NURS 320 Lecture Notes - Lecture 3: Proctocolectomy, Sulfasalazine, Concept Map
14 Dec 2017
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Document Summary
Cortez lewis is a 42 year old real estate agent and mother of three pre-school aged children. She has had ulcerative colitis for 18 years and has been treated with prednisone and sulfasalazine. During the past 4 months she has been having abdominal pain and cramping and frequent bloody, diarrheal stools. During the same period, she has lost 20 pounds and has had difficulty maintaining her career. She recently developed several lesions of the lower leg identified as erythema nodosum. A recent colonoscopy revealed extensive involvement of the entire colon. On admission, mrs. lewis states i"m tired of fighting this disease. I am a prisoner in my home because of the diarrhea. she is admitted for a total proctocolectomy and ileal pouch anal anastomosis. Complaint of abdominal cramping, pain, and frequent bloody diarrheal stools. Several reddened lesions are noted on her lower legs. T 98 degrees f, p 72, r 20, bp 104/72.
