Chapter 29: Care of Patients with Disorders of the Lower Gastrointestinal System
Overview
- Nurse: Ms. Donna Richmond, DNP, MSN, RN-BC
- Focus: Medical-Surgical Nursing
Objectives
- Understand and discuss the following conditions and treatment strategies:
- Irritable Bowel Syndrome (IBS)
- Diverticulitis
- Strangulated Hernia
- Intestinal Obstruction
- Ulcerative Colitis and Crohn’s Disease
- Appendicitis and Peritonitis
- Hemorrhoids, Pilonidal Sinus, and Anorectal Fistula
Irritable Bowel Syndrome (IBS)
Characteristics
- Three main features:
- Alteration in bowel elimination (constipation, diarrhea, or both)
- Abdominal pain and bloating
- Absence of detectable organic disease
- Additional symptoms: mucorrhea (mucus in stool)
Etiology
- Various disorders can trigger IBS, leading to hypersensitivity of the bowel wall.
Diagnosis
- Based on symptoms like abdominal pain or discomfort:
- Must be relieved by defecation
- Associated with changes in stool frequency/consistency
- Must rule out any organic bowel diseases.
Treatment and Nursing Management
- General health assessment required.
- Medications:
- Bulk-forming agents, antidiarrheals, antispasmodics, antidepressants, anticholinergics/sedatives, mild analgesics.
- Dietary recommendations:
- High-fiber diet, identify and avoid trigger foods (e.g., gas-forming foods, lactose, gluten if intolerant).
- Patient education and reassurance are crucial.
Diverticular Disease
Diverticula
- A small pouch formation due to mucous membrane protrusion.
Diverticulosis vs. Diverticulitis
- Diverticulosis: May be asymptomatic or lead to symptoms like rectal bleeding, constipation, cramping, left lower abdominal pain, nausea, vomiting.
- Risk factors include age over 50, obesity, straining to defecate, low-fiber diet.
- Diverticulitis: Develops from diverticulosis, diagnosed through flexible sigmoidoscopy or colonoscopy, CT scans, barium enemas (with caution).
Treatment
- Mild cases: Oral antibiotics, liquid diet, and mild pain management (e.g., Tylenol).
- Severe cases: NPO status, IV antibiotics, and possible surgery for complications such as abscess or perforation.
Intestinal Obstruction
Types
- Mechanical obstructions: caused by tumors, adhesions, hernias, etc.
- Non-mechanical obstructions: due to absent peristalsis (e.g., paralytic ileus).
Signs and Symptoms
- Upper obstructions: nausea/vomiting, dehydration, mild distention.
- Lower obstructions: distention and abdominal pain that corresponds with peristalsis.
Diagnosis and Treatment
- Diagnosis made via radiography and examination of symptoms.
- Treatment may involve NG tube decompression or surgery.
Nursing Management
- Positioning, monitoring fluid status, measuring abdominal girth.
Hernias
Strangulated Hernia
- Involves a defect in the abdominal muscular wall where the intestine breaks through, can lead to obstruction.
- Types include:
- Reducible: visible bulge that can return to normal position.
- Irreducible: cannot be pushed back, causing pain.
- Emergency if obstructed or strangulated.
Diagnosis and Treatment
- Herniorrhaphy or hernioplasty for repair.
Bowel Ischemia
Pathophysiology
- Insufficient blood supply to the bowel affecting metabolic needs.
Signs and Symptoms
- Sudden abdominal pain, nausea, vomiting, diarrhea, and minimal bowel sounds.
Diagnosis
- Increased white blood count, CT, or MRI for visualization.
Treatment and Nursing Management
- NPO, NG tube for gastric decompression, IV hydration, surgery if it's necrotic.
Inflammatory Bowel Disease (IBD)
Ulcerative Colitis and Crohn's Disease
- Etiology: Genetic predisposition, UC more common than CD.
- Pathophysiology: Results in inflammation of the GI tract mucosa.
Signs and Symptoms
- Attacks of diarrhea with possible blood or mucus; cramping abdominal pain, malaise, fever, weight loss. Stress often precipitates exacerbations.
Diagnosis
- History, colonoscopy, sigmoidoscopy, mucosal biopsy, stool analysis.
Treatment
- Symptomatic management with diet modifications, medications (corticosteroids, aminosalicylates), surgery if necessary.
Appendicitis
Etiology and Pathophysiology
- Appendiceal inflammation typically presenting with RLQ pain, often at McBurney's point.
Signs and Symptoms
- Pain, muscle guarding, low-grade fever, nausea/vomiting.
Diagnosis
- CT scan and ultrasound for pregnant women; lab tests for WBC count.
Treatment
- Appendectomy and appropriate nursing care pre- and post-surgery including monitoring for complications.
Peritonitis
Etiology
- Inflammation resulting from infections of abdominal organs, leading to significant clinical concern if untreated.
Signs and Symptoms
- Abdominal pain, rigidity, distention, fever, nausea.
Diagnosis and Treatment
- Requires immediate medical attention; treatments include IV antibiotics, fluid management, potential surgical intervention.
Hemorrhoids
Etiology and Pathophysiology
- Varicosities in rectal veins due to increased venous pressure from constipation, pregnancy, and prolonged sitting/standing.
Signs and Symptoms
- Local pain, itching, and visible swelling.
Treatment
- Sitz baths, local anesthetics, scleropathy, hemorrhoidectomy if necessary.
Pilonidal Sinus and Anorectal Abnormalities
Pilonidal Sinus
- Lesion that may become infected, treated with drainage.
Anorectal Abscess and Fistula
- Infection leading to pus accumulation; requires incision and drainage.
Patient Education and Nursing Management
- Assess dietary needs, educate on procedures and self-care, monitor output; support psychological adjustment to life changes such as having an ostomy.
Ostomy Surgery and Care
Colostomy and Ileostomy
- Types of stomas (ascending, transverse, descending). Discuss care necessary to maintain health and hygiene.
Post-operative Care
- Dietary adjustments, monitoring stoma output, addressing psychosocial issues.
Patient Teaching
- Skin care, collection devices, and lifestyle adjustments for patients with ostomies.