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Bowel/Urinary
Bowel/Urinary
42
Nursing
Undergraduate 3
04/23/2014

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Term
valsalva maneuver
Definition
Voluntary contraction of ab muscles while maintaining a forced expiration against closed airway
Term
Who should avoid valsalva maneuver?
Definition
pts with cardio disease, glaucoma, increased intracranial pressure, or new surgical wound
Term
by what age do we have control of defectation
Definition
2-3 years
Term
Constipation for elderly is a problem why
Definition
Due to slowed peristalsis
Term
Laxative overuse causes what
Definition
Constipation
Term
If someone has a daily BM does that mean they are regular?
Definition
No, not neccessarily
Term
Barium can cause what
Definition
Serious constipation
Term
anxious/angry
Definition
Diarrhea
Term
depressed
Definition
Constipation
Term
Best defecation habits
Definition
Early AM bowel training in response to reflex
Term
Narcotics cause what
Definition
They cause constipation
Term
Antibiotics cause what
Definition
Diarrhea
Term
Iron causes what
Definition
Black stoolsq
Term
Surgery causes what
Definition
Slows or halts peristalsis
Term
constipation is characterized by
Definition
Less than 3 BMS/week
Hard dry stools
Straining/Painful
Feeling of incomplete emptying
Ab pain, cramps, distention
Decreased appetite
Term
Impaction
Definition
Unrelieved constipation resulting in collection of hard feces wedged in rectum that pt cannot expel.
Term
Who is most at risk for impaction
Definition
Confused or unconscious
Term
Signs of impaction
Definition
Inability to pass stool for several days, continuous oozing of diarrhea, anorexia, ab distention, nausea, vomiting
Term
Diarrhea
Definition
Increased frequency of loose stools
Term
Common causes of diarrhea
Definition
Stress, infection, allergies, food intolerance, tube feedings, meds.
Term
What causes diarrhea
Definition
Rapid movement of bowel contents so less water is absorbed.
Term
First aim of diarrhea tx
Definition
To maintain hydration!
Term
Incontinence
Definition
Inability to control passage of feces of flatus
Term
3 sources of flatulance
Definition
Action of bacteria on chime in lrg intestine
-Swallowed air
-Gas that diffuses b/t bloodstream and intestine
Term
What causes flatulance
Definition
Foods, surgery, narcotics.
Term
hemorrhoids
Definition
Mass of dilated blood vessels beneath skin of anus
Term
Cause of hemorrhoids
Definition
Straining, pregnancy, CHF, liver diseases.
Term
Illeostomy
Definition
Frequent liquid stools
Term
Colostomy
Definition
Normal stools at regular intervals
Term
foods that increase flatulance
Definition
Carbonated fluids, straws, chewing gum
Term
If on bedpan how high should the HOB be raised?
Definition
30-45 degrees
Term
Bulk forming Psyllium
Definition
Combines with water in intestine to promote peristalsis. Safe for daily use. Take with plenty of water. works in 1-3 days
Term
Colace Stool Softener
Definition
Safe to use daily. Prevents constipation by incorporating water in stool. works in 1-2 days. Also can be used for enema with impaction
Term
Laxatives: Dulcolax
Definition
Short term. alters fluid/electrolyte transport into colon. PO onset 6-13 hours. Supp 15-60 min
Term
Osmotic Milk of Mag
Definition
PO magnesium draws water in intestine. Stimulates peristalsis in 3-6 hours
Term
Miralax/Polyethylene glycol
Definition
PO powder to dissolve in 8oz water. Works in 2-4 days. May be used for up to two weeks.
Term
GoLYTLELY
Definition
Used for bowel cleansing. PO. Onset 1 hour. Fast for 3-4 hours prior to admin, only have clear liquids after admin
Term
Enemas. water or fleet's.
Definition
Used for impaction.
Phosphat/biphosphate (fleet's) onset 2-5 min
-Used to tx constipation or as a bowel prep
Term
Immodium (antidiarrheal)
Definition
Inhibits peristalsis. Prolongs transport time by direct effect on intestinal nerves. 4mg PO then 2mg after each loose stool. Used up to 10 days.
Term
Pepto-Bismal (anti-diarrheal)
Definition
Promotes intestinal absorption of fluids. Contains aspirin. May turn stools black. Contraindicated in pts with impaction
Term
Psyillim as anti-diarrheal
Definition
Absorbs excess liquid
Term
Simethicone
Definition
Antiflatulant. Coalesces gas bubbles and facilitates passage.
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