Inflammatory Bowel Disease

Question 1

at risk populations for IBD

Answer 1

women
ages 8-20 years old
family hx of disease

Question 2

2 types of IBD

Answer 2

ulcerative colitis & crohn’s disease

Question 3

LLQ pain, starts in lower rectum and works its way up

Answer 3

ulcerative colitis

Question 4

can be anywhere in the digestive tract, eats its way thru the bowel and contents leak into periotneal cavity

Answer 4

crohn’s disease

Question 5

what is steatorrhea and what is its cause

Answer 5

fecal fat due to malabsorption

Question 6

LLQ pain, 10-20 liquid bloody stools per day, arthritis, iritis

Answer 6

ulcerative colitis

Question 7

pain, tender, guarded movement, palpable mass in RLQ, 5-6 loose stools per day, steatorrhea, fever

Answer 7

crohn’s disease

Question 8

what causes a palpable mass in the RLQ in crohn’s

Answer 8

an inflamed ileum

Question 9

albumin/protein levels in crohn’s pts

Answer 9

decreased due to malabsorption

Question 10

meds given to relieve cramping in IBD pts

Answer 10

Propantheline Bromide (Pro-Banthine)
Dicyclomine HCL (Bentyl)

Question 11

anti-diarrhea meds

Answer 11

Loperamide (Imodium)
Diphenoxylate (Lomotil)
Camphorated Opium Tincture (Paregoric)

Question 12

narcotic anti-diarrhea med

Answer 12

Paregoric

Question 13

meds given to reduce intestinal inflammation while hospitalized

Answer 13

Aminosalicylates: Mesalamine (Asacol, Pentasa)

Corticosteroids

Question 14

people with allergies to what cannot receive aminosalicylates

Answer 14

aspirin or sulfa

Question 15

meds given to reduce intestinal inflammation at home (2 categories)

Answer 15

immunodulators & biologic therapies

Question 16

immunodulators

Answer 16

Cyclosporine (Sandimmune)
Methotrexate (Mexate)
Mercatopurine (Purinethol)

Question 17

biologic therapies

Answer 17

Adalimumab (Humira)

Infliximab (Remicade)

Question 18

taking Remicade can cause what

Answer 18

CHF

Question 19

diet for pts with IBD

Answer 19

high carbs, high protein, low fat, low fiber/roughage

Question 20

anemia in ulcerative colitis pts is caused by what

Answer 20

an active bleed

Question 21

anemia in crohn’s pts is caused by what

Answer 21

malabsorption of nutrients

Question 22

these pts may get abscesses, bowel obstructions, and fistulas

Answer 22

crohn’s pts

Question 23

these pts are at risk for hemorrhage and bowel perforation

Answer 23

ulcerative colitis pts

Question 24

pouch placed below the skin–see and feel pouch fill then express stool out

Answer 24

continent ileostomy

Question 25

all of the large intestine is removed, stool is watery/loose

Answer 25

ileostomy

Question 26

anal sphincter and ileum connected–liquid stool, no ostomy

Answer 26

ileoanal anastomosis