Inflammatory Bowel Disease

Divina G.
Paragas Kristine Bustillo
BSN – III Instructor
1. Video Summary
Inflammatory Signs and Tools for Diagnosis Assessing Prognosis
Bowel Disease Symptoms
Inflammatory bowel According to the According to the According to the
disease is an umbrella video, symptoms of video, no single test video, the prognosis
term used to describe IBD vary according is specific to of IBD is related to
disorders that involve to which part of the diagnosed IBD. And likelihood or having
chronic inflammation intestinal tract is these are the tools complications or
of digestive tract. It is involved. These are used in diagnosing needing surgery in
term for two stomach pain, bloody IBD such as, physical the future. It can be
conditions which are diarrhea, loss of history, physical determined in
Crohn’s disease and appetite, urgency, examination, different clinical
ulcerative colitis. In constipation, rectal laboratory tests, and factors such as, age
which the Crohn’s bleeding, fever, imaging information. of diagnosis of the
disease, inflammation anemia, and nausea These tools are used patient, need for
may reach through and vomiting. to determine type of surgery, need for
the multiple layers of IBD, extent of steroids, and even
the walls of the disease involvement, blood tests for
gastrointestinal tract, and the disease immune markers, and
while the ulcerative prognosis. genetics. All of these
colitis, the can help the
inflammation is physician choose
present only in the treatments.
innermost layer of the
lining of the colon.
2. Nursing Responsibilities on the following Diagnostic Procedures

 COLONOSCOPY NURSING RESPONSIBILITIES
Before
 Before a colonoscopy begins, a nurse performs an assessment of the patient. The nurse
takes vital signs and records important information including the patient’s current
medications, prior procedures, allergies, medical history and drug history. Additionally,
the nurse documents the patient’s skin color, pain tolerance levels, airway assessment,
concerns, admitting time and identification information.
During
 During a colonoscopy, a nurse is expected to record a patient’s vital signs, record
analgesia information, monitor the patient’s level of consciousness, record the patient’s
skin color, document fluids administered and procedures performed and record
equipment used. Registered nurses may also assist physicians in the procedures,
providing them with necessary equipment and supplies.
After
 Once a colonoscopy is performed, the endoscopy nurse performs an after-care routine. At
this time, the nurse will assess and record a patient’s vital signs, perform a pain
assessment, record unusual events or outcomes, record the patient’s disposition and
explain discharge instructions to the patient or designated caregiver.
 Endoscopy NURSING RESPONSIBILITIES

 Answering patient questions and addressing their concerns.
 Observing patient vital signs.
 Sedating patients before procedures.
 Recovering patients after procedures.
 Administering the necessary medication to patients.
 Keeping the patient informed throughout the duration of the procedure.
 Completing all necessary documentation including patient notes and discharge
documents.
 Preparing the instruments, equipment and supplies for the procedure.
 Cleaning and sterilizing equipment before use.
 Providing assistance to Doctors throughout the procedure.
 Administering IV drips.
 BARRIUM SWALLOW NURSING RESPONSIBILITIES

Before
 Make sure patient sign the consent form
 Ensure patient is fasting for at least 8 hours before the procedure
 Make sure patient remove any jewelry and charge into hospital gown
 Asked physician to explain the procedure to patient and give opportunity to asked any
question about the procedure
 Identify if patient have sensitive to or allergies to any medications, latex, type and
anesthetics agents (local ang general)
 Obtain history of the client’s gastrointestinal system, symptom and result of previously
performed laboratory test surgical procedure
 Record the date of the menstrual period and determine the possibility of pregnancy in
perimenopausal women
 Explain to the patient that some pain may be experienced during the test and there may
be moments of discomfort
 Obtain a list of the patient’s current medications including herbs, nutritional
supplements.
After
 Encourage the client to drink fluids and eat fiber after the test.
 A laxative is sometimes given after test.
 Document the client’s tolerance of the procedure and passage of the barium. Because the
procedure can be lengthy, encourage the client to take reading material.
 After x-ray test, take measures to prevent contrast medium impaction (fluids, laxative)
 Tell patient that stool may be white up to 72 hours after test.
 Give cathartic as prescribe.
 Tell the patient to notify the physician if he fails to expel the barium in 2 to 3 days.
 Monitor the patient for fatigue and fluids and electrolyte imbalance carefully after
procedure.
 The client should be instructed that bowel movement will be white for 1 to 2 days.
 Provide teaching and information regarding the clinical implication of the test results, as
appropriate.
 Answer any question or address any concerns voiced by the patient or family

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Divina G.

Paragas Kristine Bustillo

BSN – III Instructor

2. Nursing Responsibilities on the following Diagnostic Procedures

 Endoscopy NURSING RESPONSIBILITIES

 BARRIUM SWALLOW NURSING RESPONSIBILITIES

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