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12 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Ulcerative Colitis |
chronic, inflammation and ulceration of the rectum and colon |
begins in rectum & spread to colon |
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Manifestations Ulcerative Colitis |
-bloody diarrhea, abdominal pain, semi formed stool, >Moderate case – 4 -5 stools/day; increased bleeding, systemic symptoms >Severe case – bloody diarrhea up to 20/per day, with systemic symptoms |
occurs in young - to middle age toxic megacolon, tenesmus |
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Complications Ulcerative Colitis |
colon - hemorrhage, perforation, toxic megacolon, colon dilation risk of colon cancer non colon- anemia, join pain |
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Diagnostic Ulcerative Colitis |
-colonoscopy, sigmoidoscopy, CBC /electrolyte/BUN/Creatinine/Albumin, C&S stool |
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Collaborative Therapy Ulcerative Colitis |
-nutritional support (parenteral therapy) - high calorie, protein, iron -antimicrobial -corticosteroids -antidiarrheal -IV fluids -blood transfusion -NPO -surgery (colostomy) |
rest bowel, control inflammation, control stress, symptomatic relief, education, mange fluids and nutrition |
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Nursing Mangement: Ulcerative Colitis |
-restrict physical activity and promote bed rest -close to bathroom or bedside commode -deodorizer -plain water or skin cleanser no harsh soaps to prevent skin breakdown -skin barrier cream |
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Crohn's Disease |
inflammation of GI tract, chronic |
affect any part of the GI tract from mouth to anus age 14 - 30 |
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Manifestation Crohn's Disease |
diarrhea (non bloody) d/t inflammatory process or malabsorption , fatigue, abdominal pain, wt loss, fever, cramp, tenderness, distension, fatigue, wt loss, malnutrition, |
dependent on site of involvement, extent of disease, and presence or absence of complications |
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Complications Crohn's Disease |
-similar to UC -fistula, perforation -arthritis, finger clubbing -impaired absorption - |
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Diagnostic Studies Crohn's Disease |
-CBC -Serum chemistries -Occult blood -Radiological -Sigmoidoscopy/Colonoscopy |
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Collaborative Care |
>Drugs: Antimicrobial & Corticosteroid >Nutritional Therapy: elemental diet, parenteral nutrition, high calorie, vitamin, protein, >Surgical Therapy: NOT cure by surgery unlike UC (recurrence is high) |
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Nursing Mangement |
-rest periods, avoid emotional stress -special skin care -perianal care, -stress management techniques |
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