DIVERTICULITIS
DIVERTICULITIS
an inflammation in the diverticula, a sac like outpouching of the large intestine.
- INFLAMMATION IS USUALLY CAUSED BY TRAPPING OF FOOD.
Assessment:
- BOWEL IRREGULARITIES, CRAMPING PAIN THAT IS USUALLY IN THE LEFT LOWER QUADRANT OF THE ABDOMEN AND A LOW GRADE FEVER, CAN OCCUR.
Diagnostics
- BARIUM STUDIES AND AN ENDOSCOPY EXAM.
REMEMBER FOR THE NCLEX:
- A BARIUM ENEMA IS CONTRAINDICATED IN PATIENTS WITH ACUTE DIVERTICULITIS DUE TO THE POSSIBILITY OF PERFORATION OF THE DIVERTICULUM.
- A COLONOSCOPY IS ALSO CONTRAINDICATED WITH THESE PATIENTS.
- MORPHINE IS NOT GIVE TO THESE PATIENTS DUE TO INTRALUMENAL PRESSURE.
Treatments includes:
- INCREASING THE DIETARY INTAKE OF SOFT FIBER FOODS AND THE INCREASE OF FLUID INTAKE (2-3 LITERS PER DAY) MAKE SURE THAT IT IS WITHIN LIMITS.
- LOW FIBER DIET IS GIVE TO PATIENTS.
Medications:
GASTROINTESTINAL DRUG
- -TIDINE = ANTIULCER
- -PRAZOLE = PPI’S
- -SONE = GLUCOCORTICOID, CORTICOSTEROID
- ANTIBIOTICS
- ANALGESICS (TALWIN)
- FIBER LAXATIVES (METAMUCIL)
INFLAMMATORY BOWEL DISEASES:
- CHRON’S DISEASE
- ULCERATIVE COLITIS
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