Skills Ch 5,6,30, 31

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Anonymous
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203832
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Skills Ch 5,6,30, 31
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2013-02-27 13:43:20
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Skills 30 31
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Skills Ch 5,6,30, 31
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  1. PeristalsisPeristalsis is
    The rhythmic wave-like movements that begin in the esophagus and continue to the rectum
  2. Elimination goal
    The goal is to maintain the pts normal frequency pattern of bowel elimination
  3. Normal characteristics of stool
    • Soft, formed consistency
    • longer, curved shape
    • yellow in infants
    • light brown to dark brown in color
    • absence of pus, mucous, fat
    • absence of parasites 
    • Slight odor
  4. Abnormal characteristics of stool
    • Liquid, watery, unformed, very hard and dry
    • balls, clumps, broken off chunks, flat, ribbon like, pencil like 
    • bright red blood, black, coffee-ground appearance, pale, white, gray, or clay color
    • presence of pus, excessive mucus, foamy presence of worms or eggs
    • foul odor
  5. Constipation
    Less frequent, hard, formed stools, that are difficult to expel
  6. Inpaction
    blockage of the movement of contents through the intestines by a bulk mass of very hard stool
  7. Signs of inpaction
    • Anorexia
    • bloating
    • cramping
    • malaise
  8. Diarrhea
    Loose or watery stools occurring three or more times a day
  9. Complications of diarrhea
    • Dehydration
    • electrolyte imbalance 

    • Dehydration -
    • elderly pts
    • infants
    • small children
  10. Causes of constipation and diarrhea
    • Change in activity level
    • change in dietary and fluid intake 
    • side effects of medication 
    • side effects of surgery 
    • pregnancy
    • high stress levels
    • laxative abuse
    • aging process
    • structural changes
    • chemical changes
    • food allergies
  11. Peritonitis
    when fecal material and bacteria enter the sterile peritoneum
  12. Commons signs and symptoms of peritonitis
    • Malaise
    • anorexia
    • nausea
    • vomiting
    • Abdominal distention
    • decreased or absent bowel sounds
    • fever
  13. Who is at greater risk for fecal impaction?
    • Elders
    • pts on bed rest
    • severely dehydrated pts
  14. Bowel elimination documentation should include
    • Color
    • amount
    • consistency
    • shape
    • Odor

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