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Care and monitoring of patients
with gastrointestinal diseases
Symptoms of gastrointestinal diseases
• Nausea
• Vomit
• Constipation
• Diarrhea
• Bloating
• Epigastric pain
• other
Vomiting patient care
if the patient is conscious if the patient is unconscious
1. the patient instinctively takes a
comfortable position
1. turn the patient to one side
2. put a basin on the floor 2. bring a tray or towel to the corner
of your mouth
3. Allow patient to rinse mouth with
water
3. clean the mouth with a gauze swab
moistened with water
Give antiemetic drugs as needed
Caring for patients with constipation
increase physical activity
promotes good intestinal
motility
to change lifestyle and nutrition
a diet enriched with foods that stimulate the
passage of feces through the intestines and
promote its emptying
Exclude: strong tea, coffee, cocoa, natural red
wines, white bread, butter dough, crackers, rice
and semolina porridge, potatoes, all types of
mashed and chopped food, jelly, legumes, etc.
slows down intestinal motility
as prescribed by the doctor, a rectal
suppository, an oil enema is administered Coats feces, promotes bowel
movements
Diarrhea care
1.
Personal hygiene
Change of bed and
underwear, washing after
each bowel movement
2.
Closely monitor the patient's condition, monitor
the pulse, blood pressure, the amount of fluid
drunk and discharged, the frequency of stools and
the type of bowel movements
Measurement and
registration in a
temperature sheet
3.
weigh the patient every day with registration of
body weight
4.
consume at least 1.5-2 liters of liquid per day,
including tea with lemon,
exclude: enriched with foods that stimulate the
passage of feces through the intestines and
contribute to its emptying
5.
With diarrhea of an infectious nature - strict
adherence to the sanitary-epidemiological regime
1.THE PATIENT WITH ABDOMINAL PAIN TAKES
THE POSITION:
a) active
b) passive
c) individual
d) forced
2. ANOREXIA IS:
a) increased appetite
b) decreased appetite
c) complete lack of appetite
d) urge to vomit while eating vomiting of coffee
grounds
3. ACCUMULATION OF LIQUID IN THE
ABDOMINAL CAVITY IS:
a) anasaria
b) hydrothorax
c) ascites
d) hydropericarditis
4. With constipation, stool retention is allowed
up to:
a) 1 day
b) 2 days
c) 3 days
d) 4 days
5. A bowel movement is called:
a) Melena
b) defecation
c) Diarrhea
d) dyspepsia
6. Bloody vomiting is called:
a) hematuria
b) hematomesis
c) melena
Task 1.
A 28-year-old patient with chronic cholecystitis is in the
therapeutics department. She complains of dull aching pains in
the right hypochondrium, nausea (sicchasia), a feeling of bitter
taste in mouth after eating fatty and fried dishes.
During the nursing examination, it was revealed: the patient is
overweight (height - 164 cm, weight - 86 kg), she eats
irregularly and likes confectionery (buns, chocolate, ice
cream) and fizzy drinks. She leads a sedentary lifestyle.
Task:
1. List the patient's complaints.
2. Name the measures for the care and supervision of the
patient.
Task 2.
A 28-year-old young woman felt general misery, colicky
abdominal pains, sicchasia 2 hours after lunch. An hour later,
vomiting opened, which brought some relief. Soon intractable
diarrhea was discovered. The feeling of thirst increased. Then she
called an ambulance. On examination, it was found: pallescence
and dry skin, decreased skin tightness. Body temperature was
37.5 ° C. There was tachycardia and pulse of poor volume.
Arterial blood pressure was 90/60 mm Hg, respiration rate was 24
breath/min. During the examination, cramps in leg were noted.
According to her words, the feces was 10 times.
Task:
1. List the patient's complaints.
2. Name the measures for the care and supervision of the patient.
Task 3.
A patient was taken to the postoperative ward of the
surgery unit after surgery for ileac passion.
Relatives are interested in what they can feed and
give to drink the patient on the first day after the
operation and the following days.
Task:
1. List the patient's complaints.
2. Name the measures for the care and supervision
of the patient.

