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  • Diverticulitis

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    Mary Giuntini
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    Diverticulitis is an inflammation or infection of small pouches called diverticula that form in the lining of the colon. It most often occurs in the sigmoid colon and causes left lower abdominal pain. Diagnosis is typically made through CT scan or x-ray showing pockets in the colon wall. Treatment involves a clear liquid diet, antibiotics, and sometimes surgery for complications like perforation or abscess.

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    Patho, symptoms, treatment, teaching

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    Diverticulitis is an inflammation or infection of small pouches called diverticula that form in the lining of the colon. It most often occurs in the sigmoid colon and causes left lower abdominal pain. Diagnosis is typically made through CT scan or x-ray showing pockets in the colon wall. Treatment involves a clear liquid diet, antibiotics, and sometimes surgery for complications like perforation or abscess.

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    45 views1 page

    Diverticulitis

    Uploaded by

    Mary Giuntini
    Diverticulitis is an inflammation or infection of small pouches called diverticula that form in the lining of the colon. It most often occurs in the sigmoid colon and causes left lower abdominal pain. Diagnosis is typically made through CT scan or x-ray showing pockets in the colon wall. Treatment involves a clear liquid diet, antibiotics, and sometimes surgery for complications like perforation or abscess.

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    © All Rights Reserved
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    Exemplar - Diverticulitis

    Basic Patho: Diverticulitis is generally extraluminal, occurring on the outside of the colon, and is often referred
    to as an outpouching. Diverticulosis is the presence of diverticula that are noninflamed. Many patients with
    diverticulosis are asymptomatic and may not even know they have the condition. Diverticulitis is an
    inflammation and/or infected diverticula. Diverticulitis most often occurs in the colon, particularly the sigmoid
    colon.

    Manifestations Labs/Diagnostics

     Ab pain over the area that is involved,  Plain flat-plate ab x-ray and a CT
    usually the sigmoid colon. scan.
     May experience fever, or leukocytosis  WBC are monitored for elevations r/t
    (too many WBCs). inflammation and possible infection,
     Often a palpable mass is felt over the but should decrease w/ tx.
    involved area.  Urinalysis (should show a few RBCs
     Increased flatus if the ureter is near a perforated
     Anorexia diverticulum.)
     Ab bloating/distention
     Diarrhea/constipation
     Stools may contain mucus/blood
     The first sign that may appear in the
    older adult is a change in mental Teaching
    status.
     Avoid laxatives and enemas because
     Baseline temp is often decreased from
    they increase intestinal motility.
    normal in the older adult. (may
     Dietary recommendations (increasing
    present w/ s/s of sepsis)
    fibers from raw fruits and veggies in
    their diets. W/o adequate fiber, more
    Treatments/Interventions water is absorbed from the stool. This
    slows transit time and makes it more
     Broad-spectrum antibiotics difficult for the stool to pass through
     Consume a clear liquid diet until the colon  causing constipation and
    symptoms subside. (the diet should be straining which is thought to lead to
    advanced slowly as tolerated) the formation of diverticula).
     May receive an NG tube for bowel  Weight reduction (obesity has been
    decompression and will receive linked to increased intra-abdominal
    parenteral antibiotics. pressure, which is a risk factor for
     Pain meds may be given PRN. diverticulitis).
     If pts develop complications such as  Complete antibiotic therapy as
    perforation, hemorrhage, obstruction, prescribed.
    or abscess, they may require surgery
    to remove the diseased portion of the
    colon. (may have temporary ostomy)

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