Lgi 203 gordon with sound for black board part 1
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  • 1. Nursing Management
    • Risk for ineffective gastrointestinal perfusion
    • Monitor for perforation and peritonitis
    • No laxatives or enemas
    • Monitor vital signs
    • Maintain IV fluid replacement
    • 2 . Pain
    • Ice to RLQ – NO HEAT
  • 2.  
  • 3. Functional Health Patterns – pages 934-936 Physical Assessment – pages 936-939
  • 4. BARIUM ENEMA/ LOWER GI
  • 5.  
  • 6. COLONOSCOPY
  • 7.  
  • 8.  
  • 9. Virtual colonoscopy
    • Uses CT scanner and computer software to look inside the body without having to insert the colonoscope
    • Needs same prep as we just discussed
    • Small tube is placed in rectum, so air can be induced
    • CT scan – lay on back and then stomach
    • Takes about 10-20 minutes
    • Free to leave afterwards
  • 10. PROCTOSIGMOIDOSCOPY
  • 11.  
  • 12. FECAL ANALYSIS
  • 13.  
  • 14.  
  • 15. CEA Levels- carcinoembryonic antigen
    • Protein secreted by cells of GI tract
    • Elevated with colon cancers, liver, or pancreatic cancers
    • Monitors the effectiveness of treatment.
  • 16. Geriatric considerations
    • Constipation due to: lack of bulk in diet, decreased fluid intake, decreased activity, laxative abuse, intestinal muscle tone decreases, and avoidance of need to defecate
    • Fecal incontinence
    • Rectal prolapse
  • 17. Diarrhea
  • 18. Fecal Incontinence
    • Bowel Incontinence
    • Risk for impaired skin integrity
    • Body image distrubance
    • Risk for caregiver role strain
    • Self-care deficit – toileting
    • Social isolation