Gastrointestinal Tract Overview

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Questions and Answers

Which factor is essential for maintaining normal bowel function?

  • High intake of laxatives
  • Regular exercise (correct)
  • Decreased fluid intake
  • Frequent scolding

What stool type is characterized as separate hard lumps, making it hard to pass?

  • Type 1 (correct)
  • Type 7
  • Type 5
  • Type 3

Which of the following conditions can lead to fecal impaction?

  • Regular bowel movements
  • Increased gastrointestinal motility
  • Dehydration due to excessive fluid intake
  • Prolonged retention and hardening of feces (correct)

What is a common misconception about bowel habits in older adults?

<p>Constipation is a normal part of aging (C)</p> Signup and view all the answers

What impact can shaming or disgust from a caregiver have on bowel patterns?

<p>It can contribute to regression (D)</p> Signup and view all the answers

Which of the following is NOT a potential cause of abnormal stool patterns?

<p>Frequent exercise (C)</p> Signup and view all the answers

What is an important consideration for patients undergoing diagnostic studies involving bowel preparation?

<p>Patients cannot eat or drink before the procedure (C)</p> Signup and view all the answers

What can result from prolonged bedrest or poor mobility regarding bowel health?

<p>Increased risk of constipation (B)</p> Signup and view all the answers

What is the primary function of the stomach in the gastrointestinal tract?

<p>Secretion of digestive juices and churning of food (B)</p> Signup and view all the answers

Which part of the small intestine receives digestive secretions from the liver and pancreas?

<p>Duodenum (C)</p> Signup and view all the answers

What process describes the movement that propels feces through the intestines?

<p>Peristalsis (D)</p> Signup and view all the answers

What is the role of the ileocecal valve in the gastrointestinal tract?

<p>Prevents materials from entering the large intestine too soon (B)</p> Signup and view all the answers

Which of the following statements is true about defecation?

<p>It can be influenced by parasympathetic stimulation. (A)</p> Signup and view all the answers

What effect does the Valsalva maneuver have on the cardiovascular system?

<p>Temporarily decreases blood flow to the heart (B)</p> Signup and view all the answers

At what stage does a toddler develop voluntary control over defecation?

<p>When able to physically train (A)</p> Signup and view all the answers

What can cause a decrease in heart rate and potentially lead to syncope during defecation?

<p>The Valsalva maneuver (B)</p> Signup and view all the answers

Which of the following diagnostic tests involves direct visualization of the esophagus, stomach, and duodenum?

<p>Esophagogastroduodenoscopy (EGD) (C)</p> Signup and view all the answers

What is a primary characteristic of osmotic laxatives like polyethylene glycol (PEG)?

<p>Promote secretion of water in the colon (A)</p> Signup and view all the answers

In the context of diarrhea, what does the term 'seepage of stool' typically indicate?

<p>Possible obstruction or impaction (A)</p> Signup and view all the answers

Which type of enema draws fluid out of the interstitial space into the colon?

<p>Hypertonic enema (D)</p> Signup and view all the answers

What is the primary purpose of performing a digital removal (disimpaction) of stool?

<p>To alleviate bowel obstruction or severe constipation (B)</p> Signup and view all the answers

The nephron is primarily responsible for which of the following functions?

<p>Removing end products of metabolism from the blood (C)</p> Signup and view all the answers

Which bowel diversion procedure involves creating an opening from the ileum of the small intestine?

<p>Ileostomy (C)</p> Signup and view all the answers

What is a common risk associated with the prolonged loss of fluids and electrolytes due to diarrhea?

<p>Life-threatening complications (A)</p> Signup and view all the answers

The sensation to urinate typically occurs when the bladder holds how much urine?

<p>150 - 250 ml (C)</p> Signup and view all the answers

Which of the following would be an appropriate management step prior to administering antidiarrheal medications?

<p>Identifying the underlying cause of diarrhea (D)</p> Signup and view all the answers

What developmental factor typically occurs between ages 2 to 5 regarding urinary control?

<p>Daytime control develops before nighttime control (B)</p> Signup and view all the answers

Which term describes the condition where there is a sudden, strong need to urinate?

<p>Urgency (D)</p> Signup and view all the answers

What is the primary concern of urinary retention?

<p>Bladder not emptying completely (C)</p> Signup and view all the answers

How does aging primarily affect the bladder?

<p>Decreased bladder contractility (D)</p> Signup and view all the answers

Which type of incontinence occurs due to loss of urine after feeling a strong urge to void?

