NCLEX Crohns
NCLEX Crohns
NCLEX Crohns
PATHOPHYSIOLOGY
Crohn’s disease is an autoimmune
inflammatory bowel disease that affects
the entire GI tract, but primarily the
ileocecal region of the large and small
intestine. It causes scarring, ulcerations,
and abscesses in the wall of the
intestines that lead to multiple mucousy
stools per day and problems with fluid &
electrolyte imbalances. Crohn’s disease
goes through periods of remissions and
exacerbations. Unfortunately, a colon
resection or colectomy would only be By Samir at English Wikipedia - Originally from en.wikipedia; description page is/was here.,
palliative because Crohn’s disease can CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=2107297
ASSESSMENT FINDINGS
Fever
Abdominal cramping
Abdominal pain after meals (relieved by defecation)
Diarrhea containing mucus or pus, possibly blood (5-6 stools/day)
Anemia
Electrolyte imbalances Malnutrition
DIAGNOSTICS
Endoscopy Tissue biopsy
Colonoscopy
NURSING PRIORITIES
Balance Fluid & Electrolytes Manage Elimination Needs
Optimize Nutritional Status
THERAPEUTIC MANAGEMENT
Maintain NPO during acute phase Low residue, high protein, high calorie diet
Administering IV fluids and electrolytes Avoid foods that exacerbate symptoms
Reduce intestinal activity
MEDICATION THERAPY
Corticosteroids Immunomodulators
Salicylates Antidiarrheals