Ulcerative Collitis & Crohn's Disease

Question 1

Ulcerative inflammatory bowel disease is just a fancy name for___

Answer 1

ulcerative collitis (erosion)… erosion of the colon

Question 2

Ulcerative colitis impacts which part of the GI?

Answer 2

large intestine

Question 3

Regional enteritis is just a fancy name for___

Answer 3

Crohn’s disease AKA illeitis.

Question 4

Crohn’s disease impacts which part of the GI?

Answer 4

illeum/ small intestine, but it can be found anywhere.

Question 5

if you are checking your patient for rebound tenderness and they do have it, what does it mean?

Answer 5

peritoneal inflammation

Question 6

patients with ulcerative collitis and/or crohn’s disease will have what type of diet? why?

need to avoid___ and really____foods and smoking. why?

Answer 6

low fiber diet; we want to decrease GI motility

cold; really hot (will increase GI motility)

Question 7

A really good GI tract antibiotic they can take is___

Answer 7

gantrisin (sulfonamide)

Question 8

with ulcerative collitis, you can have surgery and have an illeostomy. or you can have a kock’s pouch/ J pouch. why is that one so popular?

Answer 8

there’s no external bag. they have a valve they can open an close to empty their intestines.

Question 9

anytime you have a patient who has had a GI tract surgery. why would these patients have a temporary colostomy?

Answer 9

to allow the intestine time to rest and heal

Question 10

CROHN’S SURGERY:

___- is the most common surgery.

Answer 10

colostomy

Question 11

ILLEOSTOMY CARE:

• it’s going to drain___ all the time.
• why do ileostomies never have to be irrigated?
• Avoid food that are____. why?

Answer 11

• liquid; that’s why this patient is always a little bit dehydrated (need to replace fluids and electrolytes with gatorade).
• it will never get clogged up
• hard to digest; they will increase motility and make the patient lose more water.

Question 12

COLOSTOMY CARE:

Can we irrigate colostomies?

what is the purpose of irrigation?

the further down the stoma is, the more___ the stool will be. why?

Answer 12

yes

to empty out the intestines (like an enema)

formed; water is being drawn out

Question 13

When is the best time to irrigate the stoma?

Answer 13

the same time everyday ( we’re trying to develop a routine) and after a meal (that’s when everyone has the most peristalsis)