IBD-Crohn's Disease

Thi Thanh Tuyen Pham
Mind Map by Thi Thanh Tuyen Pham, updated more than 1 year ago
Thi Thanh Tuyen Pham
Created by Thi Thanh Tuyen Pham over 2 years ago
14
0

Description

Mind Map on IBD-Crohn's Disease, created by Thi Thanh Tuyen Pham on 03/08/2019.

Resource summary

IBD-Crohn's Disease
  1. PATHOPHYSIOLOGY
    1. (Mazal, 2014)
      1. unknown cause
        1. progressive, systemic autoimmune disorder
          1. abnormal inflammation of any parts of GI tract
            1. Discontinuous, “skip” lesions
            2. (Hart & Ng, 2015)
              1. varied mucosal ulcerations
                1. burrow gut wall
                  1. fistula
                  2. narrowed lumen
                    1. obstruction
                    2. cobble stone apperance
                2. DIAGNOTIC TESTS
                  1. (Gajendran et al., 2018)
                    1. Laboratories studies
                      1. Serology
                        1. CBC (anemia), C-reactive protein (CRP)
                          1. erythrocyte sedimentation rate (ESR)
                            1. monitor response to treatment
                          2. Stool studies
                          3. Imaging
                            1. confirm disease location and intestinal complications.
                              1. endoscopy
                                1. obtain tissue ->pathological evaluation
                                2. CT, MRI, contrast radiography
                          4. COLLABORATIVE CARE
                            1. Nutritional therapy
                              1. (Crohn’s and Colitis Canada, 2016, 2017)
                                1. No special diet →customized to fit pt.
                                  1. a well-balanced diet
                                    1. Enteral feeding
                                      1. insert NG tube or stomach tube
                                        1. primary therapy
                                          1. secondary treatment: malnutrition
                                        2. Total parenteral nutrition (TPN)
                                          1. when oral & enteral feeding is inadequate
                                          2. supplements
                                            1. Calcium citrate, Iron, Vitamins D, and B12, Folic acid,
                                          3. (Karakashian & Schub, 2018)
                                            1. eliminate certain foods (e.g., bulky grains, hot spices, alcohol, milk products)
                                              1. prevent worsening diarrhea, cramping
                                        3. NURSING INTERVENTIONS
                                          1. Total parenteral nutrition (TPN)
                                            1. ( General Surgery North York General Hospital, 2013)
                                              1. extended bowel rest
                                                1. during exacerbation; pre-operation.
                                                2. NOT compatible with any other solutions
                                                  1. be administered by itself
                                                  2. NOT obtain blood samples from same port as TPN infusions.
                                                    1. Do not abruptly discontinue
                                                      1. HYPOGLYCEMIA RISK
                                                    2. (Robertson, 2014; General Surgery North York General Hospital, 2013)
                                                      1. RISKS
                                                        1. Administration-related
                                                          1. Pneumothorax; Fluid excess/ pulmonary edema.
                                                            1. Monitor VS closely
                                                            2. sepsis, embolism, catheter occlusion
                                                            3. Formulation-related
                                                              1. nutritional imbalance; electrolyte imbalance
                                                                1. hypoglycemia, hyperglycemia
                                                                  1. monitor blood glucose
                                                          2. Patient teaching
                                                            1. Ostomy care
                                                              1. (Crohn’s and Colitis Canada, 2017)
                                                                1. examine stoma daily
                                                                  1. healthy stoma
                                                                    1. moist, dark pink to red
                                                                    2. skin around stoma
                                                                      1. no redness or sores
                                                                    3. Empty pouch when 1/3 full
                                                                      1. Change pouch & skin barrier
                                                                        1. if irritated->change skin barrier right away
                                                                          1. regularly: at least 1-2X/week
                                                                          2. not limited to sport and work
                                                                            1. if physician says "all clear"
                                                                            2. normal to experience diarrhea or constipation
                                                                              1. Diarrhea → avoid foods make feces more watery
                                                                                1. Constipated→ drinking fruit juices
                                                                            3. Diet
                                                                              1. (Crohn’s and Colitis Canada, 2017)
                                                                                1. In remission
                                                                                  1. eating a well-balanced diet
                                                                                    1. no need to avoid any particular kind of food
                                                                                    2. During flare-up
                                                                                      1. modify diet, avoid aggravating gut
                                                                                        1. avoid trigger foods
                                                                                          1. Avoid Alcohol, Sugar, Fructose, Caffeine, Greasy food
                                                                                          2. Eat smaller meals, q2-3h
                                                                                            1. Avoid drinking a lot of fluid during a meal
                                                                                              1. Reduce fat intake
                                                                                      2. Overall goals (Cope, 2015)
                                                                                        1. induce & maintain remission
                                                                                          1. prevent complications
                                                                                        Show full summary Hide full summary

                                                                                        Similar

                                                                                        Forces and their effects
                                                                                        kate.siena
                                                                                        Physics P2
                                                                                        Phoebe Drew
                                                                                        GCSE REVISION TIMETABLE
                                                                                        Joana Santos9567
                                                                                        FUNCTIONALIST ROLE OF EDUCATION
                                                                                        ashiana121
                                                                                        The Rise of the Nazis
                                                                                        shann.w
                                                                                        GCSE Biology - Homeostasis and Classification Flashcards
                                                                                        Beth Coiley
                                                                                        Using GoConqr to study science
                                                                                        Sarah Egan
                                                                                        The Circulatory System
                                                                                        mimtasin afra
                                                                                        Salesforce Admin 201 Exam Chunk 6 (156-179)
                                                                                        Brianne Wright
                                                                                        1PR101 2.test - Část 19.
                                                                                        Nikola Truong
                                                                                        An Inspector Calls - Quotes and Context
                                                                                        James Holder