<p>Urge incontinence (A)</p> Signup and view all the answers

Which condition refers to low urine output?

<p>Oliguria (C)</p> Signup and view all the answers

What is considered a common factor that affects children's ability to learn toilet training?

<p>Cultural beliefs about training (C)</p> Signup and view all the answers

What is a characteristic of nephrotoxic medications?

<p>They cause kidney damage. (D)</p> Signup and view all the answers

Which of the following is a method to assess urinary elimination effectively?

<p>Monitoring skin for color and turgor (A)</p> Signup and view all the answers

Which diagnostic procedure is used to view and diagnose conditions of the lower urinary tract?

<p>Cystoscopy (B)</p> Signup and view all the answers

What may lead to transient incontinence?

<p>Temporary infection or medication (D)</p> Signup and view all the answers

Which condition is characterized by the involuntary escape of urine?

<p>Incontinence (C)</p> Signup and view all the answers

What is typically recommended for effective urine specimen collection?

<p>Use antiseptic wipes and a sterile specimen cup (D)</p> Signup and view all the answers

In elderly patients, how is night urination primarily affected by aging?

<p>Decreased kidney concentrating ability (B)</p> Signup and view all the answers

Which of the following is a contraindication for performing a retrograde pyelogram?

<p>Pregnancy (B)</p> Signup and view all the answers

What is the purpose of administering a laxative or enema before a renal ultrasound?

<p>To prevent stool or gas interference (C)</p> Signup and view all the answers

What is the primary reason for using an indwelling urinary catheter?

<p>Urinary retention (A)</p> Signup and view all the answers

What type of dialysis utilizes the blood vessels in the abdominal lining?

<p>Continuous Ambulatory Peritoneal Dialysis (CAPD) (B)</p> Signup and view all the answers

What characteristic is considered abnormal when assessing a stoma?

<p>Pale color (B)</p> Signup and view all the answers

What is a common complication associated with intravenous (IV) infusions?

<p>Fluid overload (C)</p> Signup and view all the answers

What is the threshold urine output per hour that is considered abnormal?

<p>30 cc (B)</p> Signup and view all the answers

What method of IV medication administration involves a rapid injection of a concentrated medication?

<p>IV bolus (C)</p> Signup and view all the answers

Which IV fluid type remains in the intravascular compartment without causing movement across the semipermeable membrane?

<p>Isotonic (D)</p> Signup and view all the answers

What is a preferable IV catheter for long-term therapy and can remain in place for months?

<p>Peripherally inserted central catheter (PICC) (D)</p> Signup and view all the answers

What is a critical step before initiating a blood transfusion?

<p>Check blood type and RH factor (A)</p> Signup and view all the answers

Which of the following solutions is hypertonic and would cause cells to shrink?

<p>3% Sodium Chloride (B)</p> Signup and view all the answers

What should be monitored for in patients with an indwelling urinary catheter?

<p>Urinary output and signs of infection (A)</p> Signup and view all the answers

Which laboratory result indicates renal impairment in a patient?

<p>Increased Creatinine (D)</p> Signup and view all the answers

Flashcards

Gastrointestinal Tract

The passage from mouth to anus, also called the alimentary canal.

Stomach

Stores food, secretes digestive juices, churns food, and propels it to the small intestine.

Pyloric Sphincter

A muscular ring controlling the opening from the stomach to the small intestine.

Small Intestine

Digests food and absorbs nutrients into the bloodstream.

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Large Intestine

Absorbs water, forms feces, and expels waste.

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Ileocecal Valve

Prevents backflow between small and large intestines.

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Defecation

The process of eliminating waste from the body.

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Peristalsis

The movement of the intestines that pushes feces forward.

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Internal Anal Sphincter

Involuntary muscle controlling the opening of the anus.

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External Anal Sphincter

Voluntary muscle controlling the opening of the anus.

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Valsalva Maneuver

Bearing down to expel feces.

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Infant Bowel Movements

Vary in quantity, consistency, and odor based on feeding.

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Toddler Bowel Development

Internal and external sphincters develop for voluntary control.

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Invasive Diagnostic Test

A medical procedure that involves inserting instruments or tools into the body.

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Non-invasive Diagnostic Test

A medical procedure that doesn't involve inserting instruments or tools into the body.

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Stool Collection

Gathering a stool sample for laboratory analysis.

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Occult Blood

Blood in the stool that is not visible.

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EGD

Esophagogastroduodenoscopy; a procedure visualizing the esophagus, stomach, and duodenum.

