NSE 12A/B Chapter Notes - Chapter 30: Peristalsis, Foodborne Illness, Water–Electrolyte Imbalance
27 Mar 2017
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Lean forward, extert intra-ab pressure, contract thigh muscles. Raise head of bed to normal sitting position on bed pan. Elevated toilet seats for pt. who cant squat. Wear gloves and clean anal and perineal areas. Assess stool , empty and rinse pan. Ask them to flex knees and raise hips, put hand under sacrum and place elbow against bed to level. Place pan under and lower pt. hips. Place pan against buttocks and into mattress. Place 1 hand on pan, other on pt. far hip. Diet: fibre, no fibre = hard, dry, difficult to pass stool, fibre supplements, lactose intolerance: cant digest. Acts as osmotic laxative = diarrhea, gas, cramping. Inadequate= fluid loss: vomiting, fluid helps ease out stool, noncaffeinated fluid can cause irritation and dehydrating, no artificial sweeteners. Physical activity: promotes peristalsis, strengthen core for intra-ab pressure. Identification of routines followed to promote normal elimination. Mouth: teeth, tongue, gums, sores, dry mouth.
