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Diverticulitis

Diverticulitis is occurs when the there is an inflammation in the diverticula, which is 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:

  • Antibiotics
  • Analgesics (Talwin)
  • Fiber laxatives (Metamucil)
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