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NUR 676 exam 3. (Answered) With Complete Verified Solution 109 Q&A. 100% Correct, Latest 2024/2025. $12.49   Add to cart

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NUR 676 exam 3. (Answered) With Complete Verified Solution 109 Q&A. 100% Correct, Latest 2024/2025.

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NUR 676 exam 3. (Answered) With Complete Verified Solution 109 Q&A. 100% Correct, Latest 2024/2025.

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  • August 13, 2024
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  • 2024/2025
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NUR 676 exam 3. (Answered) With Complete
Verified Solution 109 Q&A. 100% Correct, Latest
2024/2025.
most common GI complaint in primary care and most common dx for GI...

IBS

IBS occurs in...

mostly young adults
but in ALL ages

IBS is considered a ....

gut brain disorder
has variety of GI sx

characteristics of IBS

abdominal pain PLUS
1. altered bowel habits
2. sx constipation( infrequent stools/ straining/hard stools/ feeling of incomplete or difficult evacuation)

Gi motility in IBS result of ...

stress
anxiety
drugs
anger
acute intestinal infections
small bowel bacterial overgrowth

common s/sx of IBS

chronic abd pain
bloating /distension
flatulence
bowel habit changes

what helps differentiate IBS from others

MUST have abdominal pain present

IBS abdominal pain characteristics

nonradiating, intermittent, crampy
usually in LLQ

,s/sx of IBS usually occurs after ...

consuming meals (large) or alcohol

NOT IBS if ...

nocturnal sx
bloody or greasy stools
weight loss or malnutrition
GI bleed
anemia
N/V recurs
fever

Physical exam for IBS

VS
abdominal/pelvic/rectal exams:
-increased tympanic percussion
-palpable sigmoid colon
-tenderness on rectal exam

diagnostics for IBS sx

labs
CBC/ ESR/TSH/LFT
stool cultures
colonoscopy
lactose free diet trial
abdominal US
GYN/GI referral

colonoscopy recommended for pt with IBS if

1. <40 healthy adult with acute bowel change
2. >50
3. pts with weight loss, anemia, occult blood

Initial approach: use ROME IV criteria

1. sx present >3 months
2. initial sx onset >6 months of IBS dx
3. abdominal pain at least once a weekfor previous 3 months with 2+ sx
-pain with defecation
-pain r/t change in stool frequency
-pain associated with change in appearance of stool

IBS management:

, symptomatic treatment
pharmacotherapy
alternative therapy

IBS symptomatic treatment

dietary modifications
medications
supportive and behavioral thearpy
education
reassurance

IBS medications

synthetic fibers
-psyllium: metamucil, benefiber
-calcium polycarbophil
- methylcellulose (citrucel)
-all take with food or with 8ox liquid
antispasmodics/anticholinergics - dicyclomine (bentyl), hyocyamine sulfate
antidiarrheal: loperamide, pepto-bismol

Food cause or aggravate IBS

large meals
dairy products
gas forming foods
carbonated beverages
caffeine
alcohol
**should avoid these!!!

IBS patient should consult GI if

bowel status change when pt >50
family hx celiac dz
colon CA
Gi bleed
fever
weight loss
nocturnal sx
recent abx

IBD (inflammatory bowel disease)

Crohn's disease and ulcerative colitis

ulcerative colitis

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