Ulcerative Colitis Crohn’s Disease
Both charac ter ized as chronic inflammation of
the gi tract. They are both characte rized as
aut oimmu ne disease whe re the body attack s
itself. Comes & goes with "flare ups" then
remission.
Causes
Stress •
Smoking •
Sepsis•
Pathophysiology
Inflammation of the ent ire GI tract •
(mou th to anus) but mainly the
small intestines are af fecte d with
sporadic Skip lesions that do not
bleed. ( healthy tissue amoung
diseased tissue) with the diseased
tissue there is dee p inflammat ion
which can lead to fistulas.
Granolas can be seen too which are
lumps & bumps all over the small
intestines which looks like
cobbles tone (30 - 40% of the time )
Pathophysiology
inflammation of colon & •
rectum with ulcers that
can bleed affecting
superficial outer layer of
gi tract
Inflammatory Bowel Disease (IBD)
Nursing interventions
Fluid and electroly tes •
Stri ct I&Os ◦
💦2L of water daily (more with ◦
diarrhea)
Hypokalemia (3.5 of less) ◦
Dail y multi v it amins containing ◦
calcium
Diet •
High protein & calories ◦
Low fiber ◦
Keep food journa l ◦
Small freque nt meal s ◦
Pain •
Administer analgesics ◦
🥂Avoid alcohol ◦
☕Reduce caf feine ◦
Psychosocial •
Stress reduction ◦
Enco urage pt to discuss feelings◦
Both UC & Crohns •
UC only •
Croh ns only•
Signs & symptoms
5 loose stools/ day with mucus •
and pus
Ste atorr hea (fatt y stools)•
Signs & symptoms
15-20 bloody liquid stools/ •
day 🩸💩
Can lead to anemia ◦
↓H&H ‣
( hemoglobin &
hem ato crit)
Rebound te nderne ss → •
report to HCP
