Inflammatory Bowel Disease

Question 1

What is Inflammatory Bowel Disease?

Answer 1

Chronic recurrent inflammation of intestinal tract that will cause only diarrhea

Question 2

What are the two types of Inflammatory Bowel Disease?

Answer 2

1. Ulcerative colitis (colon)

2. Crohn’s disease (colon, anus. mouth)

Question 3

What is the main difference between Ulcerative colitis & Crohn’s disease besides location?

Answer 3

Ulcerative colitis has bleeding while Crohn’s disease doesn’t have bleeding

Question 4

What can cause an exacerbation of Crohn’s disease?

Answer 4

Oral contraceptives and NSAIDs

Question 5

Complications from Inflammatory Bowel Disease

Answer 5

1. Hemorrhage
2. Fistulas
3. Perforation
4. Liver failure
5. Systemic complications (joint, eye, mouth, kidney, vascular, skin)

Question 6

What is the gold standards for diagnosis Inflammatory Bowel Disease?

Answer 6

Colonoscopy

Question 7

Step up approach medication

Answer 7

1. Aminosalicyates: Sulfasalazine (Azuifidine)
2. Antimicrobials
3. Corticosteroids (decrease inflammation)
4. Immunosuppressants
5. Biologic & targeted therapy

Question 8

If you are giving Immunosuppressants, what do you need to be monitoring?

Answer 8

Regular CBC to monitor for Bands and a shift to the left

Question 9

What supplements might a patient need to take while taking their step up medications?

Answer 9

1. daily folic acid supplements (prenatal)
2. Calcium supplements to prevent osteoporosis
3. Potassium supplements
4. Vitamin D supplements

Question 10

Why are liquid enteral feedings preferred during acute exacerbation?

Answer 10

1. High in calories and nutrients
2. Lactose free
3. Easily absorbed

Question 11

What is a concern with Chron’s disease and surgery ?

Answer 11

You cannot keep taking out parts of the bowel to try and cure it since it flares up in different places in the colon, anus, and mouth

Question 12

What is a common place for a fistula to occur as a complication from Inflammatory Bowel Disease?

Answer 12

Bladder causing UTI

-Teach how to treat UTI

Question 13

What is the biggest concern after an ileostomy within the first 24 hours?

Answer 13

Hypovolemia

Question 14

What is the hardest goal to meet when planning treatment for Inflammatory Bowel Disease?

Answer 14

Fluid and Electrolyte balance

Question 15

Nursing management for Inflammatory Bowel Disease

Answer 15

1. Manage hygiene until diarrhea is controlled: odor & skin breakdown
2. Monitor I/O
3. Weigh daily
4. Assess bowel sounds (need baseline)
5. Food diary

Question 16

Which type of Inflammatory Bowel Disease can be “cured’ with surgery?

Answer 16

Ulcerative colitis

Question 17

Foods that can cause odor

Answer 17

Fish, eggs, asparagus, garlic, beans, dark leafy vegetables

Question 18

Foods that can decrease odor

Answer 18

Buttermilk, cranberry juice, parsley, yogurt

Question 19

Foods that can cause gas

Answer 19

Dark green leafy vegetables, beer, carbonated beverages, dairy products, corn
Chewing gum, skipping meals, smoking

Question 20

Foods that can decrease gas

Answer 20

Yogurt, crackers, and toast