Brunner & Suddarth's Textbook of Medical-Surgical Nursing,  15th Ed., Hinkle & Cheever |  Registered Nurse (RN) School Study Aid
Enema Administration
- Tap Water/Soapsuds
 - Normal Saline
 - Hypertonic Solution
 - Medication
 - Oil Retention
 - Procedure Education
 - Wear PPE
 - Put Patient in Sims Position
 - Insert Tip
 - Start Flow Slowly
 - Stop With Discomfort
 - Potential for Vagus Response
 
Appendicitis Assessment
- Obstruction of Appendix
 - Periumbilical Pain
 - RLQ Pain
 - Nausea/Vomiting/Anorexia
 - Increased White Blood Cells
 - Rebound Tenderness
 - Fever
 - Peritonitis
 - Sepsis
 
Appendicitis Interventions
- Appendectomy
 - Antibiotics
 - IV Fluids
 - No Enema or Laxative
 - Semi-Fowler's Position
 - Nasogastric Tube
 - Diet as Tolerated
 - Pain Management
 - Early Ambulation
 
Crohn's Disease Assessment
- Diarrhea
 - 5-6 per day
 - Cramping Abdominal Pain
 - Fever
 - Weight Loss
 - Malabsorption
 - Anemia
 - Obstruction
 - Fistulas
 
Diverticulosis and Diverticulitis Assessment
- Outpouching
 - Inflamed Diverticula
 - Abdominal Pain
 - Abdominal Distention
 - Flatulence
 - Fever
 - Rectal Bleeding
 - Alternating Constipation and Diarrhea
 - Peritonitis
 
Diverticulosis and Diverticulitis Interventions
- High Fiber Diet
 - Reduce Intra-abdominal Pressure
 - Stool Softeners
 - Exercise
 - Anticholinergics
 - Antibiotics
 - Bowel Resection
 
Intestinal Obstruction
- Severe Abdominal Pain
 - Vomiting
 - High Pitched Bowel Sounds
 - Abdominal Distention
 - Increased Peristalsis
 - Absent Bowel Sounds
 - Paralytic Ileus
 
Irritable Bowel Syndrome (IBS) Assessment
- Abdominal Pain
 - Relieved by Defecation
 - Alternating Diarrhea and Constipation
 - Fatigue
 - Excessive Flatulence
 - Sensation of Incomplete Evacuation
 - Stressors
 - Food Intolerances
 - More Common in Women
 - Rule Out Other Disorders
 
Irritable Bowel Syndrome (IBS) Interventions
- Identify Triggers
 - Increase Fiber Intake
 - Probiotics
 - Anticholinergics
 - Tricyclic Antidepressants (TCAs)
 - Loperamide
 - Linaclotide
 - Tegaserod (Zelnorm)
 - Lubiprostone (Amitiza)
 - Alosetron (Lotronex)
 
Types of Intestinal Obstruction
- Adhesions
 - Hernia
 - Volvulus
 - Intussusception
 - Tumor
 - Mesenteric Artery Occlusion
 - Spinal Injury
 - Paralytic Ileus
 
Ulcerative Colitis Assessment
- Cramping Abdominal Pain
 - Tenesmus
 - Bloody Diarrhea
 - Up to 10-20 / Day
 - Fever
 - Hemorrhage
 
Colorectal Cancer Assessment
- 3rd Most Common Cancer
 - Change in Bowel Habits
 - Bowel Obstruction
 - Rectal Bleeding
 - Anemia
 - Weight Loss
 - Ascites
 - Colonoscopy
 - FOBT and FIT
 
Chlamydia
- Chlamydia trachomatis
 - May Be Asymptomatic
 - Dysuria
 - Epididymitis
 - Discharge
 - Dyspareunia
 - Doxycycline
 - Azithromycin
 - No Intercourse for 1 Week
 - Treat Partners
 
Genital Herpes
- Herpes Simplex Virus 1 and 2 (HSV)
 - May Be Asymptomatic
 - Oral or Genital Lesions
 - Vesicles in Clusters
 - Pain
 - Flu-like Symptoms
 - Acyclovir
 - Valacyclovir
 - Famciclovir
 - Infectious During Recurrences