Question: Inflammatory Bowel Disease Case Study M.B., A 26-year-old Cosmetologist, Is Admitted To The Hospital With An Acute Exacerbation Of Ulcerative Colitis. She Has An 8-year History Of Inflammatory Bowel Disease (18D) And Has Been Taking 40 Mg Of Prednisone Daily For The Past Year To Control Exacerbations Of Her Symptoms. This Is Her Third Hospitalization …
Inflammatory Bowel Disease Case Study M.B., a 26-year-old cosmetologist, is admitted to the hospital with an acute exacerbation of ulcerative colitis. She has an 8-year history of inflammatory bowel disease (18D) and has been taking 40 mg of prednisone daily for the past year to control exacerbations of her symptoms. This is her third hospitalization for an exacerbation in the past year. Her life has gradually become dominated by her disease and the need to plan access to a bathroom wherever she goes. She reports that she has been having 16 to 18 bloody, loose stools a day, abdominal pain, and nausea and vomiting that has become progressively worse the past 4 days. Her vital signs on admission are as follows: BP 100/72 mm Hg, heart rate 92 beats/min, respiratory rate 22 breaths/min, temperature 101″ F (38.3C)She is 5 ft 2 intall (157.48 cm) and weighs 92 lb (41.8 kg). Question: Having recently cared for a patient with Crohn’s disease, you review the similarities and differences between ulcerative colitis and Crohn’s disease before beginning care for M.B. Indicate with which condition the characteristics are most likely to be associated Instructions: Select the correct answer (s) for each statement. Place an (X) in appropriate column (s). Characteristics Ulcerative Colitis Crohn’s Abdominal cramping X X Anal abscesses and fistulas X Common recurrence after surgery Х Spreads in a continuous pattern Х Fever х Weight loss Fatigue X Х х High incidence of colorectal cancer Malabsorption Cobblestone mucosa Perforation of the bowel Periods of exacerbation and remission Presence of diarrhea Rectal bleeding C difficile infection Tenesmus Weight loss Question: M.B.’s primary health care provider leaves the following orders. Classify the orders (1 column) according to their rationale. Place a check under the appropriate column that explains the rationale for the order Promote bowel rest Relieve symptoms Suppress inflammation methylprednisolone 100 mg IV g.hr DsW in 0.9% NaCl with 40 mEq KC at 125 m/hr NPO except PO meds diphenoxylate/atropine (Lomoti) 2.5 mg PO q4hr pro
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