Inflammation

Question 0

Interventions for Glomerulonephritis:

Answer 0

Treat infection: amoxicillin for strep
Inflammation: steroids
Diuretics: HTN, fluid overload, edema
Decrease K+ with kayexalate or Lasix w/clear fluids
HTN medication
Low protein diet
Dialysis

Question 1

What are the types of meds given for Crohn’s that are different from UC?

Answer 1

Monoclonal antibodies that decrease bowel inflammation

infliximab (Remicade)
adalimumab (Humira)

Question 2

Collaborative Interventions for Cholecystitis

Answer 2

Bowel rest
Antibiotics
IV hydration
Anticholinergics to decrease secretions/spasms
(Dicyclamine, Toradol (older pts))
Pain meds (Morphine and Dilaudid)
ESWL -shock wave therapy

Question 3

Ulcerative colitis collaborative management

Answer 3

#1=rest
Diet - low residue, high protein with Vitamins and Iron
NPO/TPN to rest bowel in severe cases
avoid EtOH, dairy, gassy foods, whole grains + nuts

Question 4

Meds to manage Ulcerative colitis

Answer 4

Aminosalicylates: 5 ASA (sulfasalazine, olsalazine, balsalazine)
Glucocorticoids
immunomodulators - Remicade (infliximab, IV every 8 weeks) Humira (adalimumab)
antidiarrheal (caution! Toxic Megacolon)

Question 5

Coping with Ulcerative Colitis

Answer 5

Stay hydrated
Aleve anal irritation
Avoid NSAIDs
Frequent small meals - avoid fat and raw fruits/vegetables
Consult M.D. about antidiarrheals

Question 6

Meds to manage Crohn’s

Answer 6

Aminosalicylates: 5 ASA (sulfasalazine, olsalazine, balsalazine)
Glucocorticoids - Budesonide
immunomodulators - Remicade (infliximab, IV every 8 weeks) Humira (adalimumab)
antidiarrheal (caution! Toxic Megacolon)
Metronidazole - 3x/day for fistulas

Question 7

Diet considerations for Crohn’s disease

Answer 7

High calorie, high protein

Avoid foods that cause discomfort

Question 8

Meds for peptic ulcer disease:

Answer 8

Antacids to neutralize acid and relieve pai
H2 receptor antagonists - block histimine-stimulated secretions
(Tagamet, Pepcid)
Reglan - decreases rate of gastric emptying
Proton Pump Inhibitors - suppress the prod of HCl (Prilosec, Protonix, Nexium)
Prostaglandin analogs - contribute to mucousal barrier to prevent NSAID-induced ulcers (Cytotec)
Mucosal barrier fortifier - take prior to meals and bedtime, forms protective barrier over ulcer crater (Carafate)

Question 9

What is the treatment for ulcers caused by H. pylori?

Answer 9

2 antimicrobials like Flagyl, amoxicillin, clarithromycin and a proton pump inhibitor

Question 10

What do you do first if your patient has sudden, severe abdominal pain, very firm abdomen, diaphoresis?

Answer 10

Call the M.D.