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section 1 terms
term 1 nursing 117 section 1-5 terms
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09/01/2010

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Term
Antidiarrheal
Definition
a drug or dietary fiber-forming agent that relieves the symptoms of diarrhea.
Term
Biopsy
Definition
the removal of a small piece of living tissue from an organ
or other part of the body for microscopic examination to confirm or
establish a diagnosis.
Term
Bolus
Definition
is the compression of food that is created by mastication and moved by peristalsis into the stomach (p. 1175 P&P).
Term
Bowel training
Definition
is a process in which a patient develops a routine to defecate every day at the same time. E.g. by waking up every morning, attempting to defecate at the same time every day until he or she regains control of bowel reflexes. This requires time, patience and consistency on the patient haft (p. 1216 P&P)
Term
Colon; colitis
Definition
the portion of the large intestine extending from the cecum to
the rectum.
Term
Colostomy; ileostomy
Definition
depending on the location of the site, it is a surgical opening created with the ends of the intestines to the abdominal wall (stoma). - ostomy means a surgical procedure that creates an artificial opening for the elimination of bodily wastes. If the site at the colon it is called a colostomy and if it’s in the ileum it’s called an ileostomy (p. 1181 P&P).
Term
Constipation
Definition
is a symptom and not a disease of improper diet; reduce fluid intake, lack of exercise and certain medications which cause constipation. Sign and symptoms follow; infrequent bowel movement difficulty passing stools, excessive straining, inability to defecate at will, and hard feces (p. 1179 P&P).
Term
Defecation
Definition
the eliminating of feces from the digestive tract through the rectum.
Term
Diarrhea
Definition
an increase in the number of stools and the passage of liquid with unformed feces.
Term
Endoscopy; fiberoptics
Definition
visualization of the interior of the organs and cavities with an endoscope
Term
Enema
Definition
a procedure where a water base solution is introduced the rectum and sigmoid colon via anus, to promote defecation by stimulating peristalsis. The volume of the fluid instilled breaks up the fecal mass, stretches the rectal wall and initiates the defecation reflex (p. 1197 P&P).
Term
Enterostomal therapist
Definition
RN who is qualified to provide care for
persons with stomas, draining wounds, fistulae, incontinence, and
actual or potential alterations in tissue integrity
Term
Faltus; flatulence
Definition
accumlation of gas in lumen of intestine = streches & distends bowel wall.

s/s abd fullness, cramping, pain.
Term
Fiberoptics
Definition
technical process by which an internal organ or cavity
can be viewed using glass or plastic fibers to transmit light through
a specially designed tube and reflect a magnified image
Term
Gastrocolic reflex
Definition
a mass peristaltic movement of the colon that often occurs 15-20 minutes after food enters the stomach.
Term
Guaiac test
Definition
a test which can determine if there is blood presented in the stool, also known as a hemoccult test. Stool is applied onto two guaiac papers. Then a developing solution is applied on the back of the guaiac paper; IFF there is blood present in the stool the paper will turn blue, if not it will remain white (p. 1189 P&P).
Term
Hemoccult
Definition
fecal blood test.
Term
Hemorrhoids
Definition
dilated engorged veins in the lining of the rectum, can be internal or external.
Term
Impaction
Definition
an unrelieved constipation of hardened feces, wedged in the rectum that a person cannot expel.
Term
Incontinence
Definition
the physical condition which impairs the anal sphincter from functioning correctly.
Term
Lactose intolerance
Definition
a person who lacks the ability to produce the enzyme required to digestion of milk sugar.
Term
Laxatives; cathartics
Definition
are stool softeners, that promote peristalsis.
Term
Paralytic ileus
Definition
a surgery that involves direct manipulation of the bowel, which temporarily stops peristalsis and usually last for about 24-48 hours
Term
Peristalsis
Definition
the type of movement in which the esophagus propels food to the stomach.
Term
Transit time
Definition
time from mouth to anus.
Term
Valsalva maneuver
Definition
a maneuver that assists with stool passage. By applying pressure to the abdominal muscles to contract, while maintaining a forced expiration against a close airway
Term
Absorption
Definition
it’s the passage of medication molecules into the blood from the site of medication administration.
Term
Adverse effects
Definition
are unintended, undesirable, and often unpredictable serves responses for medication.
Term
Classification
Definition
indicates the effect of the medication on a body system.
Term
Excretion
Definition
one medications are metabolizes, they exit the body through the kidneys, liver, bowel, lungs and exocrine glands. The chemical composition of the medication determines the route for excretion
Term
Generic name
Definition
official name of the drug, usually appears in the small letters.

