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  • Šmykľavka: 1
  • Night shift remedy GI system 
  • By: Mya Pires, Giuliana rossetti, Jillian Jaehnig, Kaylie Cashman, Brenda Mazete
  • Šmykľavka: 2
  • “Alright, Three GI patients. Let’s take them one at a time.”
  • RN Emma and RN Jordan 7P-7A assignment Room 214: loose stoolRoom 216: NauseaRoom 219: Post-op constipation
  • "and we will need plenty of coffee after"
  • Šmykľavka: 3
  • Room 214Mr. Thomsan Anti-dirrheal
  • Šmykľavka: 4
  • “You’ve had several loose stools today. We’re going to give you something to slow that down.”
  • “I just can’t keep running to the bathroom, I feel drained."
  • “Hi, Mr. Thompson. I’m Emma, and this is Jordan. We are going to be your nurses, how are you feeling?
  • The nurses walked in to see Mr. Thompson lay curled slightly on his side, his face drawn with fatigue. A nearly empty water cup sat on his bedside table.
  • Šmykľavka: 5
  • This is Loperamide (Imodium). It works by slowing the movement in your intestines so your body has more time to absorb fluids and nutrients.”
  • "It should help reduce the frequency and urgency."
  • Nurse Emma and Jordan provided patient education on what the drug they were administering was used for
  • Šmykľavka: 6
  • "hey Mr. Thompson we wanted to come check in and see how the Imodium was working"
  • "great, thats what we like to hear"
  • "Good, I'm starting to feel better already"
  • Over the next hour, they checked on him frequently. Gradually, the urgency lessened. Mr. Thompson rested more comfortably, his breathing steady the Imodium worked.
  • Šmykľavka: 7
  • okay, I will. Thanks!
  • "we don't want you getting dehydrated"
  • “Take small sips of water”
  • Before administering the medication, RN Emma helped him sit up slightly to prevent aspiration
  • Šmykľavka: 8
  • Imodium slows down an over active bowel. it is often used for a short period of time and helps to decrease the amount of bowel movements occuring. It slows down the movement happening in the intestines. This drug belongs to a class called antidiarrheals. Some contraindications: allergies, if you have black tarry stools, bacterial infection, constipationSome adverse affects: constipation, dizziness, tiredness, nausea, and abdominal cramps
  • Šmykľavka: 9
  • Room 216MiaNausea
  • Šmykľavka: 10
  • "Good evening Mia, Im Emma and this is Jordan we will be your nurses for the night"
  • "how are you feeling this evening?"
  • “I feel like I might throw up again”
  • The nurses walked into mias room to see the lights dim, pale looking, and a trash barrel within reach
  • Šmykľavka: 11
  • “Okay I will try it"
  • It works by blocking serotonin signals that trigger nausea and vomiting.”
  • "We’re going to help calm that, Jordan has Ondansetron which is know as Zofran. And here is some water to take it with"
  • The nurses assisted Mia in sitting up so she could take her medication they then again provided patient education
  • Šmykľavka: 12
  • "i'll dim you lights and shut the door slightly so your able to get some rest"
  • "thank you both for your help"
  • "here is a wet cloth for your forehead for now, try to take some slow deep breaths to let your body settle"
  • The nurses allowed Mia to rest and helped her have a calm environment to rest before checking back in on her 
  • Šmykľavka: 13
  • As 15 minutes went by the nurses went to check on mia and see how the Zofran was working Mia said the nausea wasn't nearly as bad and she was starting to feel better 
  • Šmykľavka: 14
  • Zofran is a drug that helps to prevent nausea by working in the stomach and blocking signals in your brain that cause nausea and vomiting. It belongs to a class of medications called antienemics.Some adverse affects: headaches, constipation, fatigue, and diarrheaSome contraindications: allergies, apomorphine, liver disease electrolyte imbalances, QT prolonging drugs
  • Šmykľavka: 15
  • Room 219Mrs. SilvaPost-op Constipation
  • Šmykľavka: 16
  • "Good evening Mrs. Silva, Im Emma and this is Jordan we will be your nurses for the night"
  • "how are you feeling this evening?"
  • “I haven’t had a bowel movement since before my surgery, It’s starting to hurt.”
  • Šmykľavka: 17
  • "it's okay Mrs. Silva with anesthesia, pain meds, and less activity it causes everything to slow down"
  • "is it going to be sudden?”
  • "We’re starting you on Docusate sodium (Colace). It helps soften your stool by pulling water into it, And we’re pairing that with Senna (Senokot), which gently stimulates your intestines to get things moving.”
  • Šmykľavka: 18
  • okay i'll take the meds and try to move a little more
  • Movement helps wake up your digestive system, even small steps around the room would help
  • It should feel natural, not rushed. We’re aiming for comfort.”
  • Šmykľavka: 19
  • Thank you, I will
  • These are the 2 pills we talked about
  • And here is some water, use your call button when your ready and we can help you take some steps around the room 
  • Šmykľavka: 20
  • Colase helps to treat occasional constipation. it works by softening the stool and making it easier to have a bowel movement. this medication belongs to a class called laxatives Some contraindication: allergy, mineral oil, intestinal blockage Some adverse affects: stomach cramping, diarrhea, throat irritationSenna is also in the medication class of laxatives. in usually works within 6 to 12 hours. it is also used short term to relief constipation. it works by increasing the activity in the intestines Some contraindication: obstruction, appendicitis, IBS (chron's or colitis), rectal bleedingSome adverse affects: cramping, diarrhea, nausea, reddish brown urine
  • Šmykľavka: 21
  • 
  • A few hours later, Mrs. Silva pressed her call button but this time, she was smiling.“I feel so much better,” she said with relief.Mrs. Silva passed stool and also asked the nurses to assist her in taking a few steps around 

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