Treatments for Digestive Diseases
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Hospital statistics for Digestive Diseases:
These medical statistics relate to hospitals, hospitalization and Digestive Diseases:
- 124,060 patient days spent in private hospitals for digestive diseases in Australia 2001-02 (AIHW National Hospital Morbidity Database, Australia’s Health 2004, AIHW)
- 346,401 admissions to public hospitals because of digestive diseases in Australia 2001-02 (AIHW National Hospital Morbidity Database, Australia’s Health 2004, AIHW)
- 40,638 admissions to private hospitals because of digestive diseases in Australia 2001-02 (AIHW National Hospital Morbidity Database, Australia’s Health 2004, AIHW)
- 47.2% of hospitalisations for digestive diseases in public hospitals are single day in Australia 2001-02 (AIHW National Hospital Morbidity Database, Australia’s Health 2004, AIHW)
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Book Excerpts: Treatment of Digestive Diseases
Treatments of Digestive Diseases: Online Medical Books
16 MEDICAL BOOKS ONLINE!
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for more information about the treatments of Digestive Diseases.
Nausea & Vomiting:
Treatment
(In a Page: Signs and Symptoms)
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Fluid resuscitation is a mainstay of therapy, because vomiting may cause significant dehydration
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Antiemetics (e.g., metoclopramide, ondansetron, prochlorperazine) may be administered to control symptoms
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Treat reversible causes as necessary (e.g., uremia, hypercalcemia, CNS infections, toxic exposures)
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Treatment of underlying etiologies generally eliminates vomiting
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Inner ear causes of vomiting may respond to treatment with anticholinergics (e.g., meclizine)
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Endoscopy/colonoscopy may be used diagnostically and therapeutically in cases of peptic ulcer disease or large bowel obstruction
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Vomiting:
Treatment
(In A Page: Pediatric Signs and Symptoms)
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Stabilize patient and fluid resuscitation as initial therapy with electrolyte correction
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Surgical consultation if obstruction suspected
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Oral rehydration with small amounts of liquids if tolerated
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If signs of obstruction, nasogastric tube decompression and bowel rest
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Treat infections if indicated
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Remove toxins and allergens
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Surgical interventions for volvulus, Hirschprung, intracranial masses, pyloric stenosis, other anatomic causes
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Correct metabolic derangements
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Lifelong gluten-free diet for celiac disease
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Rare use of antiemetics/promotility agents for chemotherapy, motion sickness, postsurgery, gastroesophageal reflux disease
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Vomiting – Projectile:
Treatment
(In A Page: Pediatric Signs and Symptoms)
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Maintain fluid balance
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Correct electrolytes
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Surgical correction
–Pyloroplasty for pyloric stenosis
–Ladd procedure for malrotation
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Treat infections
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Superior mesenteric artery syndrome
–May require nasojejunal feeds/TPN
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Acid blockers for gastroesophageal reflux
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Amino acid or hydrolysate formula for milk allergy
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PKU
–Avoid phenylalanine (requires special formula, dietary restrictions until maturation, possibly lifelong)
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Bowel sounds, hyperactive:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
After detecting hyperactive bowel sounds, quickly check the patient's vital signs and ask him about associated symptoms, such as abdominal pain, vomiting, and diarrhea. If he reports cramping abdominal pain or vomiting, continue to auscultate for bowel sounds. If bowel sounds stop abruptly, suspect complete bowel obstruction. Prepare to assist with GI suction and decompression, to give I.V. fluids and electrolytes, and prepare the patient for surgery.
If he has diarrhea, record its frequency, amount, color, and consistency. If you detect excessive watery diarrhea or bleeding, prepare to administer an antidiarrheal, I.V. fluids and electrolytes and, possibly, blood transfusions.
GENDER CUE:Homosexual males who report acute diarrhea and who have negative fecal ova and parasite cultures may be infected with chlamydial proctitis not associated with lymphogranuloma venereum. Because rectal cultures will probably be negative, treatment with tetracycline is appropriate.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Bowel sounds, hyperactive:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
After detecting hyperactive bowel sounds, quickly check vital signs and ask the patient about associated symptoms, such as abdominal pain, vomiting, and diarrhea. If he reports cramping abdominal pain or vomiting, continue to auscultate for bowel sounds. If bowel sounds stop abruptly, suspect complete bowel obstruction. Prepare to assist with GI suction and decompression and to give I.V. fluids and electrolytes, and prepare the patient for surgery.
If the patient has diarrhea, record its frequency, amount, color, and consistency. If you detect excessive watery diarrhea or bleeding, prepare to administer an antidiarrheal, I.V. fluids and electrolytes and, possibly, blood transfusions.
Gender Cue: Homosexual males who report acute diarrhea and who have negative fecal ova and parasite cultures may be infected with chlamydial proctitis not associated with lymphogranuloma venereum. Because rectal cultures will probably be negative, treatment with tetracycline is appropriate.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Vomiting:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Advise patients to replace fluid losses to avoid dehydration. If vomiting is persistent, administer an antiemetic; consider hospitalizing the patient for I.V. fluid replacement or parenteral nutrition therapy. Advise patients suffering from migraine headaches that vomiting may be a prodromal symptom and that they should take antimigraine medication.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Bowel sounds, hyperactive:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Obtain the patient’s vital signs. Prepare him for diagnostic tests. These may include endoscopy to view a suspected lesion, barium X-rays, computed tomography scan, or stool analysis.
Monitor intake and output closely. If diarrhea is present, monitor for signs and symptoms of dehydration.
