Inflammatory

Ulcerative clotis

IBD

Disordered that involve the digestive tract

Cause is unknown, a defective immune system affects GI system attach organisms

Viruses and bacteria

Crohn's disease

Inflammation of GI tract

Inster

Damage areas patches in an area next to areas of healthy tissue

Different layers of GI tract

S/SX

Cramp like pain after meals

Reduce appetite or weight

Occurs in adolescences or young adult

Hemoglobin or hematocrit decrease

Nausea and vomiting

Strings signs varuum swallow

Semi-solid stool diarrhea contains mucus

\fever fatigue

Sore mouth

Severe inflammatuion

Drainage in the anus fistula

Abdominal pain
Severe diarrhea

Risk factors

Age; most likely develop for young age around 30 yrs old.

Ethnicity; white people have the higher risk people in eastern European jewish increasing among black
people north America and UK lifestyle

Family history; first degree; parent, sibling, children have the disease before

Cigarrate smoking; controllable risk factor

Take anti-inflammatory non steroids can lead to inflammation in the bowel

Management

TPN Parenteral nutrition if have a severe malnutrition

Low fiber diet to rest the bowel movement

Steroids relieve inflammation and antibiotics

Last resort surgery, which ileostomy- small intestine like colostomy stoma or opening, collected outside,
colectomy, removing portion of the colon in the large intestine

Nursing Diagnosis

Imbalanced Nutrition: Less than Body Requirements

Acute pain

Planning &

Prescribed diet high calorie and high

Nutritional supplement

Express their
Ulcerative colitis

- Affect the Innermost lining of large intestine and rectum

Develop overtime s/sx

Start in rectum spread until the colon

S/SX;

Under nourish

Low calcium/hypokalemia

Color of skin is pale due to rectal bleeding

Exaggerated diarrhea

Rectal bleeding

Anorexia/anemia

Tenderness at the lower rightquandrant

Intermittent

Eye lesion

Abdominal pain

Defacate

TYPES

Prctitis

Close to the anus rectal bleeding

Procto – from the rectum to sigmoid colon

Bloody diarrhea, inability of bowels inspite of due to do so

Leftsided colitis – rectum ,sigmoid and

Abdominal pain/cramps
Pancolitis often affects all parts of colon

Fatigue and significance weight loss

RISK FACTOR

Age; age of 30 occur after the age of 60

Ethnicity; white people, affect any race

Family history, history of ulcerative colitis

Management

Low fiber diet

TPN

Steroid inflame and

Surgery; Protocoloctomy – sigmoid an the colon 95-100% rectal involvement

Diagnostic

Anemia and infection

Blood test – enough RBC signs of infection for virus or bacteria

Caolt study

Endoscopy procedure

Visual the colon sigmoid

Nursing

Acute r/t

Avoid foods spicy flavored food

Stoma care

Avoid smokng
Iron supplement

Health teaching

Difference

Transmural affected thin layer of the bowel wall ileum

Muscosal ulceration, rectum and lower colon

Unknown

Emotion stress/ family history

20-30

40-60 yrs old - CD

15 to 50 yrs old - UC

Bleeding not common stool has pus and mucus – CD : fistula; 20% - 6-7 stools per day

Severe bleeding stool has pus, blood, mucus – UC; rare fistula; 95% - 20-30 watery stools per day

APPENDICITIS

- Inflammation fo appendix develop mostly develop in adolescent and young adult, it is acute and
severe abdominal pain tender right quadrant near umbilicus macberial point. Base of appendix

Causes

Acute; result of obstruction of appendix facolit filled with and swell increase production of mucus lead
with fissure with the wall of appendix result and thrombosis flow or circulation stop.

Risk factor

Hard piece

Low fiber

Obstruction of appedical lumen there is screte mucus ppencial pressuire decrease blood flow drecrease
hypoxia ulceration. Lesion of appendix microbial invasioninflammation
Obstruction of appendial lumen

ACUTE APPENDICITIS

-develop very fast sevreal days or hours

Surgery appendectomy

Completely obstruct causes the

Swelling l;ymph nodes

CHRONIC

Last for a long time rare 1-5%

Appendectomy usually recoomend or used 1-11/2 hr. prevent ruptured

Peritonitis or sepsis infection in the body – ruptured appendectomy; there’s no pain

Prevent spreading o

LrQ low grade fever

Ausea, vomiting loss appetite constipation

Macbernis point

Local tenderness rigidity in the area

Muscle spams

Rosiag

Abdominal distention

Dvelop paralytic ileus

Abdominal tenderness/pain

Anorexia
Assessment

Mcburney’s point

Dumpy sgnd when pt cough the area is in pain

Management

Surgery

Diet

Antibiotic analgesics

NM

Relieve poain preventing volume deficit mainting skin integrity

Prepare

Iv fluids antibiotic therapy consent for surgery

NDx

Acute pain

Risk for volume dficit

Risk foor inspection

Dischasrge plan

Medication prescribed

Diet