Final Exam: Midterm Exam: NR576 / NR 576 (Latest 2023/ 2024 Updated) Differential Diagnosis in Adult-Gerontology Primary Care Exam Review| Guide with Verified Answers -Chamberlain
Final Exam: Midterm Exam: NR576 / NR 576 (Latest 2023/ 2024 Updated) Differential Diagnosis in Adult-Gerontology Primary Care Exam Review| Guide with Verified Answers -Chamberlain QUESTION Patient cannot have any of the following to be dx with IBS Answer: unintentional weight loss 50yrs w/o colon cancer screening recent change bowel habits hematochezia or melena: GI bleeding nocturnal pain in abd or stool passage Hx IBD or colorectal cancer in family Palpable abd mass or presence of lymphaednopathy + fecal occult blood blood test show anemia QUESTION Tx for IBS Answer: there is no "prove" treatment therapy is aimed at symptom manage- ment. -Antidiarrheal -Stimulant laxatives - Linaclotide (linzess) - Plecanatide (trulance) -Bentyl -Hycosamine QUESTION Rx for IBS-C medicaiton Answer: work by acting locally on apical membrane of GI tract to increase intestinal fluid secretion and improve fecal transport. These medications are: Linaclotide (Linzeess) and Plecanatide (trulance) QUESTION Antispasmodics for tx of IBS Answer: abd caused by intestinal spasm can be con- trolled with favorable results. These medications are used for postprandial pain and can be treated with dicyclomine (Bentyl) 10-20mg TID or QID PRN or you can use Hycocyamine 0.125mg - 0.75mg BID antidepressants: tricyclic antidepressants and SSRI QUESTION What medication class should be avoided in patients who have glaucoma or BPH Answer: anticholinergics should be avoided d/t advers effects especially in the elderly. QUESTION What do you need to do if patients are not repsonding to IBS treatment Answer: - refer them to GI. QUESTION Patient education for IBS Answer: decrease stress, avoid triggers, healthy diet QUESTION IBD Answer: Ulcerative colitis and Crohn's disease
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