Adult Health 1 Chapter 41
What is the recommended daily intake of fiber (soluble and bulk forming) (25 - 30. 20- 30, 25 - 35)
25 - 30g/day of fiber
What is a stool diary called?
Bristol stool form scale
Toxicity of magnesium hydroxide include...
CNS or neuromuscular depression, electrolyte imbalance
_______________ is defeined as fewer than three bowel movements weekly or bowel movements that are hard, dry, small, or difficult to pass.
Constipation
low FODMAP diet
Fermentable Oligosaccharides Disaccharides Monosaccharides And Polyols
Which it the most common type of constipation?
Functional constipation
Low FODMAP diets often are used to treat which condition?
IBS
A chronic functional disorder characterized by recurrent abdominal pain associated with disordered bowel movements, which may include diarrhea, constipation, or both, without an identifiable cause is >>>>>>>>
Irritable bowel syndrome (IBS)
Multilpe medications use in aolder adults often cause constipation. Multilple medication is called _________________.
Polypharmacy
Docusate will not evacuate hard stool
True
Fecal impaction must be removed before instituiting any preventive therapiea
True
IBS (irritable bowel syndrome) results from a functional disorder of intestinal motility
True
If fecal incontienence is related to diarrhea, the incontinence may disappear when diarrhea is successfully treated
True
Those who develop celiac disease exhibit an autoimmune response to gluten products that is both humoral and dell mediated
True
When to report to the doctor with diarrhea...
a. 0.5 mL/Kg/h for 2 to 3 consecutive hours b. muscle weakness c. paresthesia d. hypotension' e. anorexia f. drowsiness
constipation can be caused by certain medications...
a. anticholinergic agenst b. antidepressants c. anticonvulsants d. antispasmodics (muscle relaxants e. calcium channel antagonists
The most common GI clinical manifestations of celiac disease include...
a. diarrhea b. abdominal pain c. abdominal distention d. flatulence e. weight loss f. steatorrhea
Fecal impaction removal usually involves...
a. digital dislodgement b. enema administration
Treatment of constipation include .....
a. education b. exercise c. bowel habit training d. increased fiber and fluid intake e. judicious use of laxatives
Clinical manifestations of constipation include ...
a. fewer than 3 bowel movements per week b. abdomial distention c. abdominal pain and bloating d. a sensation of incomplete evacuation e. the elimination of small volume, hard, dry stools
Complication of constipation...
a. increased arterial pressure can occur with defecation. b. Cardiac output is decreased leading to a transient drop in arterial pressure, which may cause orthostasis, dizziness, or sncope. c. fecal impaction could lead fecal incontinence, hemorrhoids, fissures, rectal proplaspe, and megacolon
Clinical manifestations of diarrhea are...
a. increased frequency and fluid content of stools b. abdominal cramp c. distention borborygmus (i.e., a rumbling noise caused by the movement of gas through the intestines d, anorexia e. thirst
Conservative treatment of constipation include...
a. increasing fluids b. fiber c. physcial activity
There are four classes of constipation...
a. opiod induced constipation b. defecatory disorders c. functional constipation d. slow-transit constipation
The diagnosis of constipation is based on...
a. patient's history b. physical examination c. results of barium enema sigmoidoscopy d. stool testing for occult blood
Laxattive medications for diarrhea...
a. saline agent e.g., magnesium hydroxide b. emollient stool softener e.g., docusate c. osmotic agent
Neurological diseases that cna impact bowel function include ...
a. stroke b. parkinson's disease c. diabetes d. spinal cord injury e. traumatic brain injury
Diarrhea can be associated with ...
a. urgency b. perianal discomfort c. incontinence d. nausea
People who are likley to become constipated are...
a. women b. pregant woemn c. those who recently ahd surgery d. older adults e. non-caucasians f. people witha history of irritable bowel syndrome
Diarrhea that is self-limiting, lasting 1 or 2 days is said to be ____________. (persistent, chronic, acute)
acute
A term used to describe pelvic floor dysfunction and constipation is ... (anismus, pyryosis, pyloris)
anismus
dehydration with electrolyte loss of potassium may cause cardiac arrythmias
cardiac arrythmias
A disorder of malabsorption caused by an autoimmune response to consumption of products that contain the protein gluten is called ___________.
celiac disease
Chronic diarrhea many be caused by____________-
chemotherpay, antiarrhymthmic agents etc.
