NURS 212 Exam 2:Latest Updated
IBS (irritable bowel syndrome) (Ans- syndrome that can be reversed
IBD (inflammatory bowel disease) (Ans- autoimmune disease like crohns and UC
Where is Crohn's disease located?(Ans- anywhere in the GI tract. segmental
Where is ulcerative colitis found?(Ans- in the colon only. affects mucosal layer
Crohn's disease symptoms (Ans- diarrhea, abd cramping, wt loss, decreased absorption, rectal bleeding
meds contraindicated with crohns (Ans- NSAIDs and contraceptives
ulcerative colitis symptoms (Ans- bloody diarrhea, abd cramping (mild), acute perforations, rectal blood, intestine may tear open
Mild UC (Ans- 4 stools/day. semi formed with small amount of blood
Moderate UC (Ans- up to 10 stools/day, bleeding, systemic symptoms (fever, malaise, mild anemia, anorexia)
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Severe UC (Ans- up to 20 stools/day. bloody, mucous, fever, rapid wt loss (10% of total body wt), anemia, tachycardia, dehydration
IBD complications (Ans- hemorrhage, strictures, perforation, fistulas, abcesses, c diff, toxic megacolon
Strictures (Ans- nothing goes through intestine
Fistula (Ans- abnormal passageway
cancer risk with crohns disease (Ans- GI, colorectal, small intestine cancer
systemic complications of IBD (Ans- circulating cytokines trigger inflammation. joint, eye, mouth, kidney, bone, vascular, skin, liver failure
IBD/IBS diagnostic tests (Ans- hx & phys, labs, stool sample, culture
imaging for IBD/IBS (Ans- double contrast barium enema study, small bowel series, trans abdominal ultrasonography, CT/MRI, colonoscopy
IBD/IBS possible lab findings (Ans- anemia, decreased electrolytes, increased WBCs, low albumin, high ESR and c-reactive protein
what does high esr and c reactive protein indicate (Ans- inflammation 2 / 3
goals for IBD/IBS (Ans- rest bowel, control inflammation, combat infxn, fix malnutrition, alleviate stress, relieve symptoms, increase quality of life
drugs used to induce/maintain remission (ibd/ibs) (Ans- antimicrobials, steroids, biologics, aminosalicylic acids
What are antimicrobials used for (Ans- infection
what are steroids used for (Ans- decrease inflammation
Aminosalicylic acid drugs (Ans- sulfa drugs. dont go in the sun. turns things orange
Steroids for IBD (Ans- used for short period of time during a flare up. must be tapered off the med. no surgery
immunosuppressants for IBD (Ans- maintains remission, not used for flare ups. monitor WBCs. delayed onset. no pregnancy
what do sulfa drugs decrease (Ans- folic acid
what do steroids decrease (Ans- Ca+ and K+
why is vit D deficiency common with IBD meds (Ans- cant go in the sun when taking aminosalicylic acids meds
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