Inflammatory Bowel Disease: UC & Crohn's

Question 0

IBS

-Nursing Interventions

Answer 0

Control Inflammatory Process and relieve symptoms

1. NPO - rest bowels
2. Combat Infection - Deep breath & cough / Foley Care
3. Give emotional support
4. Antibiotics are RARELY used (Unless known cause ID’d)

Question 1

IBS

-Diagnostics

Answer 1

1. Sigmoid - Don’t do if entire colon is suspected
2. Colonoscopy
3. Barium Enema
4. Stool: blood, parasites(giardia, salmonella)
5. CBC: WBC
6. Vitamins: B, C, D
7. LFT’s
8. Albumin: decreased
9. Bilirubin: Elevated

Question 2

IBS

-Sulfasalazine

Answer 2

1. Coats the lining of the mucosa & submucosa
2. Poorly absorbed into the intestinal tract
3. Would work well with UC

Question 3

IBS

-Immunosuppressants

Answer 3

1. Used when Corticosteroids & anti-inflammatory drugs are no longer working
2. Last case senerio
3. Very Serious if immunosuppressants are used

Question 4

IBS

-Correct Metabolic and Nutritional Problems

Answer 4

1. Elemental Diet
   - Composed of nutrients that the Pt is missing
2. Diet High Calorie, High vitamin, high protein, low residue, milk free diet

Question 5

IBS

-Diet during Sick Stage TEST

Answer 5

1. High Calorie
2. High Vitamin
3. High Protein
4. Low residue
5. Milk Free

Question 6

IBS

-Nutritional Supplement Drink

Answer 6

1. Ensure

Question 7

IBS

-Promote Healing

Answer 7

1. Physical and Emotional Rest

- What is troubling you right now?

Question 8

IBS

-Surgery

Answer 8

1. Surgery is only used when complications force it (last resort)

Question 9

IBS

-Stoma Education **TEST

Answer 9

1. What it looks like healthy and unhealthy
2. What a fresh stoma after surgery looks like
   - What it looks like 2-3 weeks after surgery
3. When is a stoma considered well
4. Odor producing foods

Question 10

IBS

• Stoma Education
• Odor Producing Foods

Answer 10

1. Broccoli
2. Asparagus
3. Garlic & Onions
4. Fish

Question 11

IBS

-Diet Changes for Someone w/ Constant Diarrhea

Answer 11

1.

Question 12

IBS

-#1 Nursing Dx & Intervention

Answer 12

1. Diarrhea RT Increased motility associated with dz process, stress
   - Intervention: Count # of stools / accurate I&O **TEST
2. Disturbed Body Image
   - Talking w/ Pt, support, privacy
3. Imbalanced Nutrition
   - TPN, NG/PEG feeding,

Question 13

IBS

-#1 Nursing Dx and Intervention

Answer 13

1. Diarrhea RT increased motility dz process & Stress

2. Stool Count is #1 nursing intervention

Question 14

IBS

-Nursing Care

Answer 14

1. Vital Signs
2. Check for Dehydration
3. NPO for bowel rest
4. Skin Care *
5. Monitor Labs
   - electrolyte imbalances