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Colonoscopy

Visual examination of the colon.

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Bulk-Forming Laxative

Type of laxative that absorbs water to increase stool bulk and stimulate movement.

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Osmotic Laxative

Draws water into the colon to soften and stimulate bowel movements.

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Chronic Diarrhea

Diarrhea lasting 3-4 weeks or more.

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Enema (Tap Water)

Hypotonic enema; softens stool and increases peristalsis.

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Enema (Normal Saline)

Isotonic enema; softens stool and increases peristalsis.

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Ileostomy

Surgical opening from the ileum (small intestine) to the outside.

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Colostomy

Surgical opening from the colon to the outside.

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Nephron

Functional unit of the kidney, responsible for filtering blood and producing urine.

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Micturition

The process of urination or voiding.

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Physiologic ability for training

The physical capacity needed for training to properly occur.

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Regression in bowel habits

Negative changes in regular bowel habits.

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Varying bowel patterns

Bowel habits can vary based upon age group.

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Laxative/Enema discouragement

Avoid use of laxatives and enemas, except when needed.

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Constipation in older adults

Common issue in older adults due to reduced rectal response to stretching & reduced urge to defecate.

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Fecal Impaction

Prolonged retention and hardening of feces.

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Promoting normal bowel function

Encouraging regular bowel habits.

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Bowel pattern / position

Time/privacy during bowel movements.

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High-fiber diet

High fiber intake and sufficient fluid.

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Regular Exercise

Promotes gastrointestinal health and movement.

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Lifestyle factors (bowel)

Includes normal habits vs. embarrassment, pre-occupation with bowel, and other daily habits.

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Pathologic conditions & bowel

Changes in stool could indicate disease symptoms.

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Abnormal poop

Irregular stool may indicate malabsorption problems, cancers, GI conditions, medication side effects, or blockages.

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Surgical procedures & bowel

Surgery/anesthesia may lead to decreased bowel movement (paralytic ileus).

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Pain management & bowel

Pain relievers can cause constipation.

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Thorough Bowel Assessment

A detailed review of bowel habits (pattern, consistency, aids, changes, pain) and other important information.

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Bristol Stool Chart Type 1

Hard, separate lumps, like nuts, difficult to pass.

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Bristol Stool Chart Type 7

Watery stool with no solid pieces.

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Diagnostic Studies for Bowel

Preparing the patient for tests like barium contrast, which involves dietary and procedural preparation.

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Urinary Retention

Normal urine production but not completely excreted by the bladder.

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Anuria

Very little or no urine production.

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Dysuria

Painful urination.

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Frequency

The need to urinate more frequently than normal.

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Nocturia

Waking up at night to urinate.

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Oliguria

Low urine output.

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Polyuria

Abnormally large amounts of dilute urine.

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Proteinuria

Higher than normal amount of protein in urine.

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Pyuria

White blood cells in the urine.

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Urgency

Sudden, strong need to urinate.

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Hematuria

Red blood cells in the urine.

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Enuresis

Bedwetting, involuntary urination during sleep.

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Incontinence

Involuntary leakage of urine.

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Stress Incontinence

Urine leakage with physical exertion like coughing or sneezing.

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Urge Incontinence

Urine leakage after a sudden urge to urinate.

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Overflow Incontinence

Inability to fully empty the bladder despite the urge to urinate.

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Functional Incontinence

Inability to reach the restroom in time due to physical or cognitive reasons.

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Mixed Incontinence

A combination of stress and urge incontinence.

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Transient Incontinence

Temporary urine leakage due to medical conditions or medications.

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Reflex Incontinence

Involuntary urine leakage without warning or urge, often large.

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Total Incontinence

Inability to store urine; constant or frequent leakage.

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Polycystic Kidney Disease (PKD)

Genetic disorder causing cysts in the kidneys.

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Urinary Tract Infections (UTIs)

Infections of the urinary system.

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Urinary Calculi (Kidney Stones)

Solid masses formed in the urinary tract.

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Diabetes Mellitus (DM)

Metabolic disorder affecting blood glucose regulation.

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Hypertension (HTN)

High blood pressure affecting the blood vessels.

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Gout

Metabolic disorder causing joint inflammation.

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Renal Failure

Kidney function impairment; decreased ability to filter waste from blood.

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Acute Kidney Injury (AKI)

Sudden loss of kidney function.

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Post-void Residual (PVR)

Amount of urine remaining in the bladder after urination.

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Bladder Scan

Ultrasound to assess the volume of urine in the bladder.

