Week 5.1 Bowel Obstruction Flashcards Preview

Advanced Clinical Practice Complex Patient > Week 5.1 Bowel Obstruction > Flashcards

Flashcards in Week 5.1 Bowel Obstruction Deck (22)
Loading flashcards...
1

there can be two types of bowel obstruction, what are they

inside (meaning something like a tumor or swelling)
outside (like organs or tissues that are compressing the intestines)

2

if you have colic pain and abdominal pain, you have an obstruction in the ___ intestine

small

3

if you have distention, the obstruction is in the ___ intestine

large

4

what 4 broad categories can cause bowel obstruction in the Small

adhesions
hernias
inflammatory diseases
Tumors

5

what is a hernia

it is a bulge where the intestine passes through the abdominal wall

6

give examples of inflammatory diseases

Chron's, diverticulitis

7

tumors in the SMI usually spread from the

colon, reproductive organs, breast, bowel, skin

8

what is a leading risk factor for a SBO

early abdominal surgery

9

what does the abdominal pain feel like with a SBO

intense waves, 5-15 minutes between the naval and the rib cage

10

what is you have constant abdominal pain with a SBO

there is bowel strangulation

11

S+S of SBO

-cramping and abdominal pain
-nausea and vomiting
-no gas passing through the rectum
-bloating and tenderness
-rapid pulse and breathing
-upper GI distension
-constipation
-lack of appetite

12

LBO is the cause of ___% of all bowel obstructions

80

13

what is the mortality rate of a LBO

10-30% depends on the perforation

14

what is the most common cause of LBO in developed countries

adhesions

15

what is the other most common cause of LBO

adenocarcinoma colon

16

what does colorectal cancer cause

narrowing of the lg intestine and constipation before the obstruction

17

what is a Volvolus

cause of a LBO, that is when the abdomen twists a segment of the bowel around itself. The twisting is a closed loop of bowel with a pinched base. Typical in Western countries, people over 65, with a hx of constipation

18

how does Diverticular disease cause LBO

you get a small balloon shaped pouch out of the wall in the intestine, that can become infected (diverticulitis). when it heals, you get scars in the wall of the colon. this tightens and narrows and ends up blocking the colon.

19

what is the name of the scar tissue encircling the colon?

whirl sign

20

LBO S+S

-lower abdominal distention and bloating
-lower abdominal cramping and pain (vague, mild, sharp severe)
-constipation
-diarrhea
-possible rectal bleeding (streaks)

21

how does one get diarrhea with an obstruction

the liquid stool can pass around the partial obstruction

22

what are the red flags for immediate referral

intense and constant abdominal pain
vomiting
bloating
blood in the stool