ATI System Disorder Ulcerative Colitis PDF

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ATI system disorder template on ulcerative colitis...

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System Disorder: Ulcerative Colitis Alterations in Health (Diagnosis):  Chronic inflammation of mainly the rectum and rectosigmoid colon but can extend the entire colon when disease is extensive. Pathophysiology Related to Client Problem  The intestinal mucosa becomes hyperemic (increased blood flow) edematous and reddened. With severe cases bleeding and ulcerations occur

Health Promotion and Disease Prevention  Manage stress  Stop smoking Assessment Risk Factors  15 -35 years of age & 50 +  Heredity

 Diet [^ fat, milk]  Stress  Caucasian Expected Findings  Low grade fever in severe cases  Weight loss  Fatigue  Frequent liquid bloody stools approx. 15-20 per day  Anemia [decreased Hgb]  Abdominal pain  Rebound tenderness Laboratory Tests  CBC  ESR  CRP  CMP- metabolic panel Diagnostic Procedures  MRI/MRE  Upper endoscopy  Colonoscopy  CT Safety Considerations  Avoid infection  Medication adherence  Hydration  Avoid NSAIDS Complications

 Bowel rupture from toxic megacolon

 Hemorrhage  Nutritional deficiencies  Older adults at risk for impaired fluid and electrolyte imbalance  Colorectal cancer Patient-Centered Care Nursing Care  Fluid and electrolyte replacement [2 L of water daily]  I & O monitoring  Daily weight  Monitor vitals/labs/bowel sounds  Restrict activity [rest can reduce intestinal activity]  Risk for hypokalemia  High protein and calories  Low fiber  Keep food journal to know what causes symptoms  Small frequent meals

 Discuss plans to decrease patient’s stress  Give analgesics as prescribed  Make sure patient reports change in pain, restlessness, and HR/RR Therapeutic Procedures  Medications  Surgery [colostomy, ileostomy, colectomy]  Supportive care- Iv fluids  Herbs; flaxseed, selenium, and vitamin C  Hypnosis  Yoga  Acupuncture Medications  Sulfasalazine  Steroids to sooth swelling  Antidiarrheal  Dicyclomine “Dry” Client Education  Medication adherence  s/s  Avoid ETOH, caffeine, and carbonated beverages [these contain carbonic acid which irritates digestive tract]  Stress reduction  Take additional supplements  Sulfasalazine causes discoloration of the skin/urine. Take with folic acid  Provide stoma care/outpatient stoma care/supplies

Interprofessional Care  HCP  GI/surgery  Dietician  Nurse  Psychologist  Spiritual  Social worker...