Concept of Inflammation
What are the two (2) diagnostic tests for inflammation markers?
What is CRP (c-reactive protein) and ESR (erthrocyte sedimentation rate)?
L.E.S stands for this
WHAT IS THE LOWER ESOPHAGEAL SPHINCTER?
Number one thing that increases the risk for Crohn's disease.
what is smoking?
uclerative colitis involves the __________ layers of the bowel wall.
what is "innermost"?
The patient is nervous about getting IV contrast. Right before administration, the patient asks what it feels like to get IV contrast, what is the nurse’s best response?
a. “You won’t feel a thing when the IV contrast is administered”
b. “You may feel a warm flush as the IV contrast is being administered”
c. “Everyone reacts differently to the IV contrast, but there is nothing to be worried about”.
d. “there is nothing to worry about”
what is "you may feel a warm flush as the IV contrast is being administered"?
Three common signs of inflammation are
What are redness, edema, and pain?
OMEPRAZOLE IS WHAT TYPE OF MEDICATION?
PPI
What layers of the bowel are involved in crohn's disease?
Only cure for ulcerative colitis.
What is a "colectomy"?
When speaking to a patient, they ask about what toxic megacolon is. The most appropriate response is?
a. “Toxic megacolon is dilation and motor paralysis of the colon”
b. “Toxic megacolon is inflammation of patchy portions of the colon”
c. “toxic megacolon is the inflammation of continuous segment of the colon”
what is “Toxic megacolon is dilation and motor paralysis of the colon”?
This suffix indicates inflammation
What is -itis?
THIS CAN HELP A PERSON WITH GERD TREMENDOUSLY IF THEY QUIT
WHAT IS SMOKING?
Most common areas affected for Crohn's disease.
what is the terminal ileum and colon?
ulcerations destroy the mucosal epithelium causing what two symptoms?
what is bleeding and diarrhea?
A nurse is dealing with a patient whom has inflammatory bowel disease. Which of the following would be the priority nursing goal of care for the patient?
a. Rest the bowel (NPO status)
b. Control inflammation
c. Combat infection
d. Correct malnutrition
what is "rest the bowel"?
Name two causes of inflammation.
what is cellular injury, infection, radiation, trauma, chemical, allergens?
Heartburn is formally known as this.
What is dyspepsia?
what is "cobblestone"?
Which of the following symptoms is associated with ulcerative colitis?
1. Dumping syndrome
2. Rectal bleeding
3. Soft stools
4. Fistulas
what is "rectal bleeding"?
In ulcerative colitis, rectal bleeding is the predominant symptom. Soft stools are more commonly associated with Crohn's disease, in which malabsorption is more of a problem. Dumping syndrome occurs after gastric surgeries. Fistulas are associated with Crohn's disease.
A client who has ulcerative colitis says to the nurse, "I can't take this anymore! I'm constantly in pain, and I can't leave my room because I need to stay by the toilet. I don't know how to deal with this." Based on these comments, an appropriate nursing diagnosis for this client would be:
1. Impaired physical mobility
2. Disturbed thought processes
3. Social isolation .
4. Ineffective coping
What is "ineffective coping"?
It is not uncommon for clients with ulcerative colitis to become apprehensive and upset about the frequency of stools and the presence of abdominal cramping. During these acute exacerbations, clients need emotional support and encouragement to verbalize their feelings about their chronic health concerns and assistance in developing effective coping methods. The client has not expressed feelings of fatigue or isolation or demonstrated disturbed thought processes.
The name of the immune system's first responder to infection, injury, or inflammation.
What are neutrophils?
A special device to recreate the esophageal valve that prevents stomach acid from regurgitating into the esophagus
What is fundoplication?
You're providing teaching to a patient who has been newly diagnosed with Crohn's Disease. Which statement by the patient's spouse requires re-education?*
A. "Crohn's Disease can be scattered throughout the GI tract in patches with some areas appearing healthy while others are diseased."
B. "There is no cure for Crohn's Disease."
C. "Strictures are a common complication with Crohn's Disease."
D. "Crohn's Disease can cause the haustra of the large intestine to lose its form."
what is "Crohn's Disease can cause the haustra of the large intestine to lose its form"?
A patient is newly diagnosed with mild ulcerative colitis. What type of anti-inflammatory medication is typically prescribed as first-line treatment for this condition?
A. 5-Aminosalicylates (Sulfasalazine)
B. Immunomodulators (Adalimumab)
C. Corticosteroids (Prednisone)
D. Immunosupressors (Azathioprine)
What is "5-Aminosalicylates (Sulfasalazine)"?
5-Aminosalicylates (Sulfasalazine) are usually prescribed for mild to moderate cases of ulcerative colitis as first-line treatment. If Aminosalicylates are not working (or the patient is allergic to sulfa) corticosteriods are prescribed.
A patient is receiving treatment for Crohn's Disease. Which food found on the patient's food tray should the patient avoid?
A. Fresh Salad
B. White rice
C. Baked chicken
D. Cooked skinless apples
What is "fresh salad"?
Patients who are experiencing flare-ups of Crohn's Disease should avoid high fiber foods, foods that are hard to digest, spicy foods, dairy products etc. Therefore, the patient should avoid a fresh salad. This contain vegetables which are high in fiber and hard to digest. The gut needs to rest. It is best for the patient to consume low fiber and high protein foods.