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Questions and Answers
What dietary change may benefit some patients with Crohn disease?
For patients with intestinal strictures, which dietary change is contraindicated?
What type of nutritional support is used during an acute exacerbation of Crohn disease?
Why might some patients with IBD seek integrative therapies?
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What is one potential risk associated with using total parenteral nutrition (TPN)?
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Which of the following is true regarding probiotics and IBD?
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What self-care measure can help patients manage discomfort associated with IBD?
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Which therapeutic approach can improve the quality of life for patients with IBD?
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What is the main goal of drug therapy in patients with inflammatory bowel disease (IBD)?
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Which route of administration is used for drug therapies that act locally in the ileum and upper colon?
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Which drug category is primarily used to induce remission during acute exacerbations of IBD?
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Why should drug therapy for IBD continue even when the patient is asymptomatic?
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What effect can antigens in the diet have on patients with IBD?
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What should patients treated with immunosuppressant drugs do regarding immunization schedules?
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Which class of drugs is typically prescribed to reduce gastrointestinal motility in patients with chronic diarrhea due to IBD?
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What is a primary reason for patients on corticosteroids to report any symptoms or fevers to their healthcare provider?
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Study Notes
Treating Inflammatory Bowel Disease (IBD)
- Goal: Treat acute inflammation as quickly as possible, reduce relapses, and control chronic inflammation.
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Drug Therapy:
- Routes of Administration: Oral, subcutaneous, intravenous, time-release, rectal.
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Drug Categories:
- 5-aminosalicylic acid derivatives
- Corticosteroids
- Biologic therapies
- Janus-associated kinase inhibitors
- Acute Exacerbations: Corticosteroids to reduce inflammation and induce remission.
- Chronic Use: Many patients need long-term low-dose corticosteroids to prevent relapse.
- Antibiotics/Antiprotozoals: Used for intestinal abscesses or fistulas.
- Antidiarrheal agents: Loperamide (Imodium) and diphenoxylate (Lomotil) can help manage diarrhea.
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Important Considerations:
- Continue drug therapy even when asymptomatic.
- Avoid exposure to infectious diseases.
- Report any symptoms or fevers to HCP.
- Inform HCP of IBD treatment when receiving other medical care.
- Adjust immunization schedules for pediatric patients.
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Nonpharmacologic Therapy:
- Dietary Management: Individualized; some benefit from eliminating milk products.
- Fiber: Increased fiber can reduce diarrhea, but contraindicated with intestinal strictures.
- Nutritional Support: Collaborate with a nutritionist to ensure proper calorie, protein, and micronutrient intake.
- Acute Exacerbation: Complete bowel rest with enteral or total parenteral nutrition (TPN).
- Elemental Diets: Provide essential nutrients but may not be palatable.
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Complementary Health Approaches:
- Probiotics: Some may improve IBS symptoms, but effects vary; generally considered low risk.
- Alternative therapies: Limited research on effectiveness and safety, especially with herbal supplements; discuss all potential therapies with HCP.
- Stress Management: Mindfulness training, cognitive-behavioral therapy, and stress management can improve quality of life.
- Self-Care: Exercise, abdominal massage, and warm baths can help manage discomfort.
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Description
This quiz covers the treatment strategies for Inflammatory Bowel Disease (IBD), focusing on drug therapy and management of acute exacerbations. Learn about various drug categories, routes of administration, and important considerations for long-term management. Get ready to test your knowledge on IBD treatment protocols!
