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    Stephanie Talbot
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    DIVERTICULOSIS: A. Pouch-like hernia 1. 2. 1. 2. 3. 4. 5. 6. Diverticulitis: inflammation of diverticula Cause= congenital or acquired, occurs more in men. Most commonly affects sigmoid colon. Causes weakened areas musculature, usually where blood vessels interrupt continuity of colon As we age muscles weaken.

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    DIVERTICULOSIS: A. Pouch-like hernia 1. 2. 1. 2. 3. 4. 5. 6. Diverticulitis: inflammation of diverticula Cause= congenital or acquired, occurs more in men. Most commonly affects sigmoid colon. Causes weakened areas musculature, usually where blood vessels interrupt continuity of colon As we age muscles weaken.

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    27 views3 pages

    Diverticulosis Outline

    Uploaded by

    Stephanie Talbot
    DIVERTICULOSIS: A. Pouch-like hernia 1. 2. 1. 2. 3. 4. 5. 6. Diverticulitis: inflammation of diverticula Cause= congenital or acquired, occurs more in men. Most commonly affects sigmoid colon. Causes weakened areas musculature, usually where blood vessels interrupt continuity of colon As we age muscles weaken.

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    of 3

    DIVERTICULOSIS: A. DIVERTICULA- pouch-like hernia 1. 2. 1. 2. 3. 4. 5. 6.

    DIVERTICULOSIS- many diverticula DIVERTICULITIS- inflammation of diverticula Cause= congenital or acquired, occurs more in men Affects muscular layer of small intestines & colon, most commonly affects sigmoid colon Occurs weakened areas musculature, usually where blood vessels interrupt continuity of colon As we age muscles weaken Muscular layer colon hypertrophies, thicken, becomes rigid submucosal & mucosa herniates Food/bacteria become trapped diverticulitis, which can penetrate leading to abscess & peritonitis C. SIGNS & SYMPTOMS: 1. 2. 3. 4. 5. 6. 7. LLQ abdominal pain Abdominal distention Tenderness on palpation i. In acute phase, rebound tenderness, guarding & rigidity N&V Low grade fever w/ chills & tachycardia Palpable mass in rectum Orthostatic hypotension- if bleeding present sepsis & hypovolemic shock

    B. ETIOLOGY & PATHOPHYSIOLOGY

    D. DIAGNOSTICS & LABS: 1. 2. 3. 4. 5. 6. Increased WBC Guaiac stool- check blood, ova, parasites, bacteria Urinalysis- check blood HgB, HCT- if bleeding Barium swallow- det. Diverticula Upper GI series-det. Diverticula E. COLLABORATIVE INTERVENTIONS: 1. DRUG THERAPY i. Antibiotics: Metronidazole, trimethoprim, sulfamethoxazole (Bactrim, Spectra) ii. Analgesics: Demerol, Morphine iii. Iv fluids & Iv antibiotics iv. Anticholinergics- to decrease intestinal motility 2. REST i. Bed rest in acute phase ii. Teach no lifting, straining, coughing , activities that increase IAP, bending 3. DIET THERAPY i. Clear liquids in acute phase ii. NPO when severe, w/ NG for N&V iii. IV fluids iv. Increase dietary intake slowly 10. 9. 8. 7. Barium enema- det. Diverticula in large intestine Abdominal flat panel x-raydet. If air/fluid in abdominal cavitysuggests abscess/peritonitis CT scan- dx for abscess & thickening of bowel Sigmoidoscopy- r/o presence of tumors

    4.

    SRUGERY i. Colon resection w/without colostomy

    F. DIETARY TEACHING: 1. 2. 3. 4. 5. High fibre diet- high in cellulose & hemicelluloses ex. Wheat bran, whole wheat grains, cereals, fresh fruits & vegetables (@ least 25-35g fibre) Adequate fluids to decrease bloat Psyllium hydrophilic mucilloid (Metamucil) if cant tolerate extra fibre Avoid alcohol & high fibre (w/ exacerbations) Limit fat intake to 30% total calories

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