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