NSG 2713 Lecture Notes - Lecture 10: Bowel Obstruction, Abdominal Pain, Food Intolerance

• School: University of Ottawa
• Department: Nursing
• Course: NSG 2713
• Professor: Norma Freeman

Document Summary

Review of systems: indigestion, lack or loss of appetite, dysphagia: difficulty swallowing, pyrosis: heartburn; burning sensation in esophagus caused by reflux of gastric acid, food intolerance, eructation: burping, abdominal/flank pain, nausea/emesis/hematemesis, bowel habits/ bowel movements. Health history questions: appetite, dysphagia, food intolerance, abdominal pain (do pqrst, nausea/vomitting, bowel habits, past abdominal history, medications, alcohol and tobacco, nutritional assessment. Physical exam inspect: contour: determine the profile of the abdomen from the rib margin to the pubic bone. Start in right lower quadrant this is where there are most sounds! Bowel sounds: hyperactive: loud, high-pitched, rushing, tinkling sounds that signal increased motility and may indicate bowel obstruction, hypoactive: quiet (may happen after surgery, absent: uncommon must listen for five minutes to determine, borborgymus: stomach growling. Vascular sounds: bruits: listen with the bell of the stethoscope to check over the aorta and the renal arteriea, iliac and femoral arteries (usually no sound should be present)