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antidiarrheal meds contraindicated when?
infectious diarrhea. needs to run its course
types of stool tests?
- stool culture
- O&P- ova and parasites.
- acutely enlarged colon
- complication of other intestinal disorders
- pepto bismol
common meds to cause constipation?
- opioids, antacids (aluminum-containing), calcium channel blockers
- *any type of anticholinergic
insufficiency of __ & __ causes constipation?
fluid and fiber
hard stool, straining, hemmorhoids, thrombosed anal veins
symptoms of constipation
bearing down does what CV-wise?
slows down HR. may cause cardiac arrest
drug therapy for constipation?
IBS has no ______ component!
appendix in what quadrant?
RLQ (tail of the cecum)
pain of appendicitis?
begins as periumbilical pain, shifts to RLQ. localized tenderness
RLQ pain. exactly where appendix is
increased pain when legs are extended. pt will usually curl into ball
perforation can lead to
body is walling off to protect itself from the infection/inflammation
CBC results for appendicitis?
- elevated WBC
- "shift to the left" - bandemia
bandemia ("left shift")
higher concentration of bands (immature WBCs) - sign of infection
abd pain, shallow respirations, fever, distention, N/V
difference between IBS and IBD
IBS has NO inflammatory factors
inflammatory bowel diseases?
- autoimmune diseases
- genetic and environmental factors
ulcerative colitis location where?
from anus to colon.
chron's disease location where?
anywhere from anus to mouth
severe, constant abdominal pain is a sign of what?
peritonitis, acute perforation
S/S of ulcerative colitis?
bloody diarrhea, lower abd cramping, increased output, increased bleeding, systemic symptoms
worry for F/E imbalance, anemia
intestinal complications of ulcerative colitis?
- hemorrhage, strictures, perf, toxic megacolon
- ^ risk for colon cancer
systemic complications of ulcerative colitis?
joints, skin (psoriasis), mouth, eyes, malabsorption, gallstones, kidney stones, liver disease, osteoporosis
S/S of liver disease?
jaundice, ascites, weight loss, weakness
oral agent to decrease inflammation
corticosteroids (ulcerative colitis)
- decrease inflammation
- used during flares
"dry you up"