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, n300 FINALEE | 2024 Review
10.cobalamin (b12): - forms rbcs, prevents anemia
- for ulcer diseases & bleeds
11.psyllium: laxative
- for constipation or chronic watery diarrhea
- (like liquid stools in ulcerative colitis or bowel obstructions)
12. 1) c. diff
sx
nc: - sx: diarrhea (tx = *flagyl*)
nc:
- *isolation precautions - same c.diff pts can go in same room*
- *maintain skin* - don't let immobile pt soak in diarrhea
13. 2) gi bleed
d/t
sx
labs
complix: - d/t: gi ulcer perforation, ulcerative colitis perforation, esoph varice
- complix: *hypovol shock ’ tx: load w/ bolus fluid*
14.3) general GI post-op care: - post-op pts most unstable, so take priority
- *mon for gi bleed sx/labs*
- trend VS q15 min 1st hr
- NPO until present bowel sounds & passing gas
- *want pt walking to get bowel moving*
15.4) ng tube care: - *X-ray verification, mark placement, check pH (want <5.0),*
or co2 monitoring - (don't rlly wanna auscultate air)
- clean feeding bags (risk: sugar build up ’ inf)
- flush q4 hrs w 30cc water: avoid obstruction
- *prev skin necrosis: gently flush nares & mucosa*
- maintain hydration
For assistance with assignments (Discussions, research paper , literature review , essays ..) or any
revision material contact informationhimher@gmail.com
, n300 FINALEE | 2024 Review
16.5) tube feeding care: - aspiration precautions = HOB 90 degrees during & 30
min after eating (turn feeding off when reposition)
- flush before & after feedings w 30cc water: avoid obstruction
- want elixirs or crush meds
- assess lung & bowel sounds
- mon hyperglycemia (BG check + slide scale insulin)
17. 6) ulcerative colitis
what
sx
nc
complix: = chronic inflamed colon/rectum ’ scarring
sx:
- *10-20 liquid or bloody stools IN A DAY* (notif md if worsens)
nc:
- *NPO to rest bowel*
- *maintain nutrition - either IV or TPN/ileostomy*
- avoid perforate: *low residue diet (no nut/seed/grain/fruit/veg), avoid
exacerbating foods*
nc:
- NPO & NG tube to suction bowel
19.8) post-op stoma care: - want nice beefy red (dusky blue = inadeq blood flow)
- expect a lil blood <100ml (100+ ml = excessive bleeding = trend vs & labs
closely)
For assistance with assignments (Discussions, research paper , literature review , essays ..) or any
revision material contact informationhimher@gmail.com
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