This document contains an ulcerative colitis concept map created by a nursing student. It outlines the risk factors, clinical manifestations, classifications, complications, assessments/diagnoses, medications, nursing diagnoses, and management of ulcerative colitis. Key points include that ulcerative colitis is a chronic inflammatory disease of the colon and rectum classified as mild, moderate, or severe. It causes abdominal pain and bloody diarrhea. Complications can include anemia, electrolyte imbalances, and in severe cases toxic megacolon. Nursing focuses on fluid management, skin care, monitoring for complications, and helping patients cope.
This document contains an ulcerative colitis concept map created by a nursing student. It outlines the risk factors, clinical manifestations, classifications, complications, assessments/diagnoses, medications, nursing diagnoses, and management of ulcerative colitis. Key points include that ulcerative colitis is a chronic inflammatory disease of the colon and rectum classified as mild, moderate, or severe. It causes abdominal pain and bloody diarrhea. Complications can include anemia, electrolyte imbalances, and in severe cases toxic megacolon. Nursing focuses on fluid management, skin care, monitoring for complications, and helping patients cope.
This document contains an ulcerative colitis concept map created by a nursing student. It outlines the risk factors, clinical manifestations, classifications, complications, assessments/diagnoses, medications, nursing diagnoses, and management of ulcerative colitis. Key points include that ulcerative colitis is a chronic inflammatory disease of the colon and rectum classified as mild, moderate, or severe. It causes abdominal pain and bloody diarrhea. Complications can include anemia, electrolyte imbalances, and in severe cases toxic megacolon. Nursing focuses on fluid management, skin care, monitoring for complications, and helping patients cope.
This document contains an ulcerative colitis concept map created by a nursing student. It outlines the risk factors, clinical manifestations, classifications, complications, assessments/diagnoses, medications, nursing diagnoses, and management of ulcerative colitis. Key points include that ulcerative colitis is a chronic inflammatory disease of the colon and rectum classified as mild, moderate, or severe. It causes abdominal pain and bloody diarrhea. Complications can include anemia, electrolyte imbalances, and in severe cases toxic megacolon. Nursing focuses on fluid management, skin care, monitoring for complications, and helping patients cope.
NURSING INTERVENTIONS RISK FACTORS It is a chronic ulcerative & CLINICAL MANIFESTATIONS
CLASSIFICATION inflammatory disease of the mucosal Promote rest Begins before age 30 and subcutaneous layers of the colon Ulcerative Unpredictable periods of remission Relieve pain Race or ethnicity (Caucasians) proctitis Exacerbation with bouts of and rectum; classified as mild, severe Maintain fluid intake Family history Proctosigmoiditis abdominal cramps (tenesmus) or fulminant Bloody purulent diarrhea (6 or more Reduce anxiety through relaxation techniques Lower socioeconomic status Left-sided colitis Advise smoking cessation programs Environment/where you live Pancolitis each day Prevent skin breakdown with proper skin care Smoking Multiple ulcerations at the anal area Some antibiotics ASSESS/ DX Diffuse inflammation COMPLICATIONS Desquamation or shedding of the Abdominal x—ray studies colonic epithelium NURSING DIAGNOSES Colonoscopy with biopsy Anemia Bleeding (mild or severe) CT scan Electrolyte imbalances Diarrhea related to the inflammatory process Edematous mucosa MRI Anorexia Deficient fluid volume related to anorexia, nausea and Left lower quadrant abdominal pain Ultrasound studies Hypoalbuminemia diarrhea Passage of mucus, pus or blood Stool examination Toxic megacolon Activity intolerance related generalized weakness Weight loss Barium enema Perforation Risk for impaired skin integrity related to malnutrition Fever Sigmoidoscopy Osteoporotic fractures and diarrhea Vomiting Colon cancer Anxiety related to impending surgery Dehydration MEDS Pallor Fatigue Corticosteroids MANAGEMENT Antibiotics NURSING MEDICAL/SURGICAL Aminosalicyates Sedatives Enhance coping mechanisms IV therapy or oral fluids EIMs (Extraintestinal Manifestations) Anti-diarrheals/ Preventing skin breakdown through perianal care Bland, low residue, high-protein, high-calorie diet with supplemental vitamin antiperistaltic Monitor serum electrolytes daily therapy and iron supplements Skin lesions (erythema) Immunomodulators Report dysrhythmias and changes in level of consciousness Avoid foods that exacerbate diarrhea such as spicy foods or dairy Eye lesions Monoclonal bodies Closely monitor rectal bleeding Medication regimen Joint abnormalities Monitor vital signs periodically Total colectomy with ileostomy Liver disease Administer electrolyte replacements and vitamin K for clotting factors Proctolectomy with ileostomy Monitor indications of perforation