A client is admitted with inflammatory bowel syndrome (Crohn's disease). Which treatment measures should the nurse expect to be part of the care plan?
SELECT ALL THAT APPLY!
1) Laculose therapy
2) High fiber diet
3) High protein milkshakes
4) Corticosteroid therapy
5) Antidiarrheal medications
4) and 5) Corticosteroids, such as prednisone, reduce the S/S of diarrhea, pain, and bleeding by decreasing inflammation. Antidiarrheals, such as diphenoxylate (Lomotil), combat diarrhea by decreasing peristalsis.
Lactulose is used to treat chronic constipation and would aggravate the symptoms.
A high fiber diet, milk, and milk products are contraindicated in clients with Crohn's disease because they may promote diarrhea.