NURS 471 Lecture Notes - Lecture 6: Spironolactone, Respiratory Tract Infection, Beta Cell
Document Summary
Gastrointestinal: appetite, abdominal pain, bm, n/v, swallowing, gas, information r/t gi function, past health history- surgeries, diagnoses, medications- rx, otc, herbals. Abx can change normal composition of bacterial flora in the gut and cause diarrhea. Auscultate for bowel sounds- for 5 minutes if no bowel sounds. Palpate quads with light touch then deep technique. Lower esophageal sphincter pressure decreased, motility decreased. Delayed gastric emptying and increased risk of aspiration, so need to sit up right. Decreased drug & hormone metabolism so drugs stay in their system longer. Lfts don"t change, the enzyme breakdown does: mouth. Decreased sense of smell, making them not want to eat. Decreased volume of saliva atrophy of gingival tissue. Dry oral mucosa, making it difficult to swallow. Chronic progressive disease of the liver characterized by extensive degeneration & destruction of the liver parenchymal cells, irreversible fibrosis & degeneration of the liver. Caused by diffuse fibrosis (scarring) & nodular regeneration r/t hypoxia of the liver.
