The document provides guidance on caring for patients with various gastrointestinal diseases and conditions. It discusses: - Symptoms of gastrointestinal diseases such as nausea, vomiting, constipation, diarrhea, and abdominal pain. - Procedures for caring for vomiting, constipated, and diarrhea patients, including positioning, hygiene, fluid intake, and monitoring vital signs. - Recommendations for constipated patients include increasing physical activity, dietary changes, and suppositories or enemas if needed. For diarrhea patients, recommendations include hygiene, fluid intake, weighing, and adhering to infection control measures.

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.