TOPIC 5 Flashcards
(158 cards)
Nursing care of nutrition and elimination
Nurses assess persons nutritional status, supply adequate food ( that may have to be administered in a different way Eg. Nasogastric or perinatal- bypassing stomach and digestive system)
We look at swallowing and elimination and whether it’s being done right.
Nutrition can have an impact on other issues Eg. Wound healing or in general nutritional status and can have a role in how people recover
Some diseases that people do to hospital for are directly linked to the nutritional system or the digestive system
Nurses work closely with dietitians and patient education plays a very big role
2 main parts of the digestive system
The digestive system has 2 main parts: the alimentary canal and the accessory organs that are part of the digestive system
What is the alimentary canal
The alimentary canal - tube from the mouth to the anus, it is open to surrounding environment
What are the accessory organs
the accessory organs that are part of the digestive system not included in the alimentary canal Eg. Liver gallbladder, pancreases, teeth, tongue, salivary glands ones with Astrid in diagram above
The alimentary canal is covered by….?
Alimentary canal usually covered by the peritoneum because in the abdominal cavity ( exception is esphogus)
With serous membranes there is a visceral (directly covering the organ) and parietal part ( the lining of the actual abdominal cavity)
Digestive organs can either be intra peritoneal or retro peritoneal
T or F
T
What does it mean to be intra peritoneal
Digestive/Abdominal organs can either be intra peritoneal ( covered inside abdominal cavity with peritoneum) or retro peritoneal ( behind peritoneum) . Depends on when and how development in utero happens whether they are going to be included within the peritoneum cavity as well.
What does it mean to be retro peritoneal
Digestive/Abdominal organs can either be intra peritoneal ( covered inside abdominal cavity with peritoneum) or retro peritoneal ( behind peritoneum) . Depends on when and how development in utero happens whether they are going to be included within the peritoneum cavity as well.
What organs are intra peritoneal and what organs are retro peritoneal
Retro- pancreas, ascend and descending colon, kidney. Duodenum. Rectum. Sigmoid colon. Kidneys
Intra - stomach. Small intestine. Transverse colon. Liver. Gallbladder. Spleen. Ileum. Jejunum. Cecum. Appendix. Pancreas (tail only)
What are organs/ tissues that are suspended from the abdominal wall ( ventral and Doral parts) called
suspended peritoneal tissues are called mesenteries ( dorsal and ventral mesentaries)- are pretty much a doubling up/ folding over of peritoneal membranes/ also include a lot of fat storage
When you open up a person, will see one of mesenteries greater ormentum and it looks like a piece of netting with lots of fat in it
What is ingestion
Ingestion: taking food in
What is mechanical breakdown
Mechanical breakdown by chewing with teeth, Through digestive tract muscular contractions called peristalsis ( can occur in different ways Eg. Segmentation in small intestine), through churning in stomach breaking things down
What is propulsion
Propulsion: part of peristalsis, getting food slowly through whole digestive tract until it eventually gets expelled through defecation
What is digestion
Digestion: breaking things down chemically. Eg, monosaccharides to glucose. Happens so that it can be absorbed into blood vessels and lymphatic vessels
Movements that can assist with mechanical breakdown
Peristalsis and segmentation
What happens during peristalsis
Ajacent segments of the alimentary canal organs alternatively contract and relax.
- food is moved along the tract distally
- primarily propulsive; some mixing may occur
What happens during segmentation
Non ajacent segments of the alimentary canal contract and relax
- food is moved forward, then backwards
- primarily mixes food and breaks it down mechanically; some propulsion May occur
What direction does peristalsis occur
Cranial to distal
What are the 4 basic layers of the alimentary canal
in order from inside to outside/ lament to outside
1) mucosa 2) submucosa 3) muscularis externa 4) serosa
What is the mucosa layer of the alimentary canal like
split into epithelium- simple columnar epithelium tissue with mucus glands imbedded within it, is avascular so gets blood supply from the underlying, Lamina propria which is loose areolar connective tissue and contains some lymph follicles as alimentary canal is open to outside world so act as protection, there is also a little muscularis mucosae which is part of the mucosa but is also smooth muscle tissue
What is the submucosa layer of the alimentary canal like
loose areolar connective tissue with lots of elastic fibres, lots of blood supply, lymphatic supply and nerve supply as well ( one of the intrinsic nerve plexus Eg- submucosal nerve plexus), more glands in this layer
What is the muscularis externa layer of the alimentary canal like
chunky muscle layer needed to perform mechanical breakdown and peristalsis.
Has 2 main layers circular layer and longtudinal layer ( causes really strong powerful contractions can sometimes feel when stomach is rumbling). - there is also the oblique layer -
Can see between 2 types of muscles there are some nerves ( one of the intrinsic nerve plexus- myenteric nerve plexus )
What does plexus mean
Network of..
What is the serosa layer of the alimentary canal like
visceral part of peritoneum. Outside layer epithelium layer also known as mesothelium ( visceral part of peritoneum) is made up of simple squamous epithelial cells