(^296) Medical-Surgical Nursing Demystified
- Administer vitamin B 12 and folic acid.
- Administer aminosalicylates to induce or maintain remission:
- mesalamine
- sulfasalazine
- olsalazine
- balsalazide
- Administer glucocorticoids to reduce inflammation:
- hydrocortisone
- budesonide
- Administer purine analogs to induce or maintain remission:
- azathioprine
- 6-mercaptopurine
- Administer methotrexate to induce or maintain remission.
- Administer antidiarrheal medications to decrease fluid loss; use with caution:
- diphenoxylate hydrochloride and atropine sulfate
- Intravenous fluids to maintain hydration.
- Surgical correction of intestinal obstruction, fistula, perforation.
NURSING DIAGNOSES
- Acute pain
- Risk for imbalanced nutrition: less than what body requires
- Altered bowel elimination
NURSING INTERVENTION
- Monitor vital signs for temperature increase, pulse increase, and change in
blood pressure. - Monitor intake and output.
- Assess abdomen for bowel sounds, tenderness, masses.
- Assess postoperative wound for signs of infection, drainage.
- Wound care postoperatively.
- Proper skin care if bowel-skin fistula:
- use of drainable pouch with skin wafer.