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GI > Ulcerative Colitis and Crohn's disease: IBD > Flashcards

Ulcerative Colitis and Crohn's disease: IBD Flashcards

1
Q

What is ulcerative colitis?

A

Ulcerative inflammatory bowel diease

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2
Q

Where is ulcerative colitis?

A

Just enlarge intestine

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3
Q

What is crohn’s disease also called?

A

Regional enteritis

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4
Q

What is Crohn’s?

A

Inflammation and erosion of the ileum (small intestines)

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5
Q

Where can Crohn’s be found?

A

Anywhere in small or large intestines

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6
Q

What are S/S of IBD?

A
  • Diarrhea
  • Rectal bleeding
  • Vomiting
  • Weight loss
  • Cramping
  • Dehydration
  • Blood in stools
  • Anemia
  • Rebound tenderness
  • Fever
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7
Q

What is rebound tenderness?

A

push in and let go and it hurts the client

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8
Q

What does rebound tenderness mean?

A

Peritoneal inflammation

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9
Q

How do you diagnose IBD?

A
  • CT or MRI
  • Colonoscopy is most common
  • Barium enema
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10
Q

What should you watch for post colonoscopy?

A

Perforation

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11
Q

What are signs of perforation?

A

Pain or unusual discomfort

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12
Q

How do you treat IBD?

A
  • Diet
  • Meds
  • Surgery
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13
Q

What kind of diet should people with IBD have?

A
  • Low residue (limit GI motility)

- Avoid cold foods and smoking (increase motility)

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14
Q

What types of meds are used?

A
  • Antibiotics
  • Steroids
  • Biologics and immunomodulators
  • Aminosalicylates (decrease inflammation)
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15
Q

What types of surgery are done for ulcerative colitis?

A
  • Total colectomy (proctocolectomy)

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

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16
Q

What is formed with a total colectomy?

A

an ileostomy

17
Q

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

A

No

18
Q

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

A

Kock’s pouch

19
Q

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

A

IPAA procedure

20
Q

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

A

Yes

21
Q

If surgery for Crohn’s was is removed?

A

Only affected area

22
Q

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

A

Ileostomy or colostomy (depends on area affected)

23
Q

What is an stony in the ileum called?

A

Ileostomy

24
Q

What is a stony in the colon called?

A

Colostomy

25
Q

Will an ileostomy drain liquid all the time?

A

Yes

26
Q

Do you have to irrigate ileostomies?

A

No

27
Q

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

A

Yes they increase motility

28
Q

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

A

yes

29
Q

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

A

Yes (always a little dehydrated)

30
Q

What happens as waste moves through the colon?

A

Water and nutrients are being absorbed and the stool is formed

31
Q

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

A

Liquid stools

32
Q

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

A

Semi-formed or formed

33
Q

Which colostomies do you irrigate?

A

Descending and sigmoid

34
Q

Why irrigate descending and sigmoid colostomies?

A

For regularity

35
Q

When is the best time to irrigate a colostomy?

A

Same time everyday and after a meal

36
Q

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

A

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

37
Q

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

A

Yes

38
Q

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

A

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

GI (10 decks)

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