Exam (elaborations)
NUR 339 ( LATEST 2024 / 2025 ) LOWER GI | A+ RATED GUIDE | QUESTIONS AND ANSWERS (SOLVED)
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NUR 339 ( LATEST 2024 / 2025 ) LOWER GI | A+ RATED GUIDE | QUESTIONS AND ANSWERS (SOLVED)
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NUR 339 Lower GI1. irritable bowel syndrome
chronic, functional disorder of intestinal mobility
-spastic contractions at specific points in the intestine affects peristaltic waves
-cause
unknown - believe to be dysregulation of intestinal motor and sensory function
2. constipation-predominant (IBS-C) Diarrhea-predominant (IBS-D) mixed
typed of IBS
3. Hx and pt complaints
recurrent abd pain at least in past 3 months and two or more of the following
abd pain with defecation, abd pain with change in frequency of stool , pain with change in form
or appearance of stool
IBS dianosis
4. relieve ABD pain and control D or C
goal of IBS treatment
5. lifestyle modification for IBS
stress reduction adequate sleep
, exercise
identify and avoid aggravating foods
6. increase fiber
IBS constipation treatment psyllium
7. antidiarrheal
IBS diarrhea treatment loperamide
8. antispasmodics for IBS
decrease smooth muscle contraction and may relieve pain
9. antidepressants for IBS
affect serotonin levels affects GI transit time and decreases pain
10. celiac disease
autoimmune response to products containing gluten (wheat, barley, rye, grains)
risks
genetic, type 1 diabetes, down syndrome, turner syndrome
-women more than men at any age
-small intestine inflamed when exposed to gluten
-inflammation causes denuding of small intestine-no absorption can occur
11. malabsorption disorders
inability of GI system to absorb one or more major vitamins, minerals, and nutrients
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