Fundamentals of Nursing: The Art and Science of Person-Centered Care, 10th Ed., Taylor, Lynn & Bartlett |  Registered Nurse (RN) School Study Aid
Small Intestine Absorption
- Carbohydrates Undergo Active Transport
 - Fructose Undergoes Facilitated Diffusion
 - Amino Acids Undergo Active Transport
 - Iron Undergoes Active Transport
 - Water-Soluble Vitamins Undergo Active Transport
 - Small Lipids Undergo Passive Diffusion
 - Epithelial Cells
 - Intestinal Capillaries
 - Hepatic Portal Circulation Transports Absorbed Nutrients To The Liver
 - Liver Processes Absorbed Nutrients
 - Large Lipids and Fat-Soluble Vitamins Transported as Chylomicrons
 - Lacteals Transport Chylomicrons
 
Intestinal Obstruction
- Severe Abdominal Pain
 - Vomiting
 - High Pitched Bowel Sounds
 - Abdominal Distention
 - Increased Peristalsis
 - Absent Bowel Sounds
 - Paralytic Ileus
 
Colorectal Cancer Assessment
- 3rd Most Common Cancer
 - Change in Bowel Habits
 - Bowel Obstruction
 - Rectal Bleeding
 - Anemia
 - Weight Loss
 - Ascites
 - Colonoscopy
 - FOBT and FIT
 
Irritable Bowel Syndrome (IBS) Interventions
- Identify Triggers
 - Increase Fiber Intake
 - Probiotics
 - Anticholinergics
 - Tricyclic Antidepressants (TCAs)
 - Loperamide
 - Linaclotide
 - Tegaserod (Zelnorm)
 - Lubiprostone (Amitiza)
 - Alosetron (Lotronex)
 
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
 
Crohn's Disease Assessment
- Diarrhea
 - 5-6 per day
 - Cramping Abdominal Pain
 - Fever
 - Weight Loss
 - Malabsorption
 - Anemia
 - Obstruction
 - Fistulas
 
Diverticulosis and Diverticulitis Interventions
- High Fiber Diet
 - Reduce Intra-abdominal Pressure
 - Stool Softeners
 - Exercise
 - Anticholinergics
 - Antibiotics
 - Bowel Resection
 
Imperforate Anus
- Congenital Anorectal Malformation
 - No Anal Opening
 - Absence of Meconium
 - Gradual Increase in Abdominal Distention
 - Surgical Repair
 - Bowel Management
 
Colorectal Cancer Interventions
- Surgical Colon Resection
 - Radiation
 - Chemotherapy
 - Bowel Cleansing
 - Screening
 - Colostomy
 - Dietary Consult
 - Body Image
 
Cancer Warning Signs (CAUTION)
- Change in Bowel or Bladder Habits
 - A Sore That Does Not Heal
 - Unusual Bleeding or Discharge
 - Thickening or Lump in the Breast or Elsewhere
 - Dyspepsia (Indigestion)
 - Obvious Change to Warts or Moles
 - Nagging Cough
 
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
 
Colostomy Care
- Wash with Warm Water
 - Cut 1/8 inch Around Stoma
 - Decreases Skin Irritation
 - Empty When 1/3 to 1/2 Full
 - Change 3-7 Days
 - Avoid Odor Causing Foods
 - Irrigate at Same Time