is the stool vol, response to fasting, osolarity and ion gap in OSMOTIC diarrhea?
Definition
- VERY LARGE
- CONTINUES even with fasting
- Normal Ion Gap
- < 100 mOsm/kg
Term
What are you at risk for if you have OSMOTIC or SECRETORY Diarrhea?
Definition
- HYPOKALEMIA
- VOLUME depletion
- Acid/Base imbalance
Term
Which type of diarrhea has a high osmotic gap?
Definition
OSMOTIC Diarrhea
Term
What conditions can cause CHRONIC diarrhea?
Definition
- Crohn's/Ulcerative Colitis
- Irritable BS
- Inflammatory BD
- Food Intol/Allergies like lactose and wheat
- Meds (ABO's, Chemo, HIV drugs, Mg containing antacids)
- Herbal Remedies like Senna, Aloe Vera, Turmeric
Term
S/Sx Dehydration in Adults
Definition
- Thirst
- Concentrated urine
- Dark Urine
- Dry Skin
- Abdominal Cramps/Pain
- Fever
- Stool contains BLOOD! PUS!
- Stool is black and tarry!
Term
S/Sx dehydration in infants
Definition
Dry mouth
No tears when crying
no wet diapers for 3+ hrs
HIGH FEVER
Irritability
Term
What are causes of diarrhea in environment?
Definition
Travel, Daycare, exposure to someone who is ill, PETS
Term
Etiology by age FROM BIRTH-CHRONIC:
Definition
Allergy
Transport DEFECTS
Anatomic DEFECTS
Term
Etiology from 6 months-CHRONIC:
Definition
- Celiac Disease
- Toddler's diarrhea
Term
Etiology by age CHRONIC- From 2 yrs
Definition
- lactose intolerance
- Celiac disease
Term
What drinks do you want to AVOID if you have diarrhea?
Definition
Milk and Juice
Term
What meds can you take for diarrhea/
Definition
Absorbants
Antimotility
Bismuth
Antibiotics
Antiparasites
Term
What is another term for OSMOSTIC diarrhea?
Definition
Malabsorptive
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