100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR 676 exam 3. (Answered) With Complete Verified Solution 109 Q&A. 100% Correct, Latest 2024/2025. $12.49   Add to cart

Exam (elaborations)

NUR 676 exam 3. (Answered) With Complete Verified Solution 109 Q&A. 100% Correct, Latest 2024/2025.

 9 views  0 purchase
  • Course
  • NUR 676
  • Institution
  • NUR 676

NUR 676 exam 3. (Answered) With Complete Verified Solution 109 Q&A. 100% Correct, Latest 2024/2025.

Preview 3 out of 16  pages

  • August 13, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 676
  • NUR 676
avatar-seller
StudyHubSolutions
NUR 676 exam 3. (Answered) With Complete
Verified Solution 109 Q&A. 100% Correct, Latest
2024/2025.
most common GI complaint in primary care and most common dx for GI...

IBS

IBS occurs in...

mostly young adults
but in ALL ages

IBS is considered a ....

gut brain disorder
has variety of GI sx

characteristics of IBS

abdominal pain PLUS
1. altered bowel habits
2. sx constipation( infrequent stools/ straining/hard stools/ feeling of incomplete or difficult evacuation)

Gi motility in IBS result of ...

stress
anxiety
drugs
anger
acute intestinal infections
small bowel bacterial overgrowth

common s/sx of IBS

chronic abd pain
bloating /distension
flatulence
bowel habit changes

what helps differentiate IBS from others

MUST have abdominal pain present

IBS abdominal pain characteristics

nonradiating, intermittent, crampy
usually in LLQ

,s/sx of IBS usually occurs after ...

consuming meals (large) or alcohol

NOT IBS if ...

nocturnal sx
bloody or greasy stools
weight loss or malnutrition
GI bleed
anemia
N/V recurs
fever

Physical exam for IBS

VS
abdominal/pelvic/rectal exams:
-increased tympanic percussion
-palpable sigmoid colon
-tenderness on rectal exam

diagnostics for IBS sx

labs
CBC/ ESR/TSH/LFT
stool cultures
colonoscopy
lactose free diet trial
abdominal US
GYN/GI referral

colonoscopy recommended for pt with IBS if

1. <40 healthy adult with acute bowel change
2. >50
3. pts with weight loss, anemia, occult blood

Initial approach: use ROME IV criteria

1. sx present >3 months
2. initial sx onset >6 months of IBS dx
3. abdominal pain at least once a weekfor previous 3 months with 2+ sx
-pain with defecation
-pain r/t change in stool frequency
-pain associated with change in appearance of stool

IBS management:

, symptomatic treatment
pharmacotherapy
alternative therapy

IBS symptomatic treatment

dietary modifications
medications
supportive and behavioral thearpy
education
reassurance

IBS medications

synthetic fibers
-psyllium: metamucil, benefiber
-calcium polycarbophil
- methylcellulose (citrucel)
-all take with food or with 8ox liquid
antispasmodics/anticholinergics - dicyclomine (bentyl), hyocyamine sulfate
antidiarrheal: loperamide, pepto-bismol

Food cause or aggravate IBS

large meals
dairy products
gas forming foods
carbonated beverages
caffeine
alcohol
**should avoid these!!!

IBS patient should consult GI if

bowel status change when pt >50
family hx celiac dz
colon CA
Gi bleed
fever
weight loss
nocturnal sx
recent abx

IBD (inflammatory bowel disease)

Crohn's disease and ulcerative colitis

ulcerative colitis

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller StudyHubSolutions. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart