eructation AKA
belching
halitosis AKA
bad breath
reported pain if suspected appendicitis
rebound tenderness at McBurneys point
perforation with rupture of the appendix is marked with ...
decrease of pain
manifestations of peritonitis (4)
rigid abdomen, N/V, low-grade fever, elevated WBC
rationale for semi-fowler's position for suspected peritonitis (3)
facilitates breathing, prevents respiratory complications and aids in localizing purulent material in the lower abdomen
priority nursing intervention for a patient who is NPO
mouth care frequently
non mechanical obstruction caused by lack of peristaltic activity that most commonly occurs following surgery of the bowel
paralytic ileus
when the obstruction is high in the small intestine the symptoms are more ...
acute and severe
treatment of an intestinal obstruction involves (2)
NPO and decompression with NG
Crohn's disease
manifestations of ulcerative colitis (2)
colicky abdominal pain,10-20 watery stools with pus, blood and mucous
diet modification for patients with diverticulosis
high-fiber diet
diet modification for patients with diverticulitis
low fiber
manifestations of Crohn's disease (3)
diarrhea (less severe than ulcerative colitis) constant RLQ pain, anemia
medications to avoid when a patient has hepatitis
aspirin, acetaminophen, chlorpromazine, and sedatives
ammonia that is not removed by the liver (d/t to cirrhosis) accumulates to toxic levels in the brain resulting in ...
hepatic encephalopathy
treatment of cirrhosis
focused on complications; low sodium diet, diuretics, low protein, lactulose, antibiotics if peritonitis
patients at most risk for gallstones (4 F's)
Female, Forty, Fat, and Fertile
manifestations of cholecystitis (3)
abdominal fullness, pain occurring after meals, pain radiating to back or below R shoulder blade
Bile is produced in the _____ and stored in the ______.
**Daily Double**
function of bile?
liver; gallbladder
****
aids in digestion of fats
fluid accumulation in the abdomen
ascites
diffuse fibrosis of the liver with degenerative changes in structure and function
cirrhosis
purpose of T-tube
provides external drainage of bile
T Tube is a draining tube placed in the ...
common bile duct