Altered Bowel + Urinary + Hepatisis for quiz 4

What enzyme breaks down protein in the stomach

Pepsin

When does digestion start

When food hits the saliva in the mouth

What part of the digestive system do Carbs, fats and proteins get broken down at

Small intestine

Where does absorption of end products (nutrients) of digestioin occur at?

Small intestine in the intestinal wall with villi and microvilli

Where does protein breakdown begin?

Stomach

What gets absorbed in the large intestine?

Water and electrolytes

What are the functions of the large intestine?

Absorbs water and electrolytes

Produces. Vitamin K and some B vitamins, secretes mucus

Forces and stores fecal mass

What vitamins is produced in the large intestine

vitamin K and B for converting food into energy and blood clotting.

What organ produces bile?

liver

What organ stores bile?

Gallbladder

What is the point of the billiary system?

To help digest and absorb fats.

Metabolizes Bilirubin

What does the common bile duct do?

Where bile travels from the gallbladder to deliver to the duodenum

How does the biliary system metabolizes bilirubin?

Bilirubin is a toxic byproduct of old RBC breakdown

Bilirubnin is included in bile and is therefore excreted with poop

Examples of subjective data for abdominal health

Normal bowel habiots

Diet

FLuids

Exercise

Weight loss/gain

appetite changes

MEds

Travel history

Examples of Objective data for abdominal health?

Height/Weight

Oral cavity

Means

Abdominal assessment

What is the difference between a type 1 vs type 7 stool on the bristol stool scale?

1: hard balls

2: severe diarrhea

What does green/ yellow/ lighter brown stool mean?

Bacterial stuff

What does Grey stool mean

No Bile

Gallbladder/liver issues

What does black stool mean?

Blood in stool

What does brown stool mean?

All good, bilirubin is turning it brown

What are the main difference between diagnostic testing: Radiology and Endoscopy?

Radiology: Non invasive, uses imaging techniques to visualize organs

Endoscopy: Invasive: Uses a flexible catheter camera in the body

What is the point of a radiology: Upper Gi / Barium Swallow

Fluoroscopic X Ray to look for structural abnormalities in the upper GI using contrast

During a Upper GI/ Barium swallow procedure when does a Pt drink the contrast?

During the procedure

What are nursing tasks before a Upper GI/ Barium swallow procedure?

Explain procedure

Keep patient NPO for 8 hrs

What are nursing tasks to do after a Upper GI/ Barium Swallow procedure?

Instruct pt to drink lots of fluids to flush contrast

Educate Pt that their stool is expected to be white for 72 hrs.

What is a small bowel series procedure?

Assess Deeper GI organs