nurs 125: elimination

diverticulosis

more common in older males

diverticulosis

r/t lack of fiber in diet, smoking, lack of exercise, eating red meat, high fat diet

diverticulosis

30-50% of people over 60

diverticulosis

less common in vegetarians

diverticulosis

r/t some medication usage

diverticulosis

can be hereditary

diverticulosis

pain where inflammation is

diverticulosis

frequently LLQ

diverticulosis

can have palpable mass

diverticulosis

fever, leukocytosis, anorexia, flatus, distention, diarrhea, constipation

diverticulosis

s/s blunted in older people; only sign may be altered mental status

perforation

can cause sepsis, peritonitis

peritonitis

guarding, rebound tenderness

diverticulosis

can also cause abscess, fistulas, bowel obstruction, erosion of bowel wall

colonoscopy prep

special diet

colonoscopy prep

clear liquids the day before, no red/purple/blue coloring

colonoscopy prep

may take a laxative pill the day before

oral laxative solution

start drinking evening before

colonoscopy prep

NPO after midnight

oral laxative solution

finish bottle morning of procedure

colonoscopy prep

stools should be clear/colorless

diverticulitis

surgery indicated for perforation, obstruction, abscess, worsening symptoms, not responding to antibiotics, fistula

colon resection

diseased portion of intestine removed

ostomy

edema will gradually go away

initially okay

slight bleeding from stoma is…

keep clean

inspect skin and incision around ostomy; be sure to…

2-4 days post-op

when ostomy should start functioning

any discoloration/darkness

report to ostomy surgeon immediately

bright pink, moist, warm

ideal stoma appearance

ileostomy

liquid to semiliquid stool

ascending colostomy

semiliquid stool

transverse colostomy

semiliquid to semiformed stool

descending colostomy

semi-formed stool

sigmoid colostomy

formed stool

benign prostatic hypertrophy

not cancerous, can have prostate cancer

benign prostatic hypertrophy

BPH

benign prostatic hypertrophy

enlarged prostate

benign prostatic hypertrophy

50% of men 51-60

ablation

can be done with water, needle, electric laser (BPH treatment)

catheterization

if not a candidate for surgery… (BPH)

TURP, TIP, open prostatectomy

surgeries for BPH

three-way bladder irrigation

clear out bladder/remove blood

three-way bladder irrigation

sterile technique

three-way bladder irrigation

goal = prevent obstruction

three-way bladder irrigation

titrate flow rate to appearance of urine

three-way bladder irrigation

don’t let bags run dry

three-way bladder irrigation

patient may be cold

three-way bladder irrigation

when you hang new bag, order more to bedside