49: Concepts of Care for Patients With Inflammatory Intestinal Conditions

An increased with WBC count, C-reactive protein and erythrocyte sedimentation rate is consistent with?

inflammatory disease

What should not be applied in a pt with suspected or confirmed appendicitis?

DO NOT apply heat to abdomen because it increases circulation to the appendix and result in increased inflammation and perforation

diphenoxylate hydrochloride with atropine sulfate helps with what?

GI motility but is used sparingly because of its habit-forming ability. The drug should not be used in older adults because it also causes drowsiness and could contribute to falls

Natalizumab is given via which route and why?

Natalizumab is given intravenously under medical supervision every 4 weeks for moderate to severe Crohn's disease (CD) and when other drugs are not effective and can cause deadly infection to the brain

what are the cardinal signs of peritonitis?

abd pain, tenderness and distention

What kind of pain suggests perforation and peritonitis

abdominal pain that increases with cough or movement and is relieved by bending the right hip or the knees

How often should the nurse monitor a patient after abdominal surgery?

at least hourly I&O VS and maintain pt in a semi-fowlers position to promote drainage and help increase lung expansion

what drugs are used for chrons disease?

azathioprine and 6-mercaptopurine

what foods cause gas with ileostomy?

cabagge, asparagus, brussel sprouts, nuts, corn, celery, popcorn and beans

shift to the left means

increased number of immature WBC

infliximab is given via which route?

parental nutrition

What should not be administered with suspected or confirmed appendicitis?

the pt should NOT receive enemas or laxatives which can cause perforation of the appendix

s/sx of septic shock

unresolved hypotension, decreased pulse pressure, tachycardia, fever, skin changes and tachypnea. Assess mental status