MALADIE DIVERTICULAIRE Flashcards

1
Q

manifestation
MALADIE DIVERTICULAIRW

A
  • majoritairement asymptomatique
    -modif habitude d’élimination
    -dlr abdo (QIG)
    -ballonement
    -flatuence
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2
Q

approche nutritionnelle
MALADIE DIVERTICULAIRE

A

Diverticulose:
-augm eau et fibre
-dim matière grasse probiotique

Dlr abdo légère:
-liquide claire ad dim inflammation
-comme diverticulose

Diverticulite:
** si vomissement ou distension
-NPO
-thérapie IV

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3
Q

soins inf
MALADIE DIVERTICULAIRE

A

-SV
-surveiller signe infection/ hémorragie
-fonction intestinale (Q/Q, fréquence, saignement)
-éval dlr
-alimentation (n/v, Q/Q, bilan I/E)
-s/s anémie

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4
Q

thx diverticulose
MALADIE DIVERTICULAIRE

A

-laxatif
-fibre
-antispasmodique

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5
Q

thx dlr abdo légère
MALADIE DIVERTICULAIRE

A

-antibio
-agent mulcilagineux

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6
Q

thx diverticulite
MALADIE DIVERTICULAIRE

A

-antibio IV
-analgésique
-pas fibre = repos
-antispasmodique (rémission)

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7
Q

exam dx
MALADIE DIVERTICULAIRE

A
  1. scan (révèle diverticule + abcès)
  2. radio abdo (constriction côlon, épaiss couche muscle intestinale)
  3. lavement baryté
  4. colonoscopie
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8
Q

complication risque rupture
MALADIE DIVERTICULAIRE

A
  1. abcès
  2. fistule
  3. péritonite (fièvre, dlr abdo constante, dlr à la décompression, abdo distendu, leucocytose)
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9
Q

complication occlusion intestinale
MALADIE DIVERTICULAIRE

A

-n/v
-dlr forme crampe
-constipation/ arrêt gaz
-bruit intestinal hypoactif/ absent
-distention abdo

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10
Q

complication hémorragie
MALADIE DIVERTICULAIRE

A

*érosion artères avoisinantes r/a infl chronique
-dim Hb
-HTO
-tachycardie
-tachypnée

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11
Q

complication choc septique
MALADIE DIVERTICULAIRE

A

Début:
-fièvre/ frissom
-tachycardie
-bouffé chaleur

S’aggrave:
-oligurie
-HTO
-altération état cs

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