Elimination Word Scramble
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Question | Answer |
When should you give diuretics? | In the day time |
What physical assessments should you do when it comes to BOWEL elimination? | Inspection, Percussion, Palpation |
What should you INSPECT for in urinary elimination? | No bladder distention |
What should you PERCUSS for in urinary elimination? | Hollow sound |
What should you PALPATE for in urinary elimination? | No bladder at all! (If bladder is present, it is distended) |
Cytoscopy | Direct visual in bladder |
Renal biopsy | evaluates for tumors and cancer |
Anuria | Failure to urinate |
Proteinuria | Protein the urine |
Diuresis | Increased urine production |
Dysuria | Painful urination |
Micturation | Urination |
Nocturia | Excessive urination at night |
Oliguria | Producing small amounts of urine |
Urinary retention | Holding urine the in the bladder |
Polyuria | Too much urine |
Urinary incontinence | No control of urine flow |
Constipation | difficult passage of hard dry stools |
Impaction | Collection of hardened feces, wedged in the rectum |
Diarrhea | Liquid, unformed feces |
Incontinence | Inability to control passage of feces & gas |
Flatulence | Gas in the lumen |
Distention | Stretched beyond normal dimensions |
Hemorrhoids | dilated, engorged veins in the lining of the rectum |
What should you do physical assessment when it comes to URINARY elimination? | Inspection, Auscultation, Percussion, Palpation, Measurement of Ab Girth and Perirectal Examination |
What should you inspect in bowel elimination? | Symmetrical abdomen and contour should be convex or flat |
What should you ausculate in bowel elimination? | Bowel sounds every 5-30 seconds in all quads |
What should you percuss in bowel elimination? | hollow, tympany sounds in LUQ (stomach) |
What should you palpate in bowel elimination? | soft abdomen |
T/F you should listen to the abdomen before percussing | TRUE ! The latter manuevers may alter the frequency of bowel sounds |
What are normal bowel sounds? | Clicks and gurgles |
Borborygmi | loud, prolonged gurgles of hyper peristalsis (STOMACH GROWLING) |
Paralytic ileus | absence of BS greater than 72 hours |
T/F - To detect abnormal masses, you should massage abdomen in a circluar motion | True |
Light palpation is to look for: | normal skin temp and moisture |
Deep palpation is to look for: | location & size of organs and to detect masses |
Percussion in the abdomen determines: | Whether an organ is air filled, fluid filled or solid |
Three main intervention for constipation: | Ensure adequate fluid intake, high fiber foods and use of laxatives |
Bulk laxative | Metamucil attract water into the large intestines (** needs LARGE amounts of water!!) |
Stool softeners | Allows water to enter the stool easily |
Saline | attract and retain water in the intestinal lumen (which increases pressure and therefore softens stools) |
Stimulant | direct stimulation of the intestine mucosa, altering water and electrolyte secretion |
Hypokalemia | Low levels of potassium |
** What should you keep in mind when making intervention for diarrhea? | Maintaining skin integrity and fluid status !! * |
Absorbents | absorbs excess fluids (peptol bismal) |
Bulk Forming Agents | Psyllium soaks up water in the colon, helping to firm stool |
Opiates | (Codeine) Increases H2O and electrolyte absorption |
Synthetic Agents | (Immodium) Decrease intestinal motility |
Antispasmodics | (Atrophine) Decreases intestinal motility |
Fecal incontinence can cause: | perineal irritation |
What is the highest priority in intervention for fecal incontinence? | Maintaining skin integrity |
What is a dietary intervention for constipation? | Increased intake of high fiber foods |
What are some dietary intervention for diarrhea? | Avoid spicy foods or laxative type foods, intake LOW fiber foods and replace lost fluids |
Dietary interventions for flatulence include: | Avoid gas forming foods - beans, cabbage, onions, cauliflower and beer |
Stoma | portion of intestine brought through the abdominal wall |
Colostomy | opening created using a portion of the large intestine |
Ileostomy | Opening created using the ileum (small intestine) |
Enema | Liquid or gas is injected into the rectum |
Risk factors for colon cancer: | Age over 50 Family history Hx of inflammatory bowel diseases Living in an urban area Diet (high/low fiber intake) |
Warning signs of colon cancer: | Changes in bowel habits and rectal bleeding |
Defecation reflex | normal response to bowel movement |
Flatus | Gas in or from the stomach |
Gastric lavage | Washing out the stomach with sterile water |
Gavage | Tube feeding |
Gulac | Component to determine presence of occult blood |
Meconium | Earliest stools of an infant |
Ostomate | Person with an ostomy |
Peristalsis | Involuntary constriction and relaxation of digestive tract muscles |
Sigmoidscopy | Exam of the colon in search for polyps |
Polyps | Abnormal tissue growth |
Suppository | Drug delivery system into the rectum |
Created by:
jpalao
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