Where does ulcerative colitis form? - Answers begins forming in the rectum and moves in a
continuous pattern toward the cecum
What layers of the bowel does ulcerative colitis damage? - Answers innermost
What does ulcerative colitis cause? - Answers large fluid and electrolyte losses, stools are
bloodier than in Crohn's
Where does Crohn's disease occur? - Answers any place in the GI tract from mouth to anus
What is part of the bowel is affected by Crohn's disease? - Answers all layers of the GI mucosa
causing the "cobblestone" appearance
What is common in Crohn's disease? - Answers fistulas and abscesses, poor intestinal
absorption
--- is limited to the colon, while --- can occur anywhere on the GI tract - Answers ulcerative colitis,
Crohn's disease
In --- healthy parts of the intestine are mixed in between inflamed areas - Answers Crohn's
disease
What is the gold standard for nutrition? - Answers pre-albumin
low= malnourished
A patient with suspected IBD reports 15-20 diarrheal stools per day. Which question would the
nurse ask the patient to help determine a diagnosis of ulcerative colitis versus Crohn's disease?
A.Do you have any family members with IBD?
B.Have you been tested for colorectal cancer?
C.Have you noticed a lot of blood in your stool?
D.When did you first begin experiencing these symptoms? - Answers C.Have you noticed a lot of
blood in your stool?
What symptoms are unique to UC? - Answers •frequent bloody stools; colorectal cancer
What symptoms are unique to Crohn's disease? - Answers formation of strictures or abscesses;
bowel perforation
What is the gold standard for diagnostics of IBD? - Answers sigmoidoscopy and/or colonoscopy
, with biopsy
An elevation of which serum markers indicates IBD? - Answers ESR, CRP, Procalcitonin
What labs would be run if IBD is suspected? - Answers CBC, BMP, H&H
What are important nutrients to assess if IBD is suspected? - Answers pre-albumin, iron profile,
folate, vitamin D & B12
What is a fecal occult blood test? - Answers tests for blood in stool
what is a fluoroscopy? - Answers Double-contrast barium enema or small bowel series
What imaging can be done for IBD? - Answers fluoroscopy, Abdominal CT or MRI with oral
contrast
How is IBD treated? - Answers no cure
Diet and lifestyle changes
Adequate nutrition without triggering symptoms
Replace fluid and electrolyte losses
Support groups, referral, stress management
Pharmacologic therapy
Used to achieve and maintain remission, treat inflammation, suppress immune response, and
correct nutritional deficiencies
-REDUCE INFLAMMATORY RESPONSE
Surgical management
Surgical removal of affected segments involving the diseased colon
Correction of intestinal fistulas or drainage of abscesses
What is heart failure? - Answers A complex syndrome resulting from functional or structural
decline of the heart
What does heart failure lead to? - Answers This condition leads to low cardiac output and/or
pulmonary or systemic congestion