Inflammatory bowel Disease - ANS -Diarrhea
-Weight loss
-Abdominal Pain
-fever
-Faitiguw
Crohn's disease - ANS -Diarrhea
-abdominal cramping
-abdominal pain
-weight loss occurs from inflammation of the small intestine causing malabsorption
rectal bleeding may occur sometimes
clinical manifestations: ulcerative colitis - ANS -Bloody diarrhea
-abdominal pain
-pain may very from the lower abdominal cramping associated w/ diarrhea to severe constant
pain
Mild manifestation: of ulcerative colitis - ANS Diarrhea may consist of no more than 4 semi
formed stools daily that contain small amounts of blood
Moderate manifestation: of ulcerative colitis - ANS The pt has an increased stool out UP TO
10 Stools a day, increased bleeding, systemic symptoms, fever malaise, mild anemia, anorexia)
Severe ulcerative colitis - ANS Diarrhea is bloody, contains mucus, and occurs 10-20n
times a day
inflammatory bowel disease GI complications - ANS -Hemorrhaging
-Strictures
-perforation
-abscesses
-fistula
-CDI(c-diff infections)
-colonic dilation (toxic megacolon
inflammatory bowel disease complications - ANS High risk for colorectal infections
-cd increased risk for small intestinal cancer
-Systemic complications- Joint, eye, mouth, bone , vescular, and skin problems
-Circulating Cytokines triggers inflammation
, -Liver failure
-Sclerosing Cholangitis
Blood studies - ANS -CBC
-Serum Electrolyte levels
stool examination - ANS -pus
-bood
-mucus
stool cultures
-serum protein levels
Diagnostic Studies- imaging studies - ANS - double- contrast barium enema studies
-small bowl series
-transabdominal ultrasonography
-CT
-Mri
-Colonoscopy
Interprofessional care- goals of treatment of ibd - ANS -rest the bowel
-control inflammation
-combat infection
-correct malnutrition
-alleviate stress
-relieve symptoms
-improve quality of life
drug therapy for ibd - ANS -Aminosalicylates
-antimicrobials
-corticosteroids
-immunosuppressants
-biological and target therapy
medications containing 5-asa (5- aminosalicylic acid) - ANS -mainstay in achieving and
preventing flare ups of IBD.
-sulfasalazine (azulfidine)
-new generation of sulfa free drugs include
1. Olsalazine (dipentum)
2.Mesalamine (Pentasal)
Corticosteroids - ANS -decrease inflammation
-use to achieve remission
-helpful for acute flare ups
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