Low Fiber Diet Casey Harvel Katelyn Hines Loma Saleh ● Irritable bowel syndrome (IBS) ● Acute diverticulitis ● Crohn’s disease ● Ulcerative colitis (UC) Indications ● Abdominal pain and distension Manifestations ● Nausea and vomiting ● Bloating ● Changes in bowel patterns ● Endoscopy tic s o n g a i ns D o i t a u l a Ev ● Endoscopy ● CT tic s o n g a i ns D o i t a u l a Ev ● Endoscopy ● CT ● Colonoscopy tic s o n g a i ns D o i t a u l a Ev ● IBS: ○ Alosetron ○ Eluxadoline ○ Rifaximin Medications ● ● IBS: ○ Alosetron ○ Eluxadoline ○ Rifaximin Diverticulitis: ○ Ciprofloxacin ○ Amoxicillin Medications ● ● ● IBS: ○ Alosetron ○ Eluxadoline ○ Rifaximin Diverticulitis: ○ Ciprofloxacin ○ Amoxicillin Crohn’s disease and UC ○ Prednisone ○ Azathioprine ○ Metronidazole Medications ● ● ● IBS: ○ Alosetron ○ Eluxadoline ○ Rifaximin Diverticulitis: ○ Ciprofloxacin ○ Amoxicillin Crohn’s disease and UC ○ Prednisone ○ Azathioprine ○ Metronidazole NOL E L TY L!!! L A FOR Medications Nursing Interventions ● Monitor for signs of dehydration ● Monitor serum electrolyte levels ● Assess for abdominal distention ● Pain management ● Administer antibiotics ● Encourage ambulation and exercise ● Reduce stress factors ● Educate about diet References Cleveland Clinic. (2020, April 1). Diverticulosis & Diverticulitis. Cleveland Clinic. Diverticulosis. (n.d.). Www.meddean.luc.edu. Retrieved March 14, 2023, from Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-Surgical Nursing: Assessment and management of clinical problems (11th ed.). Elsevier, Inc. Healthline. (2020, June 3). Low Fiber Diet: Foods, Plans, and More. Healthline. Johns Hopkins Medicine. (2023). Digestive Diagnostic Procedures. Www.hopkinsmedicine.org. Koh, K. H., Kim, S. W., Lee, S. Y., Lee, H. J., Yu, H. M., Jeon, B. J., Kwon, D. H., & Lee, S. T. (2013). A Case of Parasite Invasion of the Intestinal Tract: A Missed Diagnosis in Irritable Bowel Syndrome. Clinical Endoscopy, 46(6), 671. https://doi.org/10.5946/ce.2013.46.6.671 Mayo Clinic. (2018a). Crohn’s disease - Diagnosis and treatment - Mayo Clinic. Mayoclinic.org. Mayo Clinic. (2018b). Irritable bowel syndrome - Diagnosis and treatment - Mayo Clinic. Mayoclinic.org. Mayo Clinic. (2019). Ulcerative colitis - Diