A Case Report on Management of Crohn's disease

Abstract

Crohn's disease that can affect any portion of the gastrointestinal  tract, caused by inflammation in all of the bowel's layers. The symptoms might well be confused with those of other intestinal diseases, making diagnosis difficult to manage. Medical therapy is still the most common form of treatment. However, in situations of acute abdomen, surgical intervention is required. The main diagnosis, therapeutic intervention and outcome: After physical examination and investigation doctor diagnosed a case of Crohn's disease with patient was treated analgesics drug to reduce pain, analgesic, antipyretic drugs gives to reduce complications. Therapeutic intervention: Present case took the medical management with Crohn's disease, antipyretics given, such Tab. Paracetamol 500 mg (BD), Inj. Ceftriaxone 1gm IV (BD), Inj. Pantoprazole 40 Mg iv (OD), Inj. Ondensetron 4MG iv (TDS) for 7 days.  Outcome: - Patient was taken medications as per doctor order such as paracetamol to reduce their pain and also patient condition was good with the medical treatment. Now patient’s symptoms reduced and he had in better condition.

Nursing perspectives: - Administered fluid replacement ie. DNS and RL. Monitor vital signs and Check BP per hourly. Maintained intake and output chart and provided adequate rest and sleep to the patient. Administered medications according to doctor’s order. Hydrotherapy given because patient had fever.

Conclusion: - The patient was admitted in A.V.B.R.H. with chief complaint of Crohns illness It causes gastrointestinal system inflammation, which can lead in digestive problems, loose stools, fatigue, weight loss, and malnutrition. Inflammation etc. This case of Crohns illness the patient taken all treatment with proper medication. The patient’s condition was improved.