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Chapter 46 _Bowel Elimination
Bowel Elimination
32
Nursing
Undergraduate 2
02/10/2013

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Term
valsava maneuver
Definition
straining
Term
What elements are secreted by the colon?
Definition
1. bicarbonate (in exchange for chloride)
2. 4-9 meq of potassium
Term
length of duodenum
Definition
20-28 cm (8-11 in)
Term
length of jejunum
Definition
2.5 m (8ft)
Term
length of ileum
Definition
3.7 m (12 ft)
Term
substances absorbed in the ileum
Definition
water, fats, some vitamins, iron, bile salts
Term
which conditions impose a restriction on using the Valsava maneuver?
Definition
1. cardiovasc disease
2. glaucoma
3. increased intracranial pressure
4. new surgical wound
Term
Effect of gas-producing food on peristalsis
Definition
increase peristalsis
Term
disease where a person is intolerant to gluten and some cereal grains
Definition
celiac disease
Term
effect of emotional stress over peristalsis
Definition
increases peristalsis
Term
effect of depression over peristalsis
Definition
constipation
Term
Paralytic ileus
Definition
stopped peristalsis due to surgery and manipulation of the bowel; lasts 24-48 h
Term
what kind of medications are cathartics?
Definition
laxatives
Term
purpose of intrinsic factor
Definition
absorption of vitamin B12
Term
what is considered infrequent bowel movements?
Definition
less then every three days
Term
continuous oozing of diarrhea stool might indicate...
Definition
fecal impaction
Term
two big risks of diarrhea
Definition
1. electrolyte imbalance and dehydration
2. skin breakdown
Term
What is the Enzyme-linked Immunosorbent Assay (Elisa) test used for?
Definition
disgnosis of C diff
Term
consistency of stool in ileostomy and ostomy of the ascending colon
Definition
frequent and liquid
Term
temporary ostomy performed in emergencies; has supporting device and a proximal and distal end
Definition
loop stoma
Term
ostomy with Harmann's pouch
Definition
end ostomy
Term
type of ostomy after surgical treatment of colorectal cancer
Definition
end ostomy
Term
ostomy (temporary) with two openings; one for fecal drainage, other for the inactive intestine
Definition
double-barrel ostomy
Term
procedure used for patients with ulcerative colitis or familial polyps; anastomosys between ileum and anus
Definition
ileoanal pouch anastomosis
Term
procedure used sometimes for ulcerative colitis; continent stoma where the intestine is made into a reservoir; nipple valve; drained through catheter
Definition
Kock continent ileostomy
Term
procedure to promote bowel elimination in patients with neuropathic or structural abnormalities of the anal sphincter; enema through foley catheter; Daily enemas of 250-800 ml produce a continence valve mechanism and colonic evacuation
Definition
macedo-malone antegrade continence enemas
Term
what could observable peristalsis indicate?
Definition
intestinal obstruction
Term
if you hear less then 5 bowel sounds per minute that could indicate
Definition
paralytic ileus
Term
high-pitched and hyperactive bowel sounds may indicate...
Definition
1. small intestine obstruction
2. infammatory disorders
Term
amount of stool required for a sample
Definition
1 inch or 30-50 ml
Term
FOBT
Definition
fecal occult blood test
Term
how many guiac tests are necessary in order to detect GI bleeding
Definition
three tests; patient doesnt consume food or medications that could give a false positive
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