D444 Adult Health 1 Questions With Complete Solutions
Celiac disease
- no gluten
- give fat soluble vitamins (ADEK)
- S/S: abdominal pain, steatorrhea, diarrhea, (stunted growth and
slowed puberty in children) wt. loss
Chron's disease
- auto-immune (exacerbations and remissions)
- causes: Stress, Smoking, Sepsis (infection)
- can include all GI tract
- "skip lesions"- don't bleed
- granulomas (bumps and lumps in bowel wall)
- s/s: 5 loose stools/day (mucus/pus) and steatorrhea
Ulceritive Colitis
chronic inflammatory disease of the colon
- s/s: 15-20 bloody stools/day
- decreased H/H (anemia)
- Rebound tenderness- REPORT
Care for UC and Chrons
- strict I&O monitoring
- daily multivit's with calcium
DIET: HIGH protein and calories; LOW fiber; keeping food
journal
, - small frequent meals
- Pain- administer analgesics; AVOID alcohol. Reduce
CAFFEINE; stress reduction, discuss feelings
COPD care
- pursed lip breathing
- huff coughing
- oral care BEFORE meals
- small frequent meals
- HIGH calories, high protein (avoid high carbs)
- avoid exercise 1 hour before and after meals
- avoid gassy foods
- increase fluids (2/3 L/day)
- avoid fluid w/meals
- REPORT: increased sputum, fever, worsening symptoms
UC and Chron's Complications
- REPORT: peritonitis signs (Fever over 100.3; REBOUND
TENDERNESS, Rigid/board-like abdomen, increasing pain &
tenderness, Restless tachycardia & tachypnea
UC and Chron's medications
- Sulfasalazine- Stops body from attacking itself (yellow/orange
discoloration to urine and skin is normal) (reactions: Sun-
photosensitivity, urine crystals, Low urine output (elevated
specific gravity), Fluid and folic acid)
- Steroids (- sone) "soothe the swelling"
- Antidiarrheals (Loperamide; dicyclomine-
Celiac disease
- no gluten
- give fat soluble vitamins (ADEK)
- S/S: abdominal pain, steatorrhea, diarrhea, (stunted growth and
slowed puberty in children) wt. loss
Chron's disease
- auto-immune (exacerbations and remissions)
- causes: Stress, Smoking, Sepsis (infection)
- can include all GI tract
- "skip lesions"- don't bleed
- granulomas (bumps and lumps in bowel wall)
- s/s: 5 loose stools/day (mucus/pus) and steatorrhea
Ulceritive Colitis
chronic inflammatory disease of the colon
- s/s: 15-20 bloody stools/day
- decreased H/H (anemia)
- Rebound tenderness- REPORT
Care for UC and Chrons
- strict I&O monitoring
- daily multivit's with calcium
DIET: HIGH protein and calories; LOW fiber; keeping food
journal
, - small frequent meals
- Pain- administer analgesics; AVOID alcohol. Reduce
CAFFEINE; stress reduction, discuss feelings
COPD care
- pursed lip breathing
- huff coughing
- oral care BEFORE meals
- small frequent meals
- HIGH calories, high protein (avoid high carbs)
- avoid exercise 1 hour before and after meals
- avoid gassy foods
- increase fluids (2/3 L/day)
- avoid fluid w/meals
- REPORT: increased sputum, fever, worsening symptoms
UC and Chron's Complications
- REPORT: peritonitis signs (Fever over 100.3; REBOUND
TENDERNESS, Rigid/board-like abdomen, increasing pain &
tenderness, Restless tachycardia & tachypnea
UC and Chron's medications
- Sulfasalazine- Stops body from attacking itself (yellow/orange
discoloration to urine and skin is normal) (reactions: Sun-
photosensitivity, urine crystals, Low urine output (elevated
specific gravity), Fluid and folic acid)
- Steroids (- sone) "soothe the swelling"
- Antidiarrheals (Loperamide; dicyclomine-