Diarrhea that persists for more than 4 weeks and may return sporadically is called _______________. (persistent, chronic, acute)
chronic
X-ray, colonoscopy and lower GI endoscopy can be used to evaluate the patient with ... (
constipation
___________________ , which are caused by dysfunctional motor coordination between the pelvic floor and anal sphincter (functional constipation, defecatory disorders, opiod induced constipation, slow-transit constipation)
defecatory disorders
The most common complication of diarrhea is _____________.
dehydration
The rash commonly associated with celiac disease is called.....
dermatitis herpertiformis
An increased frequency of bowel movements (more than 3 per day) with altered consistency (i.e increased quality) of stool is called _____________.
diarrhea
Any condition that can cause increased secretions. decreased mucosal absorption, or altered motility can cause...
diarrhea
What mediation is given to mitigate abdominal pain in patient's with IBS (loperamide, omeprazole, dicyclomine)
dicylomine
Other causes of acute and persistent diarrhea are....
drugs e.g., some antibiotics like erythromycin and magnesium containing antacids like magnesium hydroxide
The abdominal pain in IBS is sometimes precipitated by __________ and is frequently relieved by _____________. (eating/defecation, eating/constipation)
eating , defecation
The treatment for celiac disease is to refrain from ...
exposure to gluten in foods and other products
The recurrent involuntary passage of stool from the rectum for at least 3 months is called ___________.
fecal incontinent
An accumulation of dry feces is called _____________---
fecalith
Majority of patients have _________________________ constipation
functional
What type of constipation can be treated by increasing intake of fibers and fluids?
functional constipation
____________________ which involves normal transit mechanisms of mucosal transport. (functional constipation, slow-transit constipation, defecatory disorders, opiod induced constipation)
functional constipation
What is tenesmus?
ineffective and sometimes painful straining and urge to eliminate feces
The importance of fiber to bowel health...
it increases the bulk of stool, generally easing its passage
What medication is given to control diarrhea and fecal urgency in patient's with IBS? (loperamide, omeprazole, dicyclomine)
loperamide
Loss of bicarboante with diarrhea can lead to _____________.
metabolic acidosis
_____________________, which includes new or worsening symptoms that occur when opiod therapy is initiated, changed, or increased and must include two or more symptoms of functional constipation (functional constipation, defecatory disorders, opiod induced constipation, slow-transit constipation)
opiod constipation
What incontinence occur without warning? (urge incontinence, passive incontinence)
passive incontinence
When an ulcer perforates the colon wall, it leads to a disease called___________________-
peritonitis
A diarrhea that typically lasts between 2 and 4 weeks is said to be ______________. (persistent, chronic, acute)
persistent
What stimulates the ureg to defecate?
rectal distention
Do not take magnesium hydroxide if you have ...
renal insufficiency
______________________ which is caused by inherent disorders of the motor function of the colon (e.g., hirschprung disease), and is characterized by infrequent bowel movements (functional constipation, defecatory disorders, opiod induced constipation, slow-transit constipation)
slow-transit constipation
Is constipation a symptom or a disease?
symptom
The most common complain of older adult about constipation is ...
the need to starin at stool
Magnesium hydroxide should be taken for a ________________ term only
true
With osmotic agent, monitor electrolyte
true
What incontinence occur have the sensation of the urge to defecate but acnnot reach the toilet in time? (urge incontinence, passive incontinence)
urge incontinence
Forcibly exhaling with the glottis closed is called___________________.
valsalva maneuver
What causes acute and persistent diarrhea? (bacteria infection , viral infection)
viral infection
gluten is most commonly found in..
wheat, barley, rye, and other grains malt, dextrin, and brewer's yeast
