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Study2 > UC and Crohn's > Flashcards

UC and Crohn's Flashcards

1
Q

UC patho?

A

Ulcerative inflammatory bowel disease

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2
Q

Where is UC?

A

Large intestines

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3
Q

Crohn patho?

A

Inflammation and erosion of the ileum but it can be found anywhere in small or large intestines

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4
Q

S/s

GI

A 
Diarrhea
Vomiting
Cramping
Weight loss 
Rebound tenderness
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5
Q

S/s

Blood

A

Rectal bleeding
Blood in stools
Anemia

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6
Q

S/s

Temp

A

Fever

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7
Q

What is rebound tenderness?

A

Push in and let go and pain hurts on the rebound

*means peritoneal inflammation

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8
Q

Diagnosis

A

CT
Colonoscopy
Barium enema

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9
Q

Colonoscopy

What pre procedure

A

Clear liquid diet for 12-24 hours

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10
Q

Colonoscopy

NPO when?

A

6-8 hours pre-procedure

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11
Q

Colonoscopy

Avoid?

A

NSAIDS (several days prior)

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12
Q

Colonoscopy

What until clear?

A

Laxatives or enemas

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13
Q

Colonoscopy

How to drink polyethylene glycol easier?

A

To help your client drink a colon prep more easily, get it icy cold –drink 8oz every 10 min

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14
Q

Colonoscopy

Sedated or awake during procedure

A

Sedated

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15
Q

Colonoscopy

Post op ?

A

Watch for perforation

*we are going to assume the worst!!!

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16
Q

Colonoscopy

Signs of perforation?

A

Pain and unusual discomfort!!!

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17
Q

Barium enema?

A

Lower GI
Done if colonoscopy is incomplete

Chalky stools–drink fluids!

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18
Q

Treatment: Diet

Low or high fiber?

A

Low

*trying to limit GI motility to help save fluid

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19
Q

Treatment: Diet

Avoid what? why?

A

Cold foods, hot foods, and smoking

All of these can increase motility!

20
Q

Treatment: Meds

What meds?

A

Antidiarrheals
Antibiotics
Steroids (decrease inflammation)

21
Q

Treatment: Meds

Antidiarrheals only given with what?

A

Mildly symptomatic UC–does not work in severe cases

22
Q

Treatment: Meds

Biologics examples?

A

Adalimimab

Infliximab

23
Q

Treatment: Meds

How do biologics work?

A

Interfering with the body’s immune response

24
Q

Surgery: UC

2 options?

A

Total colectomy (ileostomy formed)

Kock’s ileostomy or a J pouch (no external bag)

25
Q

Surgery: UC

What is a Kock’s ileostomy?

A

A nipple valve that opens and closes to empty intestines

26
Q

Surgery: UC

What is J pouch?

A

Procedure that removes the colon and attaches ileum to rectum (liquid stools)

27
Q

Surgery: Crohn’s

T/F: Try not to do surgery

A

T

28
Q

Surgery: Crohn’s

May remove only the __

A

affected area

29
Q

Surgery: Crohn’s

The client may end up with an ileostomy or colostomy. Just depends on?

A

Area affected

30
Q

Surgery: Crohn’s

An ostomy in the ileum is called ?

A

Ileostomy

31
Q

Surgery: Crohn’s

Ostomy in the colon is ?

A

Colostomy

32
Q

Post op ileostomy

Drain what?

A

Liquid all the time

33
Q

Post op ileostomy

Need to irrigate ileostomies?

A

No

34
Q

Post op ileostomy

Avoid foods that are hard to digest and rough foods. Why?

A

Increase motility

35
Q

Post op ileostomy

What to drink in summer?

A

Gatorade or a similar electrolyte replacement

36
Q

Post op ileostomy

At risk for?

A

Kidney stones

37
Q

Post op colostomy

What happens as waste moves through colon?

A

Water and nutrients are being absorbed and stool is forming

38
Q

Post op colostomy

Ascending and transverse

A

Semi liquid stools

39
Q

Post op colostomy

Descending or sigmoid

A

Semi formed or solid/formed

40
Q

Post op colostomy

Which ones do you irrigate?

A

Descending and sigmoid

41
Q

Post op colostomy

Why irrigate descending and sigmoid?

A

For regularity

42
Q

Post op colostomy

When is the best time to irrigate?

A

Same time everyday

After a meal

43
Q

Post op colostomy

The further down the colon the stoma is, the more formed the stool all be because ___ is being drawn out. The stool is more normal

A

H20

44
Q

Post op colostomy

When irrigating an ostomy, use the same principles as if administering an enema. Position matter?

A

Doesnt matter with side position bc not normal GI tract

45
Q

Post op colostomy

Anytime you give an enma, if the client starts to cramp, do what?

A

Stop the fluids

Lower bag and check temp of fluid

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