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Bowel Elimination
Peristalsis: wavelike muscular contractions, propel…
Bowel Elimination
Peristalsis: wavelike muscular contractions, propel food/digestive product through alimentary canal
1)Food enters mouth, after chewing considered bolus... enters stomach to make chyme.
2) chyme moves through bowels--> nutrients absorbed & transported to liver via hepatic portal vein.
3) remaining chyme-->L. intestine-->colon--> rectum
~Bilirubin = breakdown product of RBCs
~7-10L of gas/24 hrs
Alterations
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Impaction: Mass of hardened feces in rectum/colon
-constipation
-fecal incontinence
-abdominal cramping
-straining
Obstruction: blockage
-Distention, cramping, constipation, inability to pass gas
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Dx tests
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Digital rectal exam (DRE) = reveals abnoramlities in rectum
& evaluates strength of sphincter muscles.
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Interventions
Constipation
-increase fiber&fluid intake
-teach impact of dietary choices
-bowel training (digital stimulation)
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Many collaborative therapies can be done involving medications such as laxatives, anti-diarrheal, stool softeners, anti-flatulents, and others that help promote BM and absorption of excessive fluids.
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