(2) Treatment of mild cases of diverticulitis includes antibiotics,
antispasmodics, stool softeners, and liquid diet.
(3) Severe cases of diverticulitis, or cases that involve perforation,
obstruction, fistula, or peritonitis may require surgical intervention. Colon resection may
be necessary to remove the diseased portion of the bowel. A temporary or permanent
colostomy may be indicated.
d. Nursing Implications.
(1) Reinforce patient education regarding dietary modification. Increased
roughage in the diet may prevent intestinal contents from lodging in the diverticula.
Roughage includes grains, fruits, vegetables, and fiber.
(2) When symptoms occur, the patient should immediately alter his diet to
one that is bland and nonirritating.
(3) Diet should include adequate fluid intake to avoid constipation.
Constipation encourages inflammation of the bowel.
Vital signs and I&O should be monitored closely.
Observe stools for color and consistency.
(6) If surgery becomes necessary, observe routine preoperative and
postoperative nursing care procedures.
Section VII. HEPATO-BILIARY DISORDERS
Hepatitis is inflammation of the liver with destruction of liver cells. Hepatitis may
be viral or non-viral in origin.
a. Viral hepatitis includes:
Type A hepatitis virus (infectious hepatitis).
Type B hepatitis virus (serum hepatitis).
Type non-A/non-B hepatitis virus.
b. Non-viral hepatitis includes:
Toxic hepatitis (acute liver cell necrosis).
Drug induced hepatitis.