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Nursing IV: Test II > Inflammatory Bowel Disease: UC & Crohn's > Flashcards

Inflammatory Bowel Disease: UC & Crohn's Flashcards

0
Q

IBS

-Nursing Interventions

A

Control Inflammatory Process and relieve symptoms

  1. NPO - rest bowels
  2. Combat Infection - Deep breath & cough / Foley Care
  3. Give emotional support
  4. Antibiotics are RARELY used (Unless known cause ID’d)
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1
Q

IBS

-Diagnostics

A
  1. Sigmoid - Don’t do if entire colon is suspected
  2. Colonoscopy
  3. Barium Enema
  4. Stool: blood, parasites(giardia, salmonella)
  5. CBC: WBC
  6. Vitamins: B, C, D
  7. LFT’s
  8. Albumin: decreased
  9. Bilirubin: Elevated
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2
Q

IBS

-Sulfasalazine

A
  1. Coats the lining of the mucosa & submucosa
  2. Poorly absorbed into the intestinal tract
  3. Would work well with UC
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3
Q

IBS

-Immunosuppressants

A
  1. Used when Corticosteroids & anti-inflammatory drugs are no longer working
  2. Last case senerio
  3. Very Serious if immunosuppressants are used
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4
Q

IBS

-Correct Metabolic and Nutritional Problems

A
  1. Elemental Diet
    - Composed of nutrients that the Pt is missing
  2. Diet High Calorie, High vitamin, high protein, low residue, milk free diet
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5
Q

IBS

-Diet during Sick Stage TEST

A
  1. High Calorie
  2. High Vitamin
  3. High Protein
  4. Low residue
  5. Milk Free
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6
Q

IBS

-Nutritional Supplement Drink

A
  1. Ensure
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7
Q

IBS

-Promote Healing

A
  1. Physical and Emotional Rest

- What is troubling you right now?

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8
Q

IBS

-Surgery

A
  1. Surgery is only used when complications force it (last resort)
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9
Q

IBS

-Stoma Education **TEST

A
  1. What it looks like healthy and unhealthy
  2. What a fresh stoma after surgery looks like
    - What it looks like 2-3 weeks after surgery
  3. When is a stoma considered well
  4. Odor producing foods
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10
Q

IBS

  • Stoma Education
  • Odor Producing Foods
A
  1. Broccoli
  2. Asparagus
  3. Garlic & Onions
  4. Fish
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11
Q

IBS

-Diet Changes for Someone w/ Constant Diarrhea

A

1.

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12
Q

IBS

-#1 Nursing Dx & Intervention

A
  1. Diarrhea RT Increased motility associated with dz process, stress
    - Intervention: Count # of stools / accurate I&O **TEST
  2. Disturbed Body Image
    - Talking w/ Pt, support, privacy
  3. Imbalanced Nutrition
    - TPN, NG/PEG feeding,
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13
Q

IBS

-#1 Nursing Dx and Intervention

A
  1. Diarrhea RT increased motility dz process & Stress

2. Stool Count is #1 nursing intervention

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14
Q

IBS

-Nursing Care

A
  1. Vital Signs
  2. Check for Dehydration
  3. NPO for bowel rest
  4. Skin Care *
  5. Monitor Labs
    - electrolyte imbalances
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Nursing IV: Test II (6 decks)

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