NUR240. Stressors of the Gastrointestinal System. Overview of the Gastrointestinal Tract. Structure Function Nerve supply Blood supply Oral cavity. Stomach Pancreas Liver and gallbladder Intestines Esophagus. Assessment Techniques. History Demographic data
Stressors of the Gastrointestinal System
For more info , check out these websites:
diarrhea- up to 20/day with exacerbations
crampy abdominal pain
Definitive dx by colonoscopy
Long Term- low-fiber, low, residue diet
Bismuth or Proton Pump Inhibitors
2 Antibiotics- Flagyl + tetracycline, clarithromycin, amoxicillin
What to look for??
What to do?
NPO with bowel rest
IVF and electerolytes
Possible preop the patient
Ischemic or Strangulated Bowel
Metabolic Alkalosis- UGI Obstruction
Metabolic Acidosis- LGI Obstruction
Cough and deep breathe
Life style- sexuality, self esteem, body image, enterostomal therapy nurse, support groups.
Indications-Morbid obesity with co-morbidities and weight control measures that have failed.
Gastric bypass- create a small stomach which empties directly into jejunum.
Gastric banding- laparoscopic- adjustable band around upper part of stomach.
Vertical banded Gastroplasty- “stomach stapling”.