Term
| Unlike ulcerative colitis, Chrohn's disease presents as? |
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Definition
| Transmural inflammation that causes a thickened bowel wall |
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Term
| Common complications of Chronn's disease |
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Definition
| fistula formation, Anemia, Diarrhea, and malabsorption of vital nutrients. |
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Term
| Common physical presentation of patient with Chron's disease |
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Definition
| Malnourished and debilitated |
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Term
| Which ethnic group gets chron's disease more often? |
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Definition
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Term
| Assessment of pt with chron's disease |
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Definition
Abdomen - observe for distantion, masses, or visible peristalsis
Perianal area - Ulcerations, fissures, or fistulas
Auscultation of bowel sounds - Bowel sounds may be decreased or absent with severe inflammation or obstruction. |
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Term
| Location of abdominal pain with chron's disease |
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Definition
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Term
| Most patients with chron's disease have weight gain or weight loss? |
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Definition
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Term
| For the patient with Crohn's disease, be especially alert for? |
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Definition
| Manifestations of peritonitis, small-bowel obstruction, and nutritional and fluid imbalances |
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Term
| The patient who has Crohn's disease needs a complete _____ assessment |
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Definition
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Term
| Mental disorders common with people with Crohn's disease? |
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Definition
| Clinical depression and severe anxiety |
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Term
| Laboratory changes of pt with Crohn's disease |
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Definition
Serum levels of folic acid and Vitamin B12 are generally low
Decreased albumin levels |
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Term
| Tests for Chron's disease |
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Definition
Lab studies
X-rays
CT scans |
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Term
| Drug therapy for Crohn's disease |
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Definition
5-ASA - for mild to moderate
Azathioprine/mercaptopurine - moderate to severe
drugs that end in -mab |
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Term
| Pt education for -mab medications |
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Definition
Avoid crowds and people with infectons
headache, nv, and abdominal pain are common complications |
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Term
| Nutritional therapy for crohn's disease |
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Definition
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Term
| Pt's with crohns disease should avoid what foods? |
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Definition
| GI stimulants like caffeinated beverages and alcohol |
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Term
| Priorities in the care of the patient with a fistula |
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Definition
| Adequate nutrition and fluid and electrolyte balance |
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Term
| Appropriate meals for someone with a fistula |
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Definition
| High-calorie, high-protein, high-vitamin, low-fiber meals |
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Term
| Pt. with fistula is at high risk for |
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Definition
| malnutrition, dehydration, and hypokalemia |
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Term
| Instruct Crohn's disease patients to follow what diet after discharge |
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Definition
| High calorie, low residue, and to avoid foods that cause discomfort, such as milk, gluten, and other GI stimulants like caffeine |
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Term
| Most common complication of UC |
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Definition
| Hemmorrhage and nutritional deficiencies |
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Term
|
Definition
Infrequent for UC
Frequent for CD |
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Term
|
Definition
Blood and mucus in the stool
Tenesmus
and lower abdominal colicky pain relieved with deficationj |
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Term
| Osteoporosis is particularly associated with what IBS |
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Definition
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|
Term
| Colorectal cancer and IBS |
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Definition
| Patients with UC w/ a hx longer than 10 years have a high risk for colorectal cancer |
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Term
| Extraintestinal symptoms of UC |
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Definition
| Arthritis, mouth sores, vision problems, and skin disorders |
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Term
| Psychosocial assessment of UC |
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Definition
| Many patients are very concerned about the frequency of stools and the presence of blood |
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Term
| Laboratory assessment of UC |
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Definition
| Low H&H, increased WBC count, C-reactive protein or ESR |
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Term
| Definitive test for diagnosing UC |
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Definition
|
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Term
| These are done to show differences between UC and Crohn's |
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Definition
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Term
|
Definition
aminosalicylates and Mesalamine (better tolerated)
Prednisone
Immunodulators (increase the effect of steroids) |
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Term
| All patients requiring open approach surgery for UC require what in the first 24 hrs |
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Definition
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Term
| Pt's with UC may need to eliminate what foods? |
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Definition
| High fiber/high-cellulose |
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Term
| Pt's with UC should avoid what meds? |
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Definition
| Enteric encoated and capsule meds |
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Term
| Pt with UC should call doc if no stools in how long? |
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Definition
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|
Term
| Where would pain be noticed for diverticulosis |
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Definition
|
|
Term
| The first sign of peritonitis in old people |
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Definition
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Term
| When is barium enema done for diverticulosis? |
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Definition
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Term
| Nonsurgical mgmt of diverticular disease |
|
Definition
Combination of drug and nutrition therapy
Drug: Broad spectrum antimicrobial drugs such as cipro, TMZ and flagyl
maybe a mild analgesic |
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Term
| Why do we give laxatives or enemas for diverticulitis |
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Definition
| Never give laxatives or enemas |
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Term
| Fiber in the diet for diverticulitis |
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Definition
| While diverticulitis is active, provide low-fiber diet. When the inflammation resolves, provide a high-fiber diet. Teach the patient and family about these diets and when they are appropriate. |
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Term
| For patients with moderate to severe diverticulitis, an opioid analgesic, such as |
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Definition
| Morphine sulfate, may alleviate pain |
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Term
| People with diverticulitis should refrain from what physical activity |
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Definition
| Remind him or her to refrain from lifting, straining, coughing, or bending to avoid an increase in intra-abdominal pressure, which can result in perforation of the diverticulum. |
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Term
| The most common surgery for diverticular disease |
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Definition
|
|
Term
| The patient may be NPO with an NGT until? |
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Definition
|
|
Term
| NGT for laparoscopic surgery |
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Definition
|
|
Term
|
Definition
| Encourage the patient to eat a diet high in cellulose and hemicellulose types of fiber. Teach the pt to eat at least 25 to 35 g of fiber/day |
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Term
| Diverticulosis - foods with seeds |
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Definition
| These foods may be eliminated as they may block a diverticulum |
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Term
| Fiber when symptoms of diverticulitis are present |
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Definition
| AVOID ALL FIBER WHEN SYMPTOMS ARE PRESENT |
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