Causes and Prevention of Constipation Quiz

<p>Proper food management and hand washing</p> Signup and view all the answers

<p>Additives, caffeine, milk, meats, wheat</p> Signup and view all the answers

<p>Inflammatory disease, crohns disease, ulcerative colitis</p> Signup and view all the answers

<p>Fluid replacement high in glucose and electrolytes orally. If patient has three or more episodes lomotil may be used</p> Signup and view all the answers

<p>To improve bowel movement regularity</p> Signup and view all the answers

<p>Abdominal cramping,NDIGESTION, RECTAL PRESSURE, FEELING OF INCOMPLETE EMPTYING, INTESTINAL RUMBLING</p> Signup and view all the answers

<p>psylium and Stool softeners</p> Signup and view all the answers

<p>NARCOTICS, TRANQUILIZERS, AND ANTACIDS WITH ALUMINUM (EX: MYLANTA) • RECTAL OR ANAL CONDITIONS: TEARS, FISSURES, HEMORRHOIDS, PAIN • METABOLIC OF NEUROLOGIC DISORDERS: LUPUS, MULTIPLE SCLEROSIS, SCLERODERMA, DIABETES • COLON CANCER: MAY CAUSE OBSTRUCTION • LOW INTAKE OF FIBER AND FLUIDS • DECREASED MOBILITY: GERIATRIC POPULATION • CHRONIC LAXATIVE USE • SUPPRESSING URGE</p> Signup and view all the answers

<p>All of the above as well as a megacolon can result which is dilated loops colon located proximal to the mass which will obstruct the colon</p> Signup and view all the answers

<p>Fecal impaction</p> Signup and view all the answers

<p>Crohn's disease</p> Signup and view all the answers

<p>Exercise, fluids, and a high fiber diet</p> Signup and view all the answers

<p>All of the above</p> Signup and view all the answers

<p>Megacolon</p> Signup and view all the answers

<p>Parkinson's disease</p> Signup and view all the answers

<p>Fecaloma</p> Signup and view all the answers

<p>Laxatives should only be used for a short period of time to prevent complications</p> Signup and view all the answers

<p>inflammation in the bowel with symptoms worsening</p> Signup and view all the answers

<p>Pain in the upper right quadrant at first then in the lower left quadrant at mcburneys point with increased WBC count</p> Signup and view all the answers

<p>BOWEL SOUNDS WILL MOST LIKELY BE NORMAL. THE PATIENT WILL MOST LIKELY HAVE REBOUND TENDERNESS. THEY MAY ALSO HAVE PAIN IN THE RIGHT QUADRANT WHEN THE LEFT QUADRANT IS PALPATED. THE PATIENT MAY ALSO WANT TO KEEP THEIR RIGHT LEG FLEXED FOR COMFORt</p> Signup and view all the answers

<p>Appendicitis due to it being small obstruction is common</p> Signup and view all the answers

<p>Rebound tenderness</p> Signup and view all the answers

<p>perforation, abscess and peritonitis</p> Signup and view all the answers

<p>Pain in the lower right quadrant</p> Signup and view all the answers

<p>Generalized pain in the upper abdomen, MAY APPLY ICE TO THE AREA FOR COMFORT. DO NOT USE HEAT THERAPY</p> Signup and view all the answers

<p>Leakage of organ contents into the peritoneal cavity, NFLAMMATION OF THE PERITONEAL CAVITY. • CAN BE CAUSED BY TRAUMA, ISCHEMIA, OR PERFORATION</p> Signup and view all the answers

<p>GENERALIZED ABDOMINAL PAIN THAT IS MORE PRONOUNCED IN THE AREA OF THE ABDOMEN THAT IS INVOLVED. • WORSENS WITH MOVEMENT • REBOUND TENDERNESS • ABDOMINAL RIGIDITY • DECREASED PERISTALSIS • RESULTS IN: N/V, BLOATING, FULLNESS, NO BM OR GAS, HYPOACTIVE BOWEL SOUNDS • HYPOVOLEMIA • FEVER • SEPSIS</p> Signup and view all the answers

