Cagayan de Oro College PHINMA Education Network

College of Allied Health Sciences

Nursing Department
BSN-3 Medical Surgical Nursing Activity Sheet
2nd Semester, Periodical 1, S.Y. 2020-2021

NAMES:__________MAMBUAY, IRIS JUNE F.__________________________________________ DATE:_02/17/2021______

SECTION:__C1-01___________ C.I:_MS. PHOEBE JAENN TAN, RN_________
ULCERATIVE COLITIS CONCEPT MAP

NURSING INTERVENTIONS RISK FACTORS It is a chronic ulcerative & CLINICAL MANIFESTATIONS

CLASSIFICATION
inflammatory disease of the mucosal
 Promote rest  Begins before age 30 and subcutaneous layers of the colon  Ulcerative  Unpredictable periods of remission
 Relieve pain  Race or ethnicity (Caucasians) proctitis  Exacerbation with bouts of
and rectum; classified as mild, severe
 Maintain fluid intake  Family history  Proctosigmoiditis abdominal cramps (tenesmus)
 
or fulminant  Bloody purulent diarrhea (6 or more
Reduce anxiety through relaxation techniques Lower socioeconomic status  Left-sided colitis
 Advise smoking cessation programs  Environment/where you live  Pancolitis each day
 Prevent skin breakdown with proper skin care  Smoking  Multiple ulcerations
at the anal area  Some antibiotics ASSESS/ DX  Diffuse inflammation
COMPLICATIONS  Desquamation or shedding of the
 Abdominal x—ray studies
colonic epithelium
NURSING DIAGNOSES  Colonoscopy with biopsy  Anemia
 Bleeding (mild or severe)
 CT scan  Electrolyte imbalances
 Diarrhea related to the inflammatory process  Edematous mucosa
 MRI  Anorexia
 Deficient fluid volume related to anorexia, nausea and  Left lower quadrant abdominal pain
 Ultrasound studies  Hypoalbuminemia
diarrhea  Passage of mucus, pus or blood
 Stool examination  Toxic megacolon
 Activity intolerance related generalized weakness  Weight loss
 Barium enema  Perforation
 Risk for impaired skin integrity related to malnutrition  Fever
 Sigmoidoscopy  Osteoporotic fractures
and diarrhea  Vomiting
 Colon cancer
 Anxiety related to impending surgery  Dehydration
MEDS
 Pallor
 Fatigue
 Corticosteroids MANAGEMENT
 Antibiotics NURSING MEDICAL/SURGICAL
 Aminosalicyates
 Sedatives  Enhance coping mechanisms  IV therapy or oral fluids
 EIMs (Extraintestinal Manifestations)
 Anti-diarrheals/ Preventing skin breakdown through perianal care  Bland, low residue, high-protein, high-calorie diet with supplemental vitamin
antiperistaltic  Monitor serum electrolytes daily therapy and iron supplements
 Skin lesions (erythema)
 Immunomodulators  Report dysrhythmias and changes in level of consciousness  Avoid foods that exacerbate diarrhea such as spicy foods or dairy
 Eye lesions
 Monoclonal bodies  Closely monitor rectal bleeding  Medication regimen
 Joint abnormalities
 Monitor vital signs periodically  Total colectomy with ileostomy
 Liver disease
 Administer electrolyte replacements and vitamin K for clotting factors  Proctolectomy with ileostomy
 Monitor indications of perforation