Term
THE GASTROINTESTINAL SYSTEM
ASSESSMENT
what questions should you ask the pt with GASTROINTESTINAL complaints. |
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Definition
WHY PT. SOUGHT HELP (CHIEF C/O & S/S)
• WHAT PT. THINKS IS CAUSING IT, ONSET & FREQ. OF S/S
• RELATED & ACCOMPANYING S/S• AGGRAVATING & RELIEVING FACTORS
• WHAT FOODS AGGRAVATE S/S• ALLERGIES & REACTIONS (ESP. TO FOOD)
MEDS |
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Term
GASTROINTESTINAL
The nurse should r/o what in female clints and why |
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Definition
PREGNANTCY
MANY OF THE TREATMENT FOR GASTROINTESTINAL PROBLEMS ARE HARMFUL TO A FETUS. |
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Term
WHAT SHOULD THE NURSE KNOW ABOUT
NUTRITIONAL, METABOLIC, & ELIMINATION PATTERNS IN HER PT.
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Definition
• QUALITY OF APPETITE• CHEWING & SWALLOWING PROBLEMS• WHAT & HOW MUCH PT. EATS PER DAY• DISCOMFORT BEFORE, DURING, & AFTER EATING
• WT. CHANGES• BOWEL PATTERNS
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Term
BOWEL PATTERNS
YOU SHOULD KNOW.... |
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Definition
CONSISTENCY, COLOR, VISIBLE BLOOD, FREQUENCY, EFFORT/PAIN WITH BM’s
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Term
THE GASTROINTESTINAL SYSTEM
PAST MEDICAL-SURGICAL HX
NEED TO KNOW...
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Definition
FAMILY HX. CAUSES OF DEATH (SOME DISORDERS IE COLON CA ARE FAMILIAL)
OCCUPATIONAL HX.
TOXIC CHEMICALS, PESTICIDES
RECENT ACTIVITIES IE ETOH INTAKE
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Term
ASSESSMENT --
SKIN & CONJUNCTIVA, COLOR YELLOW =
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Definition
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Term
SPIDER ANGIOMA, DISTENDED ABD. VEINS =
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Definition
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Term
THE GASTROINTESTINAL SYSTEM ASSESSMENT -- MOUTH
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Definition
Ö FOR SORES, CRACKS, & INFLAMMATION ON LIPS & IN MOUTH (IE VITAMIN DEFICIENCY)
Ö ABILITY TO CHEW & SWALLOW
Ö CONDITION OF TEETH & DENTURES
ASK IF PT. NEEDS SOFT FOODS & NOTIFY MD & DIETARY
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Term
THE GASTROINTESTINAL SYSTEM ASSESSMENT -- ABDOMEN
WHAT POSITION SHOULD PT. BE IN? |
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Definition
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Term
THE GASTROINTESTINAL SYSTEM ASSESSMENT -- ABDOMEN –INSPECTION
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Definition
FLAT, ROUND, CONCAVE (SCAPHOID), DISTENDED
DYSPNEA ? R/T DISTENDED ABD. CROWDING CHEST
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Term
THE GASTROINTESTINAL SYSTEM ASSESSMENT -- AUSCULTATE
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Definition
EACH QUADRANT
NOTE PITCH, FREQ. LOCATION, QUALITY (TINKLE VS. GURGLE) NORMAL BOWEL SOUNDS = Q5-30 SEC.
LISTEN X 5 MIN. EACH QUAD. TO CONFIRM ABSENCE
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Term
THE GASTROINTESTINAL SYSTEM ASSESSMENT -- PALPATE
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Definition
(LIGHT ONLY – ONE HAND, ½ INCH DEEP) ALL QUADS
SOFT VS. FIRM
Ö FOR MASSES
Ö TENDERNESS & PAIN
ENLARGED LIVER (R LOWER RIB MARGIN) = LIVER, GALL BLADDER, PANCREAS, SMALL BOWEL PROBLEM
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Term
THE GASTROINTESTINAL SYSTEM ASSESSMENT --
MEASURE GIRTH AT.......... |
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Definition
UMBILICUS
(MARK THE PLACE FOR CONSISTENCY)
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Term
THE GASTROINTESTINAL SYSTEM
ASSESSMENT -- PERCUSS
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Definition
DULL OVER LIVER
TYMPANIC OVER STOMACH & DISTENDED BOWEL
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Term
THE GASTROINTESTINAL SYSTEM
ASSESSMENT -- ANUS
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Definition
Ö IF PT. HAS ANAL DISORDER OR IF PT. REQUIRES ASSSISTANCE WITH PERI-CARE
Ö FOR LESIONS, INFLAMMATION, DRAINAGE, HEMORRHOIDS, RASHES, FISSURES & SKIN TAGS ( RISK COLON POLYPS)
ALL PT. -- ÖSTOOL FOR COLOR, SHAPE (RIBBON = MASS IN COLON), CONSISTENCY
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