<p>CT scan CBC TO EVALUATE WHITE BLOOD CELL COUNT • WBCS WILL BE ELEVATED • LABORATORY ANALYSIS • MAY REQUIRE EXPLORATORY SURGERY</p> Signup and view all the answers

<p>FLUID AND ELECTROLYTE REPLACEMENT • INSERTION OF AN OROGASTRIC OR NG TUBE • ANTIBIOTICS • SURGERY MAY BE REQUIRED TO EXCISE, DRAIN OR REPAIR THE CAUSES OF THE LEAK. • THE PATIENT MAY REQUIRE AN OSTOMY OR A WOUND DRAIN. • EFFECTIVE PAIN MANAGEMENT</p> Signup and view all the answers

<p>Septic shock, hypovelemia, obstruction and death</p> Signup and view all the answers

<p>RUPTURED APPENDIX, PERFORATED PEPTIC ULCER, GANGRENOUS GALLBLADDER, DIVERTICULITIS, INCARCERATED HERNIA, GANGRENOUS GALLBLADDER, AND PERITONEAL DIALYSIS.</p> Signup and view all the answers

<p>Exploratory laparotomy surgery</p> Signup and view all the answers

<p>It is a condition where multiple diverticula are present without inflammation. often has no symptoms</p> Signup and view all the answers

<p>SIGMOIDOSCOPY, COLONOSCOPY • CT SCAN • STOOL SPECIMEN • WBCS</p> Signup and view all the answers

<p>Administering antibiotics and providing pain management, potentially with hospitalization/ANTICIPATE THAT THE PATIENT WILL BE NPO. THE PATIENT MAY REQUIRE NG TUBE. • AFTER THE ACUTE PHASE HAS PASSED THE PATIENT CAN START A DIET AS ORDERED. WILL START WITH CLEAR LIQUIDS AND PROGRESS FROM THERE. • MAY REQUIRE SURGERY FOR PERFORATION, ABSCESS, OR BOWEL OBSTRUCTION. • PATIENT MAY REQUIRE SURGICAL RESECTION WITH A TEMPORARY OSTOMY</p> Signup and view all the answers

<p>Including foods high in fiber, such as prunes, unprocessed bran raisins, and peas</p> Signup and view all the answers

<p>Surgical resection with a temporary ostomy</p> Signup and view all the answers

<p>Sigmoid colon/CHRONIC CONSTIPATION • INSUFFICIENT DIETARY FIBER INTAKE/PATIENTS OVER 60 ARE THE MOST LIKELY TO DEVELOP DIVERTICULITIS</p> Signup and view all the answers

<p>Chronic constipation and inseffecient fiber intake</p> Signup and view all the answers

<p>Preventing constipation</p> Signup and view all the answers

<p>Over 60 years old</p> Signup and view all the answers

<p>Selectively target inflammatory agents to interfere with the inflammatory response</p> Signup and view all the answers

<p>Corticosteroids</p> Signup and view all the answers

<p>Modify the immune system to decrease inflammation (immunomodulators)</p> Signup and view all the answers

<p>Antidiarrheal medications</p> Signup and view all the answers

<p>Reduce bacteria in the intestine</p> Signup and view all the answers

<p>Inflammatory agents</p> Signup and view all the answers

<p><strong>Immune system</strong></p> Signup and view all the answers

<p><strong>Prevent malnutrition</strong></p> Signup and view all the answers

<p>It is an autoimmune inflammatory bowel disease that can involve any portion of the gastrointestinal tract. Usually affects lower portion of ileum of first portion of large intestine inflmmation extends through the intestinal muscosa</p> Signup and view all the answers

<p>Cramping pain that is relieved with a bowel movement</p> Signup and view all the answers