e.g. acetaminophen
Term
Half-life
Definition
the time it takes for excretion process to lower to serum medication contrition by haft
Term
Intradermal (ID)
Definition
a site usually used for skin testing, because the medication is usually potent. Blood supply is usually reduced, thus it take a while to be absorbed into the body.
Term
Intramuscular (IM)
Definition
provides faster medication absorption than the subcutaneous route because of a muscles greater vascularity. IM sites, deltoid, gluteus, rectus femorous
Term
Intravenous (IV)
Definition
_ injection or “iv push” of a medication into a vein ,via stat/hep lock.
Term
KVO
Definition
keep vein open
Term
Maintenance dose
Definition
refers to a lower dosage of a medication than of a loading dosage
Term
Peak
Definition
when a medication has reached its highest concentration, which usually occurs right before the body absorbs the last of the medication
Term
Pharmacokinetics (PK)
Definition
a branch of pharmacology dedicated to the determination of the fate of substances administered externally to a living organism
Term
Protein binding
Definition
the degree to which medications bind to serum proteins such as albumin affects medication distribution
Term
TKO
Definition
to keep open
Term
Therapeutic index
Definition
comparison of the amount of a therapeutic agent that causes the therapeutic effect to the amount that causes drug toxicity
Term
Trade name
Definition
manufactures name - capitalized with the (R) symbol

Tylenol
Term
Drug
Definition
chemicals that work in the body by interacting with the body to produce a specific response or set or responses.
Term
agonists
Definition
drugs that bind to a receptor and produces a response.
Term
antagonists
Definition
drugs that bind to a receptor and block a response.
Term
loading dose
Definition
an immediate response is desired a large initial dose may be given to receive a minimum effective concentration.
Term
peak action
Definition
occurs when the drug reaches its highest blood or plasma concentration.
Term
side effects
Definition
usually predictable and dose related, may be desirable or undesirable.
Term
Morse fall scale: items.
Definition
1. Hx of falling
2. secondary Dx
3. ambulatory aid


4. Iv/heparin lock
5. gait/transferring
6. mental status
Term
Morse fall scale: scoring
Definition
No risk: 0-24
low risk: 25-30
high risk: >50
Term
Fluid intake
Definition
Adults needs to drink 6-8 glasses q day 1400-2000ml.
Term
Chain of infection
Definition
1. infectious agents
2. reservoir
3. portal of exit
4. mode of transmission
5. portal of entry
6. susceptible host
Term
wash for hands for
Definition
15-30 seconds!
Term
s/s of localized infection
Definition
heath/warmth, redness, swelling, pain, tenderness.
Term
ADPIE
Definition
Assessment
diagnosis
planning
implementation
evaluation
Term
systemic infection
Definition
affects the entire body.

s/s fever, inc. WBC >10k/mm3, malaise
anorexia, N.&V., lymph node enlargement.
Term
hazards of restraints
Definition
fear, anger, choking, pneumonia, constipation, skin breakdown
Term
alternatives to restraints
Definition
modify environment, sitter, visual and auditory stimulation, psychosocial interventions, physical activities, on going assessments.
Term
carbohydrates (CHO)
Definition
main source of energy in the diet; 1g=4kcal. obtained from plant foods, except for lactose. CHO make up 50-60% total cal.
Term
Proteins (PRO)
Definition
1g PRO = 4kcal, essential for building, repair & replacement of body tissue, nitrogen balance.
Term
Fats
Definition
most caloric dense nutrient: 1g FAT = 9kcal.
Term
water
Definition
60-70% of total body WT. muscle contains more water than any tissue blood.
normal I&O: 2200-2700ml
oral intake: 1100-1400
solids: 800-1000
Term
Vitamins
Definition
organic substances, essential for normal metabolism: acts as catalysts in biochemical reactions.
Term
water soluble vitamins
Definition
vitamine C and b-complex
Term
fat-soluble vitamins
Definition
A,D,E & K can be stored in the body.
Term
minerals
Definition
macro minerals - daily requirement >100mg
trace elements - daily requirement <100mg
Term
food guide pyramid (USDA 2003)
Definition
models a daily diet for between 1600-1800 kcal/day.
Term
daily reference values (DVR's)
Definition
to provide a more understandable format for the general public.
Term
Health people 2010
Definition
defines national goals to meet that will increase the proportion of Americans who live long healthy lives.

dec. dietary fat intake to an average 30% of total cal (36%)
dec. sat fat intake to lass than 10% of total cal (13%)
Term
types of diets
Definition
clear liquid, full liquid, peree, mechanical soft, soft or low residue, high fiber.
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