Crohns Disease

A nurse is admitting a child with Crohn disease. Parents ask the nurse, "How is this disease different from ulcerative colitis?" Which statement should the nurse make when answering this question? a. "With Crohn disease the inflammatory process involves the whole GI tract." b. "There is no difference between the two diseases." c. "The inflammation with Crohn disease is limited to the colon and rectum." d. "Ulcerative colitis is characterized by skip lesions."

"With Crohn disease the inflammatory process involves the whole GI tract."

Crohn's:

-runs in families -higher incidence -is all over

Balsalazide

5-Aminosalicylate

Mesalamine (drug class)

5-Aminosalicylate

Azathioprine

Parenteralimmunosuppressive agent-immunomodulators.

6-mercaptopurine

Purine antimetabolite-imunomodulator

Budesonide

Synthetic corticosteroid

Crohn's Disease Clinical Manifestations:

GI symptoms -Abdominal pain with cramping -Diarrhea -Rectal bleeding LESS common Systemic Symptoms: -common! -SEVERE weight loss -joint pain -Growth Failure: common and severe!!

Growth Failure caused by Crohn's Disease is caused by:

Inadequate intake due to anorexia, malnutrition from poor absorption of nutrients, excessive GI losses Growth Failure includes: weight loss, retarded height, delayed sexual maturation

The chronic inflammatory process of ______ involves any part of the GI tract from the mouth to the anus but most often affects the terminal ileum.

Crohn disease (Crohn disease involves all layers of the bowel wall in a discontinuous fashion, meaning that between areas of intact mucosa, there are areas of affected mucosa (skip lesions). The inflammation found with ulcerative colitis is limited to the colon and rectum, with the distal colon and rectum the most severely affected. Inflammation affects the mucosa and submucosa and involves continuous segments along the length of the bowel with varying degrees of ulceration, bleeding, and edema.)

Prednisone

Corticosteroid