Medical-Surgical Nursing, 9th Ed., Lewis, Dirksen, Heitkemper & Bucher | Registered Nurse (RN) School Study Aid
Clindamycin
- Bacteriostatic
- Binds 50S Ribosomal Subunit
- Gram-Positive Infections
- Anaerobic Infections
- Rash
- Pseudomembranous Colitis
- C. Difficile (Associated Diarrhea)
- Arrhythmias
- Blood Dyscrasias
- Monitor for Diarrhea
Vancomycin
- Inhibits Bacterial Cell Wall Synthesis
- Serious Gram-Positive Infections
- Nephrotoxicity
- Ototoxicity
- Red Man Syndrome
- Thrombophlebitis
- Culture Samples First
- Infuse IV Over 60 Minutes
- Take Around the Clock
Clostridium difficile (Clostridioides difficile) Treatments
- Oral Vancomycin
- Fidaxomicin
- Metronidazole
- Stool Transplant
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
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
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
Gastroenteritis
- Viruses
- Bacteria
- Food Intolerances
- Flu-Like Symptoms
- GI Distress
- Bloody Stool
- Oral Rehydration
- Self-Limiting
- Prevention
Ulcerative Colitis Assessment
- Cramping Abdominal Pain
- Tenesmus
- Bloody Diarrhea
- Up to 10-20 / Day
- Fever
- Hemorrhage
Iron (Ferrous Sulfate)
- Ferrous Salts
- Anemia
- GI Distress
- Nausea and Vomiting
- Dark Stools
- Take Between Meals
- Liquid can Stain Teeth
- Keep out of Reach from Children
- Caution with GI Disorders
- Avoid Antacids
Crohn's Disease Assessment
- Diarrhea
- 5-6 per day
- Cramping Abdominal Pain
- Fever
- Weight Loss
- Malabsorption
- Anemia
- Obstruction
- Fistulas
Intestinal Obstruction
- Severe Abdominal Pain
- Vomiting
- High Pitched Bowel Sounds
- Abdominal Distention
- Increased Peristalsis
- Absent Bowel Sounds
- Paralytic Ileus
Types of Intestinal Obstruction
- Adhesions
- Hernia
- Volvulus
- Intussusception
- Tumor
- Mesenteric Artery Occlusion
- Spinal Injury
- Paralytic Ileus
Intussusception
- Telescoping of Bowel Segments
- Lead Point
- Episodic Abdominal Pain
- Diarrhea
- Sausage-Shaped Mass
- Red Currant Jelly Stools
- Ultrasound/CT
- Target Sign
- More Common in Children
- Rotavirus Vaccine Contraindicated
- Air or Hydrostatic Enema
- Surgical Reduction
Cobalamin (Vitamin B12)
- Vitamin B12
- Vitamin Deficiency
- Pernicious Anemia
- Hypokalemia
- Arthralgia
- Dizziness
- IM Injection for Pernicious Anemia
- Never Give IV
Colorectal Cancer Interventions
- Surgical Colon Resection
- Radiation
- Chemotherapy
- Bowel Cleansing
- Screening
- Colostomy
- Dietary Consult
- Body Image
Colorectal Cancer Assessment
- 3rd Most Common Cancer
- Change in Bowel Habits
- Bowel Obstruction
- Rectal Bleeding
- Anemia
- Weight Loss
- Ascites
- Colonoscopy
- FOBT and FIT
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
Ileostomy Care
- Antibiotics
- Monitor Skin Breakdown
- Drains Continuously
- Fluid and Electrolyte Imbalance
- Low Fiber Diet
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
Types of Hernias
- Hiatal
- Gastroesophageal Reflux Disease (GERD)
- Inguinal
- Men
- Femoral
- Women
- Incisional
- Umbilical
- Strangulation
Hernia Interventions
- Reduce Intra Abdominal Pressure
- Avoid Straining and Lifting
- Open Mouth Sneezing
- Excision
- Herniorrhaphy
- Hernioplasty
- Scrotal Support
Vitamin B1 (Thiamine)
- Carbohydrate Metabolism
- Dietary Deficiency
- Beriberi
- Wernicke-Korsakoff
- Alcoholics Highest Risk
- Give Before Glucose
- Give IM or IV
- Enriched Whole Grains
- Pork
Celiac Disease
- Intestinal Mucosa Damage
- Ingestion Wheat, Barley, Rye
- GI Distress
- Steatorrhea
- Weight Loss
- Dermatitis Herpetiformis
- Gluten-free Diet
- Screening