Inflammatory Bowel Disease

Question 1

Symptoms Ulcerative Colitis

Answer 1

Major symptoms are bloody diarrhea and abdominal pain.

Mild to severe pain.

Question 2

Treatment of Ulcerative Colitis

Answer 2

Nutritional support
	Low fiber resideual diet
	Enteral supplements
	Parenteral nutrition
Corticosteroids
vitamins
Antidiarrheal agents
antimicrobials
IV fluids
Immuno suppressants
Surgery

• Lots of encouragement because their probably embraased from going to the bathroom so many times
• goals are to maintain the patient’s fluid and electrolyte balance and treat the patient’s pain

Question 3

Symptoms of Crohn’s

Answer 3

Diarrhea
Fatigue
Abdominal pain
Weight loss
fever

Question 4

Crohn’s Treatment

Answer 4

• Drugs: antiinflammaroy and immunosuppresant
• surgery (not a cure)
• nutrition: high cal, high protein, low fat
• Liquid enteral feedings are preferred over parenteral nutrition because atrophy of the gut and bacterial overgrowth occur when the GI tract is not used
• goals are to maintain the patient’s fluid and electrolyte balance and treat the patient’s pain

Question 5

Age-Related Considerations:Inflammatory Bowel Disease

Answer 5

• In the older client with UC, the distal colon is usually involved (proctitis).
• In the older client with Crohn’s disease, the colon rather than the small intestine tends to be involved.
• There is less recurrence of Crohn’s disease in older clients treated with surgical resection.
• The degree of inflammation associated with both conditions tends to be less in the older adult than in the younger client.

Question 6

Malabsorption Syndrome Causes

Answer 6

• Biochemical or enzyme deficiencies
• Bacterial proliferation
• Disruption of small intestine mucosa
• Disturbed lymphatic and vascular circulation
• Surface area loss

Question 7

3 factors necessary for developing celiac disease are

Answer 7

• genetic predisposition
• gluten ingestion
• immune-mediated response

Question 8

Celiac symptoms

Answer 8

• Foul smelling diarrhea
• Steatorrhea
• Flatulence
• Abdominal distension
• Symptoms of malnutrition

Question 9

Short Bowel Syndrome Symptoms

Answer 9

• Diarrhea, steatorrhea, weight loss

* Signs of malnutrition and multiple vitamin and mineral deficiencies.