Term
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Definition
| Voluntary contraction of ab muscles while maintaining a forced expiration against closed airway |
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Term
| Who should avoid valsalva maneuver? |
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Definition
| pts with cardio disease, glaucoma, increased intracranial pressure, or new surgical wound |
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Term
| by what age do we have control of defectation |
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Definition
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Term
| Constipation for elderly is a problem why |
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Definition
| Due to slowed peristalsis |
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Term
| Laxative overuse causes what |
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Definition
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Term
| If someone has a daily BM does that mean they are regular? |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
|
Definition
| Early AM bowel training in response to reflex |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| Slows or halts peristalsis |
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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 |
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Term
|
Definition
| Unrelieved constipation resulting in collection of hard feces wedged in rectum that pt cannot expel. |
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Term
| Who is most at risk for impaction |
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Definition
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Term
|
Definition
| Inability to pass stool for several days, continuous oozing of diarrhea, anorexia, ab distention, nausea, vomiting |
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Term
|
Definition
| Increased frequency of loose stools |
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Term
| Common causes of diarrhea |
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Definition
| Stress, infection, allergies, food intolerance, tube feedings, meds. |
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Term
|
Definition
| Rapid movement of bowel contents so less water is absorbed. |
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Term
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Definition
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Term
|
Definition
| Inability to control passage of feces of flatus |
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Term
|
Definition
Action of bacteria on chime in lrg intestine
-Swallowed air
-Gas that diffuses b/t bloodstream and intestine |
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Term
|
Definition
| Foods, surgery, narcotics. |
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Term
|
Definition
| Mass of dilated blood vessels beneath skin of anus |
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Term
|
Definition
| Straining, pregnancy, CHF, liver diseases. |
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Term
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Definition
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Term
|
Definition
| Normal stools at regular intervals |
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Term
| foods that increase flatulance |
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Definition
| Carbonated fluids, straws, chewing gum |
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Term
| If on bedpan how high should the HOB be raised? |
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Definition
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Term
|
Definition
| Combines with water in intestine to promote peristalsis. Safe for daily use. Take with plenty of water. works in 1-3 days |
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Term
|
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 |
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Term
|
Definition
| Short term. alters fluid/electrolyte transport into colon. PO onset 6-13 hours. Supp 15-60 min |
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Term
|
Definition
| PO magnesium draws water in intestine. Stimulates peristalsis in 3-6 hours |
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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. |
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Term
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Definition
| Used for bowel cleansing. PO. Onset 1 hour. Fast for 3-4 hours prior to admin, only have clear liquids after admin |
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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 |
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Term
|
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. |
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Term
| Pepto-Bismal (anti-diarrheal) |
|
Definition
| Promotes intestinal absorption of fluids. Contains aspirin. May turn stools black. Contraindicated in pts with impaction |
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Term
| Psyillim as anti-diarrheal |
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Definition
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Term
|
Definition
| Antiflatulant. Coalesces gas bubbles and facilitates passage. |
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