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Care and monitoring of patients with gastrointestinal diseases.pptx

  • 1. Care and monitoring of patients with gastrointestinal diseases
  • 2. Symptoms of gastrointestinal diseases • Nausea • Vomit • Constipation • Diarrhea • Bloating • Epigastric pain • other
  • 3. Vomiting patient care if the patient is conscious if the patient is unconscious 1. the patient instinctively takes a comfortable position 1. turn the patient to one side 2. put a basin on the floor 2. bring a tray or towel to the corner of your mouth 3. Allow patient to rinse mouth with water 3. clean the mouth with a gauze swab moistened with water Give antiemetic drugs as needed
  • 4. Caring for patients with constipation increase physical activity promotes good intestinal motility to change lifestyle and nutrition a diet enriched with foods that stimulate the passage of feces through the intestines and promote its emptying Exclude: strong tea, coffee, cocoa, natural red wines, white bread, butter dough, crackers, rice and semolina porridge, potatoes, all types of mashed and chopped food, jelly, legumes, etc. slows down intestinal motility as prescribed by the doctor, a rectal suppository, an oil enema is administered Coats feces, promotes bowel movements
  • 5. Diarrhea care 1. Personal hygiene Change of bed and underwear, washing after each bowel movement 2. Closely monitor the patient's condition, monitor the pulse, blood pressure, the amount of fluid drunk and discharged, the frequency of stools and the type of bowel movements Measurement and registration in a temperature sheet 3. weigh the patient every day with registration of body weight 4. consume at least 1.5-2 liters of liquid per day, including tea with lemon, exclude: enriched with foods that stimulate the passage of feces through the intestines and contribute to its emptying 5. With diarrhea of an infectious nature - strict adherence to the sanitary-epidemiological regime
  • 6. 1.THE PATIENT WITH ABDOMINAL PAIN TAKES THE POSITION: a) active b) passive c) individual d) forced
  • 7. 2. ANOREXIA IS: a) increased appetite b) decreased appetite c) complete lack of appetite d) urge to vomit while eating vomiting of coffee grounds
  • 8. 3. ACCUMULATION OF LIQUID IN THE ABDOMINAL CAVITY IS: a) anasaria b) hydrothorax c) ascites d) hydropericarditis
  • 9. 4. With constipation, stool retention is allowed up to: a) 1 day b) 2 days c) 3 days d) 4 days
  • 10. 5. A bowel movement is called: a) Melena b) defecation c) Diarrhea d) dyspepsia
  • 11. 6. Bloody vomiting is called: a) hematuria b) hematomesis c) melena
  • 12. Task 1. A 28-year-old patient with chronic cholecystitis is in the therapeutics department. She complains of dull aching pains in the right hypochondrium, nausea (sicchasia), a feeling of bitter taste in mouth after eating fatty and fried dishes. During the nursing examination, it was revealed: the patient is overweight (height - 164 cm, weight - 86 kg), she eats irregularly and likes confectionery (buns, chocolate, ice cream) and fizzy drinks. She leads a sedentary lifestyle. Task: 1. List the patient's complaints. 2. Name the measures for the care and supervision of the patient.
  • 13. Task 2. A 28-year-old young woman felt general misery, colicky abdominal pains, sicchasia 2 hours after lunch. An hour later, vomiting opened, which brought some relief. Soon intractable diarrhea was discovered. The feeling of thirst increased. Then she called an ambulance. On examination, it was found: pallescence and dry skin, decreased skin tightness. Body temperature was 37.5 ° C. There was tachycardia and pulse of poor volume. Arterial blood pressure was 90/60 mm Hg, respiration rate was 24 breath/min. During the examination, cramps in leg were noted. According to her words, the feces was 10 times. Task: 1. List the patient's complaints. 2. Name the measures for the care and supervision of the patient.
  • 14. Task 3. A patient was taken to the postoperative ward of the surgery unit after surgery for ileac passion. Relatives are interested in what they can feed and give to drink the patient on the first day after the operation and the following days. Task: 1. List the patient's complaints. 2. Name the measures for the care and supervision of the patient.