cronhns & ulcerative colitis. what are these diseases? crohns inflammation of segments of the gi...
TRANSCRIPT
![Page 1: Cronhns & Ulcerative Colitis. What are these diseases? Crohns Inflammation of segments of the GI tract in any part. Primarily the small intestine or colon](https://reader036.vdocuments.mx/reader036/viewer/2022062421/56649f505503460f94c733d3/html5/thumbnails/1.jpg)
Cronhns&
Ulcerative Colitis
![Page 2: Cronhns & Ulcerative Colitis. What are these diseases? Crohns Inflammation of segments of the GI tract in any part. Primarily the small intestine or colon](https://reader036.vdocuments.mx/reader036/viewer/2022062421/56649f505503460f94c733d3/html5/thumbnails/2.jpg)
What are these diseases?
Crohns• Inflammation of segments of
the GI tract in any part. Primarily the small intestine or colon.
• Affects ages 15-30yrs• In the early stages tiny ulcers
form on various parts of the intestinal wall, over time horizontal rows of these ulcers fuse with vertical rows causing mucus to take on a cobblestone appearance
Ulcerative Colitis• Twice that of Crohns• Common enteric bacterium
E.coli• Confined to the mucosa and
submucosa of the colon, starts in the left then moves to the right.
• Tiny abscesses form which grow and produce purulent drainage, capillaries become friable and blood causing diarrhea and pus.
![Page 3: Cronhns & Ulcerative Colitis. What are these diseases? Crohns Inflammation of segments of the GI tract in any part. Primarily the small intestine or colon](https://reader036.vdocuments.mx/reader036/viewer/2022062421/56649f505503460f94c733d3/html5/thumbnails/3.jpg)
Pictures!!
![Page 4: Cronhns & Ulcerative Colitis. What are these diseases? Crohns Inflammation of segments of the GI tract in any part. Primarily the small intestine or colon](https://reader036.vdocuments.mx/reader036/viewer/2022062421/56649f505503460f94c733d3/html5/thumbnails/4.jpg)
Clinical Manifestations
Crohns• Onset is usually insidious
with nonspecific complaints of diarrhea,fatigue abdominal pain weight loss and fever,dehydration,malnutrition,anemia and increased peristalsis
Ulcerative colitis• Diarrhea is a predominate
sign• Usually 15-20 liquid stools a
day containing blood, mucus and pus.
• Abdominal cramps• Involuntary leakage of stools• May include toxic
megacolon ( toxic dilation of large bowel) a lifethreating condition.
![Page 5: Cronhns & Ulcerative Colitis. What are these diseases? Crohns Inflammation of segments of the GI tract in any part. Primarily the small intestine or colon](https://reader036.vdocuments.mx/reader036/viewer/2022062421/56649f505503460f94c733d3/html5/thumbnails/5.jpg)
What should we look for in Crohns??
Subjective • Weakness• Loss of appetite• Abdominal pain and
cramps• Low grade fever• Stress
Objective• Complaints of diarrhea• 3-4 semisolid stools
daily containing mucus and blood
![Page 6: Cronhns & Ulcerative Colitis. What are these diseases? Crohns Inflammation of segments of the GI tract in any part. Primarily the small intestine or colon](https://reader036.vdocuments.mx/reader036/viewer/2022062421/56649f505503460f94c733d3/html5/thumbnails/6.jpg)
What should we look for in Ulcerative Colitis?
Subjective• Rectal bleeding • Abdominal distention• Lethargy• Unpredictable bowel
movements
Objective• Weight loss • Abdominal distention• Fever• Leukocytosis• Tachycardia
![Page 7: Cronhns & Ulcerative Colitis. What are these diseases? Crohns Inflammation of segments of the GI tract in any part. Primarily the small intestine or colon](https://reader036.vdocuments.mx/reader036/viewer/2022062421/56649f505503460f94c733d3/html5/thumbnails/7.jpg)
Sigmoidoscopy and Colonoscopy•
•
![Page 8: Cronhns & Ulcerative Colitis. What are these diseases? Crohns Inflammation of segments of the GI tract in any part. Primarily the small intestine or colon](https://reader036.vdocuments.mx/reader036/viewer/2022062421/56649f505503460f94c733d3/html5/thumbnails/8.jpg)
Tests
Crohn’s• Colonoscopy with
multiple biopsies of the colon
• Granulomas in the biopsy specimen confirm Crohns
Ulcerative Colitis• Barium studies of the
intestine• Sigmoidoscopy• Colonoscopy with
possible biopsy• Radiological
examination of the abdomen
![Page 9: Cronhns & Ulcerative Colitis. What are these diseases? Crohns Inflammation of segments of the GI tract in any part. Primarily the small intestine or colon](https://reader036.vdocuments.mx/reader036/viewer/2022062421/56649f505503460f94c733d3/html5/thumbnails/9.jpg)
How you would treat these diseases?
Drug therapy (1) drugs that affect the inflammatory
response. Corticosteriods(2) Antibacterial drugs(3) Drugs that affect the immune system(4) Antidiarrheal preparations. Lomotil-Remission pills such as Mesalmine
Surgical Interventions» Iiestomy» Proctocolectomy» Colon resection» Kock pouch
Diet therapy• Exclude milk products and
highly spicy foods
• High protein and high calorie diet
• Exclude caffeine
![Page 10: Cronhns & Ulcerative Colitis. What are these diseases? Crohns Inflammation of segments of the GI tract in any part. Primarily the small intestine or colon](https://reader036.vdocuments.mx/reader036/viewer/2022062421/56649f505503460f94c733d3/html5/thumbnails/10.jpg)
Interventions as a nurse
• Nutrition, fluid balance, elimination, medications, psychological aspects and sexuality must be considered.
• Thorough assessment of patients bowel elimination.
• Oral diets of 2500mL per day for fluid loss• Monitor weight• Record I&O at least 1500mL per day• Support Support Support!!
![Page 11: Cronhns & Ulcerative Colitis. What are these diseases? Crohns Inflammation of segments of the GI tract in any part. Primarily the small intestine or colon](https://reader036.vdocuments.mx/reader036/viewer/2022062421/56649f505503460f94c733d3/html5/thumbnails/11.jpg)
Prognosis
• A patient with chronic ulcerative colitis is directly related to the number of years they have had the disease.
• List of food that are known to cause constipation,diarrhea, blockage,odors, and flatus is helpful for the patient
• Crohns disease is a chronic disorder and has a high rate of recurrence in pats under 25 yrs.
• Prognosis depends on the extent of involvement,duration of illness, and success of medical intervention. No known therapy will maintain a patient with Crohn’s disease in remission.
![Page 12: Cronhns & Ulcerative Colitis. What are these diseases? Crohns Inflammation of segments of the GI tract in any part. Primarily the small intestine or colon](https://reader036.vdocuments.mx/reader036/viewer/2022062421/56649f505503460f94c733d3/html5/thumbnails/12.jpg)
Review Questions
1) What is the lifethreating complication that can occur in UC?
a) Abdominal distention
b) Low grade temp
c) Toxic megacolon
d) All of the above
2) A high ____ and _____ diet should be consumed with Crohn’s and Ulcerative Colitis.