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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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