Primary Nursing Diagnosis

Alteration in nutrition: Less than body requirements related to anorexia, diarrhea, and decreased absorption of the intestines

OUTCOMES. Nutritional status: Food and fluid intake; Nutrient intake; Biochemical measures; Body mass; Energy; Bowel elimination; Endurance

INTERVENTIONS. Nutrition management; Nutrition therapy; Nutritional counseling and monitoring; Fluid/electrolyte management; Medication management; Enteral tube feeding; Intravenous therapy; Total parenteral nutrition administration


MEDICAL. Drug therapy is the typical method used to control the inflammatory process. Sul-fasalazine is the primary drug used to achieve remission. After remission is established, dosages are generally reduced, and patients continue on this agent for at least 1 year after an acute attack.

To maintain fluid and electrolyte balance during acute attacks, intravenous (IV) fluids are generally prescribed, and electrolytes may be added to the solutions as needed. Blood transfusions may also be prescribed if the patient is anemic because of numerous bloody diarrheal stools. To achieve bowel "rest," the patient is usually given nothing by mouth. During this time, nutritional deficits may be managed through the use of total parenteral nutrition with vitamin supplements. Helping patients maintain an adequate nutritional status, fluid balance, and electrolyte balance is a priority nursing measure. Record intake and output accurately every shift. Note the number of stools and stool characteristics.

Gradually, as the acute attack subsides and inflammation clears, the patient is placed on a low-residue, low-fat, high-calorie, high-protein, lactose-free diet.

SURGICAL. Surgery may be performed when patients fail to respond to conservative treatment, if acute episodes are frequent, or when a complication such as bleeding or perforation occurs. The standard surgical procedure, when performed, is a total proctocolectomy with ileostomy. This procedure is considered a permanent cure for ulcerative colitis. To prepare the patient for surgery, administer bowel preparations such as laxatives and enemas.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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