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elimination pt.2
Question | Answer |
---|---|
Nasogastric tubes | Tube passed through nasopharynx to the stomach. Removes gas, fluids, toxic substances from stomach. |
Gastric gavage | Delivers fluids or nutrients. |
Gastric lavage | Used in cases of poisoning or stop GI bleeding, instill into stomach and suctioning it back out, room-temp medications or solutions. |
Gastric decompression | Removes air and fluids, may help prevent distention, nausea, and vomiting. |
Fecal incontinence | Inability to control the passage of feces and gas. Often due to antibiotic use. |
Constipation | Infrequent bowel movements, difficulty in evacuating feces, inability to defecate, and hard feces. Occurs when intestinal motility slows and the body absorbs additional fecal water content. |
Hemorrhoids | Swollen and inflamed veins in the rectum and anus causing discomfort and bleeding. Internal and external. Heat can provide relief. |
Flatulence | Presence of air or gas in the intestinal tract. Walking is the most effective to promote peristalsis. |
Rectal tube | Relieves flatulence. |
Enema | Instillation of solution into rectum and sigmoid colon to stimulate peristalsis and evacuation of feces. |
Oil-retention enema | Lubricates rectum and colon. Can be used with digital removal of fecal impaction. |
Medicated enema | Contains pharmacological therapeutic agents. |
Tap water enema | Hypotonic solution. Only done once. Risk for water toxicity and circulatory overload. |
Normal saline enema | Safest, used for infants and children. |
Fleet enema | Hypertonic solution. Smaller amount of fluid used for procedure. |
Soapsuds enema | Castile soap added to solution. Add soap after water/saline is already in bag. |
Harris Flush enema | Helps expel gas. Fluid flows in and out of large intestine stimulating peristalsis. |
Fecal impaction | Collection of feces in the rectum that forms a mass that becomes so large/hard that the patient is unable to pass it voluntarily. Pt can experience fecal incontinence. Oil-retention enema. |
Ostomy | A surgical procedure that creates an artificial opening for the elimination of bodily wastes. |
Colostomy | Surgical creation by cutting the colon and bringing it out through a stoma on the abdominal surface. Liquid-formed stool. |
Ileostomy | Surgical creation by cutting the ileum and bringing it out through a stoma on the abdominal surface. Liquid stool. |
Urostomy | Diversion of urine away from a diseased or defective bladder through a surgically created opening in the skin. Aka ileal conduit. |
Continent ostomies | Surgeries that have eliminated the external pouch. One way valves are created. Allows for patient to insert catheter through stoma and emptying of pouch at regular intervals throughout the day. |
Kock pouch | Holds small amount of liquid or feces. |
Orthotopic neobladder | Ileal pouch replaced bladder. Normal voiding. Bladder training necessary. |