Question

Describe the pathophysiology, clinical manifestations, nursing care, and collaborative management of patients with lower gastrointestinal disorders: UC?

Answer 1

Ans

Pathophysiology

Disease is confined in the rectum and lead to polyp formation and it is due to ilitis

Edema and erythema occur and in chronic form haemorrhage occurs

Clinical manifestations

1- painless bloody diarrhoea-10-15 times/ day

2-Anemia

3-Toxic megacolon

4-Hypoproteinemia- puffy eye,,pedal edema

5-Malignancy

Nursing care

1- Give nutrition to the patient

2- food is not give in starting day but started in the later day but soft diet is given

3- total parentral nutrition is given is given in starting days

Management

1- Drug of choice- SULPHASALAZINE is converted in 5-amino salicylic acid

2- Budesonide enema

3- azothioprine

4- infliximab

5- sulfasalzine

If medical thearpy fail - proctocolectomy