Exam 3 - Inflammatory Bowel Disease

Question 1

Anti-inflammatory. Nephrotoxic so monitor BUN and creatinine. Do CBC on occasion

Answer 1

Mesalamine (Asacol)

Question 2

Corticosteroid. Helps decrease inflammation. Used in acute phase.

Answer 2

Prednisone (Deltasone)

Question 3

Benzodiazepine. Decreases GI motility. Goal in acute phase is to rest bowels for healing.

Answer 3

Diazepam (Valium)

Question 4

Risk for toxic megacolon with ulcerative colitis means pt will not receive

Answer 4

Antidiarrheals

Question 5

Antibiotic that works as an anti-inflammatory

Answer 5

Sulfasalazine (Azulfidine)

Question 6

Used for immunosuppression

Answer 6

Methotrexate, cyclosporine

Question 7

Eliminate milk and milk products why?

Answer 7

They exacerbate diarrhea and inflammation

Question 8

Why is dietary fiber decreased in acute phase?

Answer 8

Bowel rest

Question 9

What is a low-residue, high-protein diet?

Answer 9

Saltine crackers, white bread, white rice, meats as long as they are bland and not fried

Question 10

Why should a pt eat smaller meals?

Answer 10

Big meals cause GI tract to work harder

Question 11

Fecal matter builds up and colon enlarges, which changes dynamics of fluid gradient. Lots of fluid going in causing electrolyte and fluid imbalance. If large enough can perforate and cause bleeding.

Answer 11

Ulcerative colitis complication - toxic megacolon

Question 12

Complication of ulcerative colitis

Answer 12

Colorectal cancer

Question 13

Long term complication of Crohn’s

Answer 13

Colon cancer

Question 14

Short term complications of Crohn’s

Answer 14

Fistulas, abscess formation, malabsorption