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Exam 1 SCI 2
bowel management
10
Science
Graduate
10/18/2011

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Cards

Term
What level is the hypogastric nerve and what does it innervate? (basic muscle)
Definition
L1-L3
internal anal sphincter
Term
What level is the pudendal nerve and what does it innervate
Definition
S2-S4
external anal sphincter and pelvic floor
Term
Feces entering rectum initiates which reflex?
Definition
intrinsic defecation
(weak reflex)
Term
Which reflex:
reinforces intrinsic reflex
mediated by sacral segments
enchances peristalsis of descending colon
further relaxation of internal anal sphincter
Definition
parasympathetic defecation reflex
Term
What happens to bowels with lesion above S2-S4?
UMN or LMN
spastic or flaccid?
Definition
upper motor neuron bowel
reflex filling and emptying of bowel
anal sphincter remains contracted. when the bowel gets full it will empty automatically
Term
What happens to bowels with lesion below S2-S4?
UMN or LMN
spastic or flaccid?
Definition
lower motor neuron bowel. must be manually emptied. the anal sphincter will be affected and become limp therefor stools are likely to leak out on occasion
Term
name the goals of bowel management
Definition
have a BM at a predictable time
avoid accidents
soft stool
avoid complications of static stool in bowel
Term
What are some body reactions before a bowel movement? (stuff you would notice with the patient)
Definition
sweating
goose bumps
sense of fullness in the abdomen
restlessness
Term
whats the basic bowel management for UMN?
Definition
daily stool softeners
digital stimulation to relax bowel
Term
Whats the LMN basic bowel management
Definition
digital stimulation and manual removal
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