Uploaded by Jennifer Pope

NUR 201 Module E Lower GI outline

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201 – GI Module Reading Assignment
Summer 2022
Noninflammatory Intestinal disorders
IBS
Hernia
Colorectal Cancer
Intestinal Obstruction
Polyps
Hemorrhoids
Malabsorption Syndrome
Inflammatory Intestinal Disorders
Acute
Appendicitis
Peritonitis
Chronic
Ulcerative Colitis
Crohn’s Disease
Diverticular Disease
Celiac Disease – (Sprue)
Anal Disorders
Anorectal Abscess
Anal Fissure
Anal Fistula
Other: (Not in Text)
Pilonidal Cyst
Cyst that is often a lesion of the sacral area that has a sinus track extending into
deeper tissue structures. As the cyst fills or becomes infected, it can become tender.
An incision and drainage can be performed, but the cyst must be surgically removed.
The area heals by secondary intention, this can take 4 – 8 weeks.
201 – GI Module Reading Assignment
Summer 2022
Short bowel Syndrome
Malabsorptive disorder resulting from a decreased mucosal area usually as a
result of bowel resection. Resection is needed possibly due to Necrotizing Enterocolitis
(NEC) or Gastroschisis. Pt requires nutritional support.
Liver Problems
Cirrhosis
Complications:
Portal hypertension, ascites, esophageal varices, coagulation defects, jaundice,
portal-systemic encephalopathy (& coma), hepato-renal syndrome,
spontaneous bacterial peritonitis.
Hepatitis
Cancer of the Liver
Liver Transplant
Biliary & Pancreas Problems
Cholecystitis
Cholelithiasis
Pancreatitis
Acute
Chronic
Pancreatic Cancer
Other (not in text):
Biliary Atresia:
Obstruction of bile flow due to absence of some or all biliary ducts. Etiology is
unknown. Therapeutic mgmt.: exploratory laparotomy and Kasai procedure
(hepatoportoenterostomy) to connect the bowel lumen to the bile duct remnants. Most
successful in infants up to 10 weeks. Liver transplantation may be needed if not found early
enough. Nursing Assessment and management: chalky/white stool, jaundice, hepatomegaly,
splenomegaly. Labs (elevated bilirubin), ultrasound, biliary scan, liver biopsy. Nursing care is
focused on vitamin and caloric support (fat soluble vitamins A D E & K). Identify infections
quickly/ manage ascites with diuretics/ preop surgical care.
From Maternal Child Textbook
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