Professional Documents
Culture Documents
• Hypertension
• Fecal impaction
• Hemorrhoids
• Fissures
• Megacolon
LUBRICANT LUBRICATES THE FECES IN THE COLON MINERAL OIL (HALEY’S M-O)
• Fluid replacement
Oresol
• Avoid food in the first 24 hours to provide bowel rest, after
that time, frequent small feedings
• Milk are temporary withheld
• Avoid raw fruits and vegetables, fried foods, spices coffee.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Care
• Directed toward identifying
the cause, relieving
symptoms, preventing
complications and if
infectious, preventing the
spread of infection to others.
• RISK FOR FLUID VOLUME
DEFICIT
• RECORD I & O
• Monitor v/s and record
including orthostatic
hypotension
• Provide fluid and
electrolyte replacement
solutions as indicated-
increase OFI as tolerated
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
RISK FOR IMPAIRED SKIN INTEGRITY
Provide good skin care
Assist in cleaning the perianal area
Apply protective ointment to the perianal area
• Constipation
• Acute pain
• Perforation
• Peritonitis
• Abscess formation
• Bleeding
False
False
• Fever
• Abdominal distention
• Diarrhea
• Colicky abdominal pain
• Anorexia/N/V
• Weight loss
• Anemia
• 1. Anorexia
• 2. Weight loss
• 3. Fever
• 4. SEVERE diarrhea with Rectal bleeding
• 5. Anemia
• 6. Dehydration
• 7. Abdominal pain and cramping
• Electrolyte imbalance
• Cardiac dysrhythmias
• GI bleeding with fluid loss
• Perforation of the bowel
• Mechanical obstruction
• Functional obstruction
• Small bowel
• Large bowel
Abdominal pain
Vomiting
Bloating
The essentials:
* Common, may or may not require surgery
* Emergent, if bowel is strangulated (to OR)
* KUB not necessarily diagnostic
-Shows dilated loops, air-fluid levels
Abdominal pain
Bloating
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
When to Operate?
• Incarcerated or strangulated hernia
• Peritonitis
• Pneumoperitoneum
• Suspected strangulation
• Closed loop obstruction
• Complete obstruction
• Virgin abdomen
• LARGE bowel obstruction
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Placement of Colostomies
False
• Anorectal abscess
• Anal fistula
• Anal fissure
• Hemorrhoids
• Sexually transmitted anorectal diseases
• Pilonidal sinus or cyst
• Health history
• Pruritis, pain, or burning
• Elimination patterns
• Diet
• Exercise and activity
• Occupation
• Inspection of the area
• Constipation
• Anxiety
• Acute pain
• Urinary retention
• Risk for ineffective therapeutic regimen management
• Hemorrhage