IBS: Ulcerative Colitis Flashcards
0
Q
Ulcerative Colitis
-Patho
A
- Chronic Inflammation of the MUCOSA & SUBMUCOSA of the rectum & colon
- Peak incidence between 15-35 and 50-70
- Begins in rectum and progresses proximally (can go to the mouth)
1
Q
Chronic Diarrhea
A
- Diarrhea for more than 2 weeks is considered chronic
2. Infants and elderly are more susceptible to diarrhea
2
Q
Ulcerative Colitis
-#1 nursing intervention
A
- Deal with the inflammation
3
Q
Ulcerative Colitis
-S/S
A
- Mild
- Fewer than 5 stools/day - Severe
- 6-10 liquid stools/day - Both have bloody mucus diarrhea
4
Q
Ulcerative Colitis
-Rectal Bleeding **
A
- Rectal Bleeding is more common in UC than in Crohn’s disease
* *TEST
5
Q
Ulcerative Colitis
-Severe Systemic Symptoms
A
- Anemia / Malabsorption / Malnutrition
- Anorexia
- Weakness
- LLQ pain relieved w/ defecation
Can Progress to LATE STAGE: - Arthritis / skin lesions
6
Q
Ulcerative Colitis
-Predisposition
A
- American Jew of European decent more likely to have UC by 50%
- Non smokers usually get UC
7
Q
Tenesmus
A
- Painful urge to defecate w/ the ineffective ability to empty
8
Q
Toxic Megacolon
A
- Absence of Peristalsis
- Colon dilates
- Usually occurs in the Transverse Bowel
- Triggered by laxative, narcotics, anticholinergic drugs, & hypokalemia
9
Q
Toxic Megacolon
-S/S
A
- Distention / Mass / Tenderness & Cramping
- Fever, Tachycardia & Hypotension
- Dehydration
- Medical EMERGENCY
10
Q
Ulcerative Colitis
-Prevent Complications
A
- Hydrate to prevent hypovolemic shock
2. Blood transfusion if hemorrhage is severe
11
Q
Toxic megacolon
-Caused by
A
- Laxative, narcotics, anticholinergic drugs, & hypokalemia
12
Q
Ulcerative Colitis
-Risk for Colon Cancer
A
- Risk of Colon cancer w/in 8-10 years
2. Get colonoscopy once a year w/ biopsy
13
Q
Ulcerative Colitis
-Complications
A
- Hemorrhage
- Stricture
- Perforation
- Septic shock due to infectious content going into cavity