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Renal Disease Diagnosis

Methods to diagnose kidney and urinary tract conditions, including procedures and considerations.

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Retrograde Pyelogram

Radiographic and endoscopic exam of kidneys and ureters using a catheter.

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Renal Ultrasound

Non-invasive scan of kidney tissue and blood vessels.

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CT Scan (Contrast)

Imaging technique using X-rays; NPO required if using contrast.

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Indwelling Urinary Catheter

A catheter placed in the bladder for various purposes, including urine retention or measurement.

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Intermittent Catheter

Short-term bladder drainage; used after surgery or for bladder control issues.

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Urologic Stent

Thin tube placed in urinary system to relieve blockages.

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Ileal Conduit

Surgical procedure diverting urine through a stoma (opening) in the abdominal wall.

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Stoma Assessment

Evaluation of a stoma's appearance, size, and surrounding skin.

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Urostomy Appliance

Device collecting urine from a stoma, requiring frequent changing.

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Hemodialysis

Blood filtration process to remove waste products.

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Peritoneal Dialysis

Uses the abdominal lining to filter waste from the blood.

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IV Fluid Monitoring

Assessing patient hydration status, often with vital signs and labs.

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Dehydration

Fluid loss exceeding intake; can affect kidney, cardiac function.

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Fluid Balance

Intake and output of fluids to maintain homeostasis.

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Fluid Overload

Excess body fluids; requires restricted fluid intake.

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Urine Output Assessment

Evaluating urine characteristics and volume to detect issues.

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IV Infiltration

IV fluid leaking into surrounding tissues.

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IV Phlebitis

Inflammation of the vein caused by the IV.

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IV Extravasation

Leaking of a vesicant solution into surrounding tissues.

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Central Lines (PICC)

Long-term intravenous access placed centrally, typically for extended therapy.

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Blood Transfusion

Transfer of blood products to a patient.

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Transfusion Reactions

Adverse reactions to blood transfusions, requiring immediate intervention.

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IV Medications

Medications delivered directly into the bloodstream.

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IV Infusion Types

Different methods of administering intravenous solutions, including IVPB and bolus.

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Vascular Access Devices

Devices for long term venous access.

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Study Notes

Gastrointestinal Tract

  • The alimentary tract/canal extends from mouth to anus
  • Organs involved: stomach, small intestine, and large intestine
  • Stomach: Located in the upper abdomen. Stores food, secretes digestive juices, and churns food to propel chyme to small intestine
  • Pyloric sphincter: A muscular ring regulating chyme release from stomach to small intestine
  • Small intestine: Contains duodenum, jejunum, and ileum. Releases enzymes digesting proteins and carbohydrates. Receives digestive secretions from liver and pancreas. Facilitates food digestion and nutrient absorption
  • Large intestine: Absorbs water, forms feces, and expels feces. Ileocecal valve prevents premature large intestinal entry and backward movement of contents to small intestine

Bowel Elimination

  • The lower part of the GI tract extends from the ileocecal valve to the anus
  • Includes ascending colon (right side), transverse colon, descending colon (left side), sigmoid colon, rectum, and anus

Defecation

  • Feces, or stool, is waste expelled from the colon
  • Defecation is the process of bowel elimination, propelled by peristalsis
  • Controlled by the medulla and spinal cord.

Bristol Stool Chart

  • A tool to describe stool consistency
  • Types range from separate hard lumps (Type 1) to watery (Type 7)

Diagnostic Studies

  • Stool sample collection for lab analysis; avoid urine contamination.
  • Possible need for bowel preparation in some cases.
  • Barium or IV contrast may be used.

Considerations

  • Surgical procedures/anesthesia can disrupt bowel motility.
  • Pain management can lead to constipation.
  • Thorough assessment necessary for bowel pattern/consistency changes and related pain.

Other Agents for Bowel Function

  • Suppositories/oils (melt at body temperature) for constipation
  • Oral solutions (e.g., colyte) for bowel cleansing, used before surgery

Bowel Diversion: Ostomy

  • Surgical creation of an opening from the interior of an organ to the exterior.
  • Types include ileostomy (small intestine) and colostomy (large intestine)

Promoting Normal Bowel Function

  • Adequate fiber and fluid intake are key.
  • Regular exercise improves GI motility.
  • Manage lifestyle factors like stress, cleanliness, and occupation.

Treatment for Constipation

  • Bulk-forming agents
  • Osmotic agents (polyethylene glycol)
  • Stimulant agents
  • Softeners
  • Lubricants

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