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unit 9 GASTROINTESTINAL
DIVERTICULOSIS
21
Nursing
Undergraduate 1
04/07/2011

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Term

DIVERTICULOSIS

 

def.

Definition

HERNIATIONS OF THE BOWEL MUCOSA THROUGH WEAKENED AREAS IN THE MUSCULAR LAYER OF THE BOWEL WALL CAUSING OUTPOUCHINGS; WEAKNESS MAY BE ASSOCIATED WITH AGING 

Term
DIVERTICULOSIS
Definition
ASYMPTOMATIC CONDITION 
Term
DIVERTICULITIS
Definition
SYMPTOMS R/T INFLAMMATION 
Term

DIVERTICULOSIS

CAUSE

Definition
UNKNOWN
Term

DIVERTICULOSIS

­ ↑ INCIDENCE IN U.S.

Definition
R/T LOW FIBER DIET
Term

DIVERTICULOSIS

USU. AFFECTS WHAT PART OF THE COLON?

Definition

SIGMOID

Term

DIVERTICULOSIS

MORE COMMON AFTER WHAT AGE? 

Definition
4O Y/O
Term

DIVERTICULOSIS

CLINICAL MANIFESTATIONS

Definition

CONSTIPATION ALTERNATING WITH DIARRHEA

FLATULENCE

LLQ PAIN, TENDERNESS, & ? PALPABLE MASS

FEVER

CURRANT JELLY STOOLS R/T BLEEDING OF DIVERTICULAE

Term

DIVERTICULOSIS

DIAGNOSTIC TESTS

CT SHOWS

Definition
DIVERTICULAE
Term

DIVERTICULOSIS

DIAGNOSTIC TESTS

BARIUM ENEMA SHOWS

Definition
IRREGULAR MUCOSAL WALL
Term

DIVERTICULOSIS

DIAGNOSTIC TESTS

MAY USE H20 SOLUBLE CONTRAST IF..... 

Definition
POSSIBLE PERFORATION 
Term

DIVERTICULOSIS

DIAGNOSTIC TESTS

COLONOSCOPY SHOWS 

Definition
INFLAMED AREAS
Term

DIVERTICULOSIS

DIAGNOSTIC TESTS

CBC =

Definition
­↑ WBC
Term

DIVERTICULOSIS

DIAGNOSTIC TESTS

STOOL GUIAC

Definition
POSITIVE
Term

MANAGEMENT

ASYMPTOMATIC (DIVERTICULOSIS) NO RX.

PREVENTION DIET

Definition

NO SEEDS – GET STUCK IN OUTPOUCHINGS ® INFLAMMATION

FIBER, BRAN, METAMUCIL TO ↓CONSTIPATION 

AVOID CONSTIPATION R/T ↑PRESSURE IN BOWEL → ↑DIVERTICULAE & INFLAMMATION

Term

DIVERTICULOSIS

MANAGEMENT

SYMPTOMATIC (DIVERTICULITIS)

DIET

Definition

¯ RESIDUE DIET

MAY NEED NPO & IV

Term

DIVERTICULOSIS

MANAGEMENT                                        

SYMPTOMATIC (DIVERTICULITIS)

PAIN

Definition

GIVE ANALGESICS

Term

DIVERTICULOSIS

MANAGEMENT                                        

SYMPTOMATIC (DIVERTICULITIS)

FOR INFECTED DIVERTICULAE

Definition

GIVE ANTIBX 

Term

DIVERTICULOSIS 

MANAGEMENT                                        

SYMPTOMATIC (DIVERTICULITIS)

SURGERY 

Definition

SURGERY IF PERFORATES OR CAUSES OBSTRUCTION

COLOSTOMY -- TEMPORARY OR PERMANENT – ALLOWS HEALING

   USU. TAKE DOWN » 6 WEEKS    

Term

DIVERTICULOSIS

TEACH PT.


Definition

DIET, FLUIDS, AVOID CONSTIPATION

PAIN CONTROL – ANALGESICS, ANTIDIARRHEALS

SELF MANAGEMENT TECHNIQUES

Term

                            

DIVERTICULOSIS

TEACH PT.

SEEK HELP FOR 

Definition
SEVERE PAIN OR BLOOD IN STOOL – MAY MEAN PERFORATION
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