Inflammatory Bowel Disease Flashcards
at risk populations for IBD
women
ages 8-20 years old
family hx of disease
2 types of IBD
ulcerative colitis & crohn’s disease
LLQ pain, starts in lower rectum and works its way up
ulcerative colitis
can be anywhere in the digestive tract, eats its way thru the bowel and contents leak into periotneal cavity
crohn’s disease
what is steatorrhea and what is its cause
fecal fat due to malabsorption
LLQ pain, 10-20 liquid bloody stools per day, arthritis, iritis
ulcerative colitis
pain, tender, guarded movement, palpable mass in RLQ, 5-6 loose stools per day, steatorrhea, fever
crohn’s disease
what causes a palpable mass in the RLQ in crohn’s
an inflamed ileum
albumin/protein levels in crohn’s pts
decreased due to malabsorption
meds given to relieve cramping in IBD pts
Propantheline Bromide (Pro-Banthine) Dicyclomine HCL (Bentyl)
anti-diarrhea meds
Loperamide (Imodium)
Diphenoxylate (Lomotil)
Camphorated Opium Tincture (Paregoric)
narcotic anti-diarrhea med
Paregoric
meds given to reduce intestinal inflammation while hospitalized
Aminosalicylates: Mesalamine (Asacol, Pentasa)
Corticosteroids
people with allergies to what cannot receive aminosalicylates
aspirin or sulfa
meds given to reduce intestinal inflammation at home (2 categories)
immunodulators & biologic therapies
immunodulators
Cyclosporine (Sandimmune)
Methotrexate (Mexate)
Mercatopurine (Purinethol)
biologic therapies
Adalimumab (Humira)
Infliximab (Remicade)
taking Remicade can cause what
CHF
diet for pts with IBD
high carbs, high protein, low fat, low fiber/roughage
anemia in ulcerative colitis pts is caused by what
an active bleed
anemia in crohn’s pts is caused by what
malabsorption of nutrients
these pts may get abscesses, bowel obstructions, and fistulas
crohn’s pts
these pts are at risk for hemorrhage and bowel perforation
ulcerative colitis pts
pouch placed below the skin–see and feel pouch fill then express stool out
continent ileostomy
all of the large intestine is removed, stool is watery/loose
ileostomy
anal sphincter and ileum connected–liquid stool, no ostomy
ileoanal anastomosis