Ulcerative Colitis and Crohn's disease: IBD

Question 1

What is ulcerative colitis?

Answer 1

Ulcerative inflammatory bowel diease

Question 2

Where is ulcerative colitis?

Answer 2

Just enlarge intestine

Question 3

What is crohn’s disease also called?

Answer 3

Regional enteritis

Question 4

What is Crohn’s?

Answer 4

Inflammation and erosion of the ileum (small intestines)

Question 5

Where can Crohn’s be found?

Answer 5

Anywhere in small or large intestines

Question 6

What are S/S of IBD?

Answer 6

• Diarrhea
• Rectal bleeding
• Vomiting
• Weight loss
• Cramping
• Dehydration
• Blood in stools
• Anemia
• Rebound tenderness
• Fever

Question 7

What is rebound tenderness?

Answer 7

push in and let go and it hurts the client

Question 8

What does rebound tenderness mean?

Answer 8

Peritoneal inflammation

Question 9

How do you diagnose IBD?

Answer 9

• CT or MRI
• Colonoscopy is most common
• Barium enema

Question 10

What should you watch for post colonoscopy?

Answer 10

Perforation

Question 11

What are signs of perforation?

Answer 11

Pain or unusual discomfort

Question 12

How do you treat IBD?

Answer 12

• Diet
• Meds
• Surgery

Question 13

What kind of diet should people with IBD have?

Answer 13

• Low residue (limit GI motility)

- Avoid cold foods and smoking (increase motility)

Question 14

What types of meds are used?

Answer 14

• Antibiotics
• Steroids
• Biologics and immunomodulators
• Aminosalicylates (decrease inflammation)

Question 15

What types of surgery are done for ulcerative colitis?

Answer 15

• Total colectomy (proctocolectomy)

- Kock’s ileostomy or an Ideal Pouch Anal Anastamosis (IPAA)

Question 16

What is formed with a total colectomy?

Answer 16

an ileostomy

Question 17

With a rock’s ileostomy or a IPAA is there an external bag?

Answer 17

No

Question 18

What type of pouch has a nipple valve that opens and closes to empty the intestines?

Answer 18

Kock’s pouch

Question 19

What procedure removes the colon and attaches the ileum to the rectum? (most popular)

Answer 19

IPAA procedure

Question 20

Do they try not to do surgery with Crohn’s?

Answer 20

Yes

Question 21

If surgery for Crohn’s was is removed?

Answer 21

Only affected area

Question 22

With surgery for Crohn’s the client may end up with what?

Answer 22

Ileostomy or colostomy (depends on area affected)

Question 23

What is an stony in the ileum called?

Answer 23

Ileostomy

Question 24

What is a stony in the colon called?

Answer 24

Colostomy

Question 25

Will an ileostomy drain liquid all the time?

Answer 25

Yes

Question 26

Do you have to irrigate ileostomies?

Answer 26

No

Question 27

Should you avoid foods that are hard to digest and rough foods with ileostomies? If yes, why?

Answer 27

Yes they increase motility

Question 28

Should you drink gatorade or something similar in the summer if you have a ileostomy?

Answer 28

yes

Question 29

Are you at risk for kidneys stones with a ileostomy? Why?

Answer 29

Yes (always a little dehydrated)

Question 30

What happens as waste moves through the colon?

Answer 30

Water and nutrients are being absorbed and the stool is formed

Question 31

What types of stool will a colostomy in the ascending and transverse colon produce?

Answer 31

Liquid stools

Question 32

What type of stools will a colostomy in the descending or sigmoid colon produce?

Answer 32

Semi-formed or formed

Question 33

Which colostomies do you irrigate?

Answer 33

Descending and sigmoid

Question 34

Why irrigate descending and sigmoid colostomies?

Answer 34

For regularity

Question 35

When is the best time to irrigate a colostomy?

Answer 35

Same time everyday and after a meal

Question 36

The further down the colon the stoma is, the more formed the stool will be. why?

Answer 36

Because water is being drawn out, the stool is more normal

Question 37

When irrigating an stony should you use the same principles as if administrating an enema?

Answer 37

Yes

Question 38

Anytime you give an enema, the the client starts to cramp, what should you do?

Answer 38

Stop the fluid, lower the bag and/or check the temperature of the fluid