Patient teaching
Explain prescribed dietary changes to the patient. These may range from complete food and fluid restrictions to a liquid or bland diet. Because stress commonly precipitates or aggravates bowel hyperactivity, teach the patient relaxation techniques such as deep breathing. Encourage rest and restrict the patient’s physical activity.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Vomiting:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Draw blood to determine fluid, electrolyte, and acid-base balance. (Prolonged vomiting can cause dehydration, electrolyte imbalances, and metabolic alkalosis.) Have the patient breathe deeply to ease his nausea and help prevent further vomiting. Keep his room fresh and clean smelling by removing bedpans and emesis basins promptly after use. Elevate his head or position him on his side to prevent aspiration of vomitus. Continuously monitor his vital signs and intake and output (including vomitus and liquid stools). If necessary, administer I.V. fluids or have the patient sip clear liquids to maintain hydration.
Because pain can precipitate or intensify nausea and vomiting, administer pain medications promptly. If possible, give these by injection or suppository to prevent exacerbating associated nausea. If an opioid is used to treat pain, monitor bowel sounds and flatus and bowel movements carefully because they slow down GI motility and may exacerbate vomiting. If you administer an antiemetic, be alert for abdominal distention and hypoactive bowel sounds, which may indicate gastric retention. If this occurs, insert a nasogastric tube.
Patient teaching
Advise the patient to replace fluid losses to avoid dehydration. Inform the patient suffering from migraine headaches that vomiting may be a prodromal symptom; advise him to take antimigraine medication should vomiting occur.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Bowel sounds, hyperactive:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
After detecting hyperactive bowel sounds, quickly check the patient’s vital signs and ask him about associated symptoms, such as abdominal pain, vomiting, and diarrhea. If he reports cramping abdominal pain or vomiting, continue to auscultate for bowel sounds. If bowel sounds stop abruptly, suspect complete bowel obstruction. Prepare to assist with GI suction and decompression, to give I.V. fluids and electrolytes, and prepare the patient for surgery.
If he has diarrhea, record its frequency, amount, color, and consistency. If you detect excessive watery diarrhea or bleeding, prepare to administer an antidiarrheal, I.V. fluids and electrolytes and, possibly, blood transfusions.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Bowel sounds, hypoactive:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Encourage the patient to ambulate to stimulate peristalsis. If he can’t move, assist him in turning side to side and with range-of-motion exercises. Explain all diagnostic tests and procedures as well as the need to withhold food and fluids until bowel sounds improve.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Vomiting:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Have the patient breathe deeply to ease his nausea and help prevent further vomiting. Advise him to replace fluid losses to avoid dehydration. A patient suffering from migraine headaches should be advised that vomiting may be a prodromal symptom and antimigraine medication should be taken.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Bowel sounds, hyperactive:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Prepare the patient for diagnostic tests, such as laboratory studies, imaging studies, endoscopy, barium X-rays, or stool analysis.
▪ If the patient has diarrhea, administer I.V. fluids and electrolytes to replace losses.
▪ Restrict food and fluids to rest the GI tract, as indicated.
▪ If the patient has GI bleeding, restrict food and fluids and administer I.V. fluids, blood, and vasopressors.
Patient teaching
▪ Explain dietary changes, such as food and fluid restrictions, clear liquid diet, or bland diet.
▪ Teach stress reduction and relaxation techniques.
▪ Discuss any activity restrictions.
▪ Explain diagnostic tests and procedures.
▪ Teach the patient about the cause of hyperactive bowel sounds and the treatment plan after a diagnosis is established.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Bowel sounds, hypoactive:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Frequently assess for indications of shock, such as thirst; anxiety; restlessness; tachycardia; cool, clammy skin; and weak, thready pulse.
▪ Monitor vital signs and auscultate for bowel sounds every 2 to 4 hours.
▪ If severe pain, abdominal rigidity, guarding, and fever accompany hypoactive bowel sounds, perform emergency interventions to treat paralytic ileus from peritonitis.
▪ If GI suction and decompression are needed using a nasogastric or intestinal tube, restrict oral intake, maintain tube patency, monitor drainage, provide oral and nasal hygiene, keep the head of the bed elevated, and turn the patient to facilitate passage of the tube through the GI tract.
▪ Prepare the patient for diagnostic studies, such as X-ray studies and endoscopic procedures.
▪ Provide comfort measures as needed, such as placing the patient with paralytic ileus in semi-Fowler's position.
Patient teaching
▪ Encourage the patient to ambulate to stimulate peristalsis or, if he can't tolerate ambulation, range-of-motion exercises or turning from side to side may stimulate peristalsis.
▪ Explain all diagnostic procedures and the need to withhold food and fluids.
▪ Teach the patient about the cause of hypoactive bowel sounds and the treatment plan after a diagnosis is established.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Vomiting:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Draw blood to determine fluid, electrolyte, and acid-base balance.
▪ Keep the patient's room clean smelling by removing bedpans and emesis basins promptly after use.
▪ Elevate the patient's head or position him on his side to prevent aspiration of vomitus.
▪ Monitor vital signs and intake and output (including vomitus and liquid stools).
▪ If necessary, administer I.V. fluids, or have the patient sip clear liquids to maintain hydration.
▪ Because pain can precipitate or intensify nausea and vomiting, administer pain medications promptly.
▪ Insert a nasogastric tube, as ordered.
Patient teaching
▪ Teach the patient deep-breathing exercises to ease nausea.
▪ Explain the importance of replacing fluid losses.
▪ Teach the patient about dietary restrictions and how to advance the diet.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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