Irritable Bowel Syndrome (IBS) FINAL

Question 1

Functional GI disorder that causes chronic or recurrent diarrhea, constipation, and or abd pain and bloating. It is sometimes referred to as spastic colon, mucous colon, or nervous colon

Answer 1

Irritable Bowel Syndrome (IBS)

Question 2

Mix of diarrhea & constipation

Answer 2

IBS-M

Question 3

Alternating diarrhea & constipation

Answer 3

IBS-A

Question 4

Causes of IBS

Answer 4

Caffeine, dairy, bacteria, genetics, anxiety, depression, stress

Question 5

S/sx of IBS

Answer 5

-Cramping & abd pain
-Nausea & anorexia
-Abd bloating/belching
-Diarrhea/constipation
-Hyper/hypoactive bowels
-Stable weight
-Mucous in stools

Question 6

IBS risk factors

Answer 6

Females are twice as likely, stress and eating large meals with lots of fats, caffeine, and alcohol.

Appears when young and it is for life.

Question 7

Labs for IBS

CBC, albumin, ESR, occult stools are all normal.

True or false

Answer 7

True

Question 8

How is IBS diagnosed?

Answer 8

-hydrogen breath test

-recurrent abd pain x3 days during the month in the past 3 months and two or more of the following:
-improvement with bowel movement
-onset with change in frequency of stools
-onset with changes in stool appearance

Question 9

Nursing care for IBS

Answer 9

Stress management, high fiber, and high fluids

Question 10

Meds used to treat IBS-D (diarrhea)

Answer 10

o Loperamide dec peristalsis and inc bulk (drowsiness)
o Psyllium bulk forming laxative (electrolyte imbalance)
o Alosetron for IBS-D women w/ 6+ months symptoms

Question 11

Meds used to treat IBS-C (constipation)

Answer 11

o Lubiprostone inc fluid in the intestine promotes motility (women only)
o Linaclotide inc fluid and motility (take 30 min before breakfast)

Question 12

Other meds used to treat IBS

Answer 12

• Rifaximin to treat bacteria
• Probiotics