Hemorrhoids And Diverticular Disease2

ALMORANAS NGA

BA?

SKIT PASS

Hemorrhoids and Diverticular disease

Group 4 presents:

ALMORANAS NGA

BA? JAMES RIVERA ERIK

LESTER L.

Tamang Hinala

Lingid sa kaalaman ni James ay unti-unti na siyang nilalamon ng kaniyang karamdaman. Sa pagmamaneho lang ng dyip niya inaasa ang lahat, tuwing nag-iisa ay madaming paghihinala at haka-haka ang nabubuo sa kaniyang isipan ngunit wala ni isa man sa mga ito ang naging tama. ..Ano kaya ang hinala niya sa mga ito?

When I Had

The Chance

SKIT PASS

I.HEMMORHOIDS

A.Definition: Dilation of the veins of the rectum and anus B.Classified as Internal (above anal sphincter) and External (outside sphincter) C.Causes: • • • • • •

PORTAL HT PREGNANCY PROLONG SITTING OR STANDING EXCESSIVE ALCOHOL OR CAFFEINE STRAINING AT STOOL CIGARETTE SMOKING

II.

DIVERTICULAR DISEASE H.TWO TYPES : 1.Diverticulosis= multiple noninflamed diverticula (ASYMPTOMATIC) 2.Diverticulosis = multiple inflamed diverticula (SYMPTOMATIC

3.More common in men and adult ages 40-50 y/o

I.Causes:

LOW IN FIBER MEALS HIGH REFINED CARBS

J.Ax:

1.Abdominal pain or tenderness in

D.Diagnosis (dx): 1.Inspection 2.Sigmodoscopy E.Assesment (ax): 1.Hard stool with streaks of blood 2.Bleeding with defecation and pain (internal) 3.Protrusion of external hemorrhoids upon inspection F.Nrsg intervention: 1.Instruct patient the importance of high-fiber diet and increased fluid intake 2.Instruct client to take stool softeners 3.Instruct client to use ointments such as Dubacaine, anti-inflammatories, and astringents. 4.After surgery, administer prescribed analgesics 5.Offer warm sitz bath after each bowel movement for at least two weeks 6.Educate on the importance of diet, fluids and drugs G.Treatment (tx): 1.Hemorrhoidectomy 2.Injection of sclerosing solution into the tissue surrounding hemmorhoids

LLQ 2.Alternate constipation and diarrhea with blood and mucus K.Dx: 1.Barium Enema (indicates inflammatory response) 2.Colonoscopy L.Nrsg Mgt: 1.Instruct client to select high-fiber diet 2.Encourage fluid intake 3.Encourage px to lose weight and avoid abdominal pressure such as straining at stool, vomiting, bending, lifting, tight clothing M.Tx: *Colon resection