Chapter 60

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Care of Patients with Inflammatory Intestinal Disorders
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1

Nursing management of the appendicitis patient

administer IV fluids, maintain semi-fowlers position, administer opioid analgesics and antibiotics (if pre-op), do not administer laxatives, enemas, or heat.

2

Key features of Peritonitis

Rigid, distended, & painful abdomen, nausea, anorexia, vomiting, diminished bowel sounds, inability to pass flatus or feces, high fever, tachycardia, dehydration, & hiccups

3

Signs of Gastroenteritis

abdominal distention, hyperactive bowel sounds, diarrhea, vomiting, poor skin turgor, fever, dry mucous membranes, hypotension, oliguria

4

Features of Ulcerative Colitis

Location begins in rectum and proceeds towards cecum, uknown etiology, peak incidence at age 15-25 yr and 55-65 yr, 10-20 liquid , bloody stools per day, complications: hemorrhage & nutritional deficiency, & infrequent need for surgery

5

Features of Crohn's Disease

Location most often in the terminal ileum with patches all throughout bowel, unknown etiology, peak incidence at age 15-40 yr, 5-6 soft, loose stools per day, complications: fistulas & nutritional deficiency, & frequent need for surgery

6

Common drug therapy for Ulcerative Colitis

Aminosalicylates, Glucocorticoids, Antidiarrheal drugs, & Immunomodulators

7

Ileostomy Care

skin protection, pouch care, nutrition, drug therapy, watch for symptoms

8

Complications with Crohn's Disease

hemorrhage, severe malabsorption, fistula formation, & intestinal obstruction

9

First sign of peritonitis in older adults

sudden change in mental status

10

Diverticulitis

The presence of many abnormal pouchlike herniations in the wall of the intestine.