Class notes
Nur 1020C Abdomen Lab Notes
- Course
- NUR 1020C
- Institution
- Florida State College At Jacksonville
This is a comprehensive and detailed lab notes on; the abdomen for Nur 1020C. *Essential Study Material!!
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Clinical/ lab/lectureTuesday, September 27, 2022 7:59 AM
Abdomen
2 ways people divide abdomen for auscultation
There are 4 quadrants.
• Use belly button as crossroad(midline)
Bowel sounds stop with anesthesia
Bowel obstruction (absence of bowel sounds)
- Inspect abdomen, look at skin
- Spider veins across abdomen (hypertension tord)
- Jaundice (liver) can be seen in stomach
- Then look at shape. When laying flat is stomach sinks in, the scaphoid convects
and protuberant
- Auscultate along the colon
You need to know which organs are in each quadrant
• Listen with the diaphragm first in the right lower quadrant (The ilial secal ,
appendix, and start of ascending colon)
• Then listen to the right upper quadrant ( colon changes to transverse, where the
liver edge will be and. The gall bladder)
• The left upper quadrant (has the stomach, the spleen, and transverse colon) We
will hear the transverse colon
• Left lower quadrant (descending colon)
Digestion takes place in stomach colon and small intensines
When charting bowel sounds
• Hypo
• Hyper
• Normo (expected)
• Know which one you will hear gurgling for test
• 5-35 times per minute
How long do you wait before you chart bowel sounds as absent? 5 minutes per
quadrant
Listen to 4 quadrants
, Then LIGHTLY palpate (assess for tenderness) When looking for inflamed perineum
you get rebound tenderness (sloshing of fluid in GI system)
Percuss around abdomen (hollow air filled) in each 4 of quadrants
Legal. Voc
Ethical
Statutory law. Assault (verbal threat or perceived threat)
Regulation Battery( Hitting, physical)
Malpractice (A duty) OR a dereliction of duty
(not doing the duty you were supposed to)
Laws Negligence(you got lucky for not doing what you are supposed
to.)
-Good Samaritan Healthy people
-Organ Donation. Affordable care act
- Cobra SSA 1965
- Omibus
- HIPPA
Good Samaritan law: Any person, including those licensed to practice medicine,
who gratuitously and in good faith renders emergency care or treatment… shall
not be held liable for any civil damages as a result of such care or treatment.
Organ donation: There is a law that you have a right to say what your choice is for
organ donation.
EMTALA: Emergency medical treatment active labor act: Any human being in the
united states will receive a stabilizing treatment regardless of ability to pay. Even if
in country illegally. (EMERGENCY)
They can transfer you to another hospital that is accepted by insurance once you
are stabilized
COBRA: Is a federal law that says you can buy health insurance from a previous
employer for three months after.
OMIBUS: Means budget- reconciliation act of 1996 has the law inside of it of
when you can and cannot restrain a patient
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