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unit 9 GASTROINTESTINAL
HERNIAS
24
Nursing
Undergraduate 1
04/07/2011

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Cards

Term

HERNIAS

DEF.

Definition

PROTRUSION OF THE BOWEL THROUGH A DEFECT (CONGENITAL, ACQUIRED, OR POST OP) IN THE ABDOMINAL WALL

Term

HERNIAS

STRANGULATED 

Definition
UNABLE TO PUSH BOWEL BACK IN & CIRCULATION CUT OFF LEADING TO GANGRENE OF BOWEL
Term

HERNIAS

INCARCERATED/NONREDUCIBLE

Definition
UNABLE TO PUSH BOWEL BACK IN R/T EDEMA OF TISSUES & CONSTRICTION OF MUSCLE
Term

HERNIAS

REDUCIBLE –

Definition
ABLE TO PUSH THE BOWEL BACK INTO THE ABD. WITH PT. SUPINE
Term

HERNIAS

INGUINAL 

Definition
MOST COMMON TYPE, MEN > WOMEN
Term

HERNIAS

DIRECT 

Definition

FOLLOWS SPERMATIC CORD IN MEN,

 

ROUND LIGAMENT IN WOMEN

Term

HERNIAS

INDIRECT 

Definition
FOLLOWS POSTERIOR INGUINAL WALL
Term

HERNIAS

UMBILICAL 

Definition

UMBILICAL ORIFICE DOES NOT CLOSE AFTER BIRTH, PROLONGED ABD DISTENSION IE PREGNANCY, OBESITY 

WOMEN > MEN 

Term

 

HERNIAS

FEMORAL

 

Definition

 

BOWEL PROTRUDES WHERE FEMORAL ARTERY ENTERS FEMORAL CANAL, BELOW INGUINAL LIGAMENT

WOMEN > MEN

ESP. OLDER WOMEN WHO’VE HAD CHILDREN

MOST LIKELY TO STRANGULATE 

 

Term

HERNIAS

INCISIONAL (VENTRAL) 

Definition

OCCURS WHEN HEALING IMPAIRED OR POOR SURGICAL TECHNIQUE

Term

HERNIAS

RISK FACTORS

Definition

WOUND INFECTION, OBESITY, AGING 

Term

HERNIAS

CLINICAL MANIFESTATIONS

INITIALLY 

Definition

NONE EXCEPT SMALL VISIBLE PROTRUSION NOTED

MORE APPARENT WHEN COUGHING, LIFTING, OR BEARING DOWN

MAY BE SLIGHTLY PAINFUL UNTIL REDUCED

Term

HERNIAS

CLINICAL MANIFESTATIONS

LATER 

Definition

BECOMES LARGER & MAY BECOME INCARCERATED OR STRANGULATED

Term

HERNIAS

CLINICAL MANIFESTATIONS STRANGULATION

Definition

EXTREME PAIN & INTESTINAL OBSTRUCTION R/T KINKED & EDEMATOUS

ACUTE EMERGENCY – NEED IMMEDIATE SURGERY TO PREVENT DEAD BOWEL

Term

GENERAL HERNIA MANAGEMENT

MEDICAL 

Definition

FOR PT. WHO IS UNABLE OR UNWILLING TO HAVE SURGERY

WEAR TRUSS

PERIODIC REDUCTION (PT. CAN LEARN TO DO)

Term

GENERAL HERNIA MANAGEMENT

SURGICAL REPAIR

HERNIORRHAPHY 

Definition
PUSH BOWEL BACK IN & REPAIR DEFECT
Term

GENERAL HERNIA MANAGEMENT

SURGICAL REPAIR

HERNIOPLASTY 

Definition
WEAK AREA AT HIGH RISK FOR RECURRENCE (IE OBESE OR LONG NEGLECTED) SO USE MESH, WIRE, OR FASCIA TO REINFORCE MUSCLE
Term

HERNIAS

NURSING

POST OP

Definition
T&DB BUT NO COUGH (R/T COUGH INCREASES ABD PRESSURE) UNLESS ACTUAL SECRETIONS PRESENT, I&O, WOUND CARE, MOBILIZE
Term

HERNIAS

NURSING

TEACH PT.

Definition

OBSERVE FOR S/S STRANGULATION IF NO SURGERY

Term

HERNIAS

NURSING

TEACH PT.

TRUSS MANAGEMENT IF NO SURGERY

Definition

SKIN IRRITATION – USE CORNSTARCH & KEEP AREA CLEAN & DRY

HOW TO PUT IT ON

Term

HERNIAS

NURSING

TEACH PT

COUGHING

Definition

CONTROL COUGH & SUPPORT AREA WITH HAND

Term

HERNIAS

NURSING

TEACH PT.

AVOID INCREASED ABD PRESSURE

Definition

AVOID CONSTIPATION, PROLONGED STANDING, HEAVY LIFTING

GOOD BODY MECHANICS
OCCUPATION MODIFICATION FOR HEAVY WORK

Term

HERNIAS

NURSING

TEACH PT.

POST-OP -- 

Definition

ELEVATE SCROTUM WITH ICE & REPORT INCREASED EDEMA

Term

HERNIAS

NURSING

TEACH PT.

WRITTEN INSTRUCTIONS

Definition
RE: POST-OP COMPLICATIONS (URINARY RETENTION R/T SPINAL OR EPIDURAL ANESTHESIA, BLEEDING, INFECTION)
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