Crohn's disease and nursing care from a patient treated with corticosteroids: a case report
DOI:
https://doi.org/10.53713/nhs.v2i2.82Keywords:
Crohn's disease, children, nursing care, corticosteroidsAbstract
Crohn's is an inflammatory bowel disease that is treated with corticosteroids and has many side effects that nurses should be aware of during treatment. An 11-year-old girl was hospitalized with heartburn and dysentery with a diagnosis of Crohn's disease. Interventions performed for the patient included vital signs control every 6 hours. The itching was one of the symptoms during corticosteroid injection, which gradually decreased in severity. The nursing team did not provide any effective intervention for the patient's corticosteroid therapy. Patients undergoing corticosteroid therapy with interventions such as Control of vital signs from the first day of corticosteroid treatment, six hours before, during, and after administration, at different times, up to 24 hours Full. Measurements of blood glucose, serum sodium and potassium, and electrocardiogram should be performed before and four hours after administration on each day of corticosteroid therapy, as well as a corticosteroid injection time of more than 45 minutes.
References
Buchman, A. L. (2001). Side Effects of Corticosteroid Therapy. Journal of Clinical Gastroenterology, 33(4). doi: 10.1097/00004836-200110000-00006
Kappelman, M. D., Palmer, L., Boyle, B. M., & Rubin, D. T. (2009). Quality of care in inflammatory bowel disease: A review and discussion. Inflammatory Bowel Diseases, 16(1), 125-133. https://doi:10.1002/ibd.21028
Kelsen, J., & Baldassano, R. N. (2008). Inflammatory bowel disease: The difference between children and adults. Inflammatory Bowel Diseases, 14(suppl_2), S9-S11. https://doi:10.1002/ibd.20560
Kirkegaard, I., Obel, C., Hedegaard, M., & Henriksen, T. B. (2006). Gestational age and birth weight in relation to school performance of 10-year-old children: a follow-up study of children born after 32 completed weeks. Pediatrics, 118. https://doi:10.1542/peds.2005-2700
Malaty, H. M., Fan, X., Opekun, A. R., Thibodeaux, C., & Ferry, G. D. (2010). Rising Incidence of Inflammatory Bowel Disease Among Children: A 12-year Study. Journal of Pediatric Gastroenterology and Nutrition, 50(1), 27-31. https://doi:10.1097/MPG.0b013e3181b99baa
Patel, A., & Bahna, S. L. (2015). Immediate hypersensitivity reactions to corticosteroids. Annals of Allergy, Asthma & Immunology, 115(3), 178-182.e173. doi: https://doi.org/10.1016/j.anai.2015.06.022
Peres, E. M., Rodrigues, J. C., Leite, D. C., Souza, L. C., Peixoto, I. C., Dos Santos, T. B.,. Gomes, H. F. (2020). Development of an Educational Protocol Based on a Nursing Team's Knowledge of Pulse Therapy in Adolescents in Brazil. Journal Infusion Nursing, 43(4), 208-212. https://doi:10.1097/nan.0000000000000375
Purdy, I. B., Melwak, M. A., Smith, J. R., Kenner, C., Chuffo-Siewert, R., Ryan, D. J.,. Hall, S. (2017). Neonatal Nurses NICU Quality Improvement: Embracing EBP Recommendations to Provide Parent Psychosocial Support. Advances Neonatal Care, 17(1), 33-44. https://doi:10.1097/anc.0000000000000352
Richards, R. N. (2008). Side Effects of Short-Term Oral Corticosteroids. Journal of Cutaneous Medicine and Surgery, 12(2), 77-81. https://doi:10.2310/7750.2008.07029
Rosen, M. J., Dhawan, A., & Saeed, S. A. (2015). Inflammatory bowel disease in children and adolescents. JAMA pediatrics, 169(11), 1053-1060. https://doi:10.1001/jamapediatrics.2015.1982
Sandhu, B. K., Fell, J. M., Beattie, R. M., Mitton, S. G., Wilson, D. C., Jenkins, H.,. Nutrition. (2010). Guidelines for the Management of Inflammatory Bowel Disease in Children in the United Kingdom. Journal of Pediatric Gastroenterology and Nutrition, 50, S1-S13. https://doi:10.1097/MPG.0b013e3181c92c53
Veilleux, C., & Boulanger, A. (2019). Perineal pruritus in epidural dexamethasone injections. Canadian Journal of Pain= Revue Canadienne de la Douleur, 3(1), 167-168. https://doi.org/10.1080/24740527.2019.1650614
Ye, Y., Manne, S., Treem, W. R., & Bennett, D. (2020). Prevalence of inflammatory bowel disease in pediatric and adult populations: recent estimates from large national databases in the United States, 2007–2016. Inflammatory Bowel Diseases, 26(4), 619-625. https://doi.org/10.1093/ibd/izz182
