58 Crohn's Disease
BUY
THE CHEAPEST DRUGS ONLINE FROM: DrugstoreOnlineShop.com
Crohn's Disease
1. Admit to:
2. Diagnosis: Crohn's disease.
3. Condition:
4. Vital signs: q8h. Call physician if BP >160/90, <90/60; P >120, <50; R>25,
<10; T >38.5
C
5. Activity: Up ad lib in room.
6. Nursing: Inputs and outputs. NG at low intermittent suction (if obstruction).
7. Diet: NPO except for ice chips and medications for 48h, then low residue or
elemental diet, no milk products.
8. IV Fluids: 1-2 L NS over 1-3h, then D5 1 NS with 40 mEq KCL/L at 125
cc/hr.
9. Special Medications:
-Mesalamine (Asacol) 400-800 mg PO tid or mesalamine (Pentasa) 1000 mg
(four 250 mg tabs) PO qid OR
-Sulfasalazine (Azulfidine) 0.5-1 gm PO bid; increase over 10 days to 0.5-1
gm PO qid OR
-Olsalazine (Dipentum) 500 mg PO bid.
-Infliximab (Remicade) 5 mg/kg IV over 2 hours; MR at 2 and 6 weeks
-Prednisone 40-60 mg/d PO in divided doses OR
-Hydrocortisone 50-100 mg IV q6h OR
-Methylprednisolone (Solu-Medrol) 10-20 mg IV q6h.
-Metronidazole (Flagyl) 250-500 mg PO q6h.
-Vitamin B
12
, 100 mcg IM for 5d then 100-200 mcg IM q month.
-Multivitamin PO qAM or 1 ampule IV qAM.
-Folic acid 1 mg PO qd.
10. Extras: Abdominal x-ray series, CXR. GI consult.
11. Labs: CBC, SMA 7&12, Mg, ionized calcium, blood C&S x 2; stool Wright's
stain, stool culture, C difficile antigen assay, stool ova and parasites x 3.
Ulcerative Colitis
1. Admit to:
2. Diagnosis: Ulcerative colitis
3. Condition:
4. Vital signs: q4-6h. Call physician if BP >160/90, <90/60; P >120, <50; R>25,
<10; T >38.5
C
5. Activity: Up ad lib in room.
6. Nursing: Inputs and outputs.
7. Diet: NPO except for ice chips for 48h, then low residue or elemental diet, no
milk products.
8. IV Fluids: 1-2 L NS over 1-2h, then D5 1 NS with 40 mEq KCL/L at 125
cc/hr.