<p>MRI scan</p> Signup and view all the answers

<p>To reduce the inflammation that is present/FOODS THAT ARE KNOWN TO CAUSE SYMPTOMS. • DAIRY, FATTY FOODS, FRESH FRUITS AND VEGETABLES, SPICY FOODS, AND CAFFEINE • ENTERAL FEEDINGS MAY BE NEEDED FOR ACUTE EXACERBATIONS. • MAY BE NPO</p> Signup and view all the answers

<p>It is believed to be an autoimmune disease and tends to run in families. Diagnosed between ages of 15 and 30</p> Signup and view all the answers

<p>Formation of fistulas (abnormal paths between organs)HIS CAN ALSO RESULT IN THE FORMATION OF FISSURES (TRACTS OR TEARS)</p> Signup and view all the answers

<p>Management is focused on remission, and a healthy diet is recommended.SEEMS TO RUN IN FAMILIES • MORE COMMON IN FEMALE</p> Signup and view all the answers

<p>15 and 30</p> Signup and view all the answers

<p>INFECTION, ALLERGY, IMMUNE RESPONSE</p> Signup and view all the answers

<p>LABS • BARIUM ENEMA • SIGMOIDOSCOPY OR COLONOSCOPY • BIOPSY • STOOL TESTING • ULTRASOUND • CT/MR</p> Signup and view all the answers

<p>MALNUTRITION • HEMORRHAGE • BOWEL OBSTRUCTION • PERFORATION • OSTEOPOROSIS • PERITONITIS • INCREASED RISK FOR COLORECTAL CANCER</p> Signup and view all the answers

<p>Avoid foods that produce gas or diarrhea</p> Signup and view all the answers

<p>SURGERY FOR EXCESSIVE BLEEDING, SEVERE SYMPTOMS, PERFORATION • UC CAN BE CURED WHEN ENTIRE COLON IS REMOVED (PROCTOCOLECTOMY WITH ILEOSTOMY) • ILEOANAL POUCH- NOT CURATIVE</p> Signup and view all the answers

<p>IARRHEA W/BLOOD OR PUS • VOMITING • MALABSORPTION • SEVERE DEHYDRATION • RECTAL BLEEDING • URGENCY, MAY HAVE 5-10 LIQUID STOOLS PER DAY • ANOREXIA, WEIGHT LOSS • ANEMIA • ELECTROLYTE IMBALANCE, LOSS OF CALCIUM</p> Signup and view all the answers

<p>blood in muscus stool and butt</p> Signup and view all the answers

<p>VERY SIMILAR TO CROHN’S DISEASE. HOWEVER, UC OCCURS IN THE LARGE COLON AND THE RECTUM</p> Signup and view all the answers

<p>IBS is characterized by uncoordinated contractions of the colon muscles, leading to changes in bowel patterns.</p> Signup and view all the answers

<p>Rectal bleeding</p> Signup and view all the answers

<p>Following a low FODMAP diet</p> Signup and view all the answers

<p>Antidepressants, ANTISPASMODICS • LAXATIVES, ANTIDIARRHEALS</p> Signup and view all the answers

<p>The diagnosis is primarily based on the patient's medical history and exclusion of other disorders. and a colonscopy</p> Signup and view all the answers

<p>IBS is more common in females than males and can be a mixture of constipaion and diarrhea or bofff of da them</p> Signup and view all the answers

<p>Antidiarrheals and laxatives, ANTISPASMODICS</p> Signup and view all the answers

<p>Practicing stress management techniques</p> Signup and view all the answers

<p>Abdominal bulging</p> Signup and view all the answers

<p>Omentum</p> Signup and view all the answers

<p>Irreducible hernia or incarcerated hernia</p> Signup and view all the answers

<p>Strangulation due to blood and intestinal flow being cutoff in the trapped loop of bowel, will need emergency surgery, pain at site, nausea, vomitting, and abdominal pain</p> Signup and view all the answers

<p>Emergency surgery</p> Signup and view all the answers

<p>Ease of return to abdominal cavity</p> Signup and view all the answers

<p>Applying ice packs for comfort, deep breathing exercises, avoid coughing,</p> Signup and view all the answers

<p>Increasing physical activity</p> Signup and view all the answers

<p>Hernioplasty/. SURGERY RECOMMENDED FOR INGUINAL HERNIAS • HERNIORRHAPHY- OPEN HERNIA REPAIR, CONTENTS OF SAC ARE REPLACED</p> Signup and view all the answers

<p>To reduce swelling</p> Signup and view all the answers

<p>Same day of surgery</p> Signup and view all the answers

<p>Driving</p> Signup and view all the answers

<p>Report signs of infection and practice proper wound care</p> Signup and view all the answers

<p>Lactose intolerance</p> Signup and view all the answers

<p>High-calorie, high-protein, gluten-free diet/. LACTOSE INTOLERANCE- AVOID LACTOSE FOODS, LACTAID</p> Signup and view all the answers

<p>Jaundice</p> Signup and view all the answers

<p>Vitamin deficiency and calcium deficiency</p> Signup and view all the answers

<p>Loose, bulky, foul gray stools with increased fat content</p> Signup and view all the answers

<p>Mechanical obstruction-BLOCKAGE OCCURS WITHIN THE INTESTINE/MECHANICAL OBSTRUCTION CAUSES: • POST-SURGERY • HERNIAS • NEOPLASMS • INFLAMMATORY BOWEL DISEASE • FOREIGN BODIES, STRICTURES, VOLVULUS, INTUSSUSEPTION</p> Signup and view all the answers

<p>Fecal vomiting BOWEL SOUNDS HIGH-PITCHED/TINKLING PROXIMAL AND ABSENT SOUNDS DISTAL • ABDOMINAL DISTENTION • FLUID/ELECTROLYTE IMBALANCE</p> Signup and view all the answers

<p>CT scan, CBC and electrolytes</p> Signup and view all the answers

<p>CARCINOMA, IBD, DIVERTICULITIS, BENIGN TUMORS, STOOL IMPACTION</p> Signup and view all the answers

<p>DISIMPACTION OR ENEMA, SURGICAL RESECTION, TEMPORARY COLOSTOMY</p> Signup and view all the answers

<p>IBD Large bowel obstruction can</p> Signup and view all the answers

<p>NPO • NG TUBE • FLUID AND ELECTROLYTE REPLACEMENT • SURGERY</p> Signup and view all the answers

<p>Antispasmodics</p> Signup and view all the answers

<p>A conventional ileostomy involves a free-flowing stoma, while a continent kock/kock pouch ileostomy requires the patient to insert a catheter to empty the reservoir 3-4 times a day</p> Signup and view all the answers

<p>The location of the ostomy along the colon.</p> Signup and view all the answers

<p>Double-barrel stoma</p> Signup and view all the answers

<p>Avoiding foods with chunks or solid pieces. as well as cabbage or broccoli</p> Signup and view all the answers

<p>Increased risk of dehydration due to liquid to mushy effluent.</p> Signup and view all the answers

<p>To provide a temporary solution before a more permanent ostomy is created.</p> Signup and view all the answers

<p>Distal colostomy</p> Signup and view all the answers

<p>Avoid foods that may cause excessive gas like cabbage or broccoli</p> Signup and view all the answers

<p>When it is 1/3 full</p> Signup and view all the answers

<p>Cut the opening 1/8 inch larger than the stoma</p> Signup and view all the answers

<p>Pink to red and moist</p> Signup and view all the answers

<p>Inadequate blood supply</p> Signup and view all the answers

<p>Necrosis, END STOMA- PROXIMAL BOWEL END BROUGHT TO ABDOMINAL WALL • LOOP STOMA- LOOP OF BOWEL OUTSIDE ABDOMEN WITH BRIDGE UNDER IT</p> Signup and view all the answers

<p>2-3 weeks</p> Signup and view all the answers

<p>Ensuring the patient is comfortable with providing self-care</p> Signup and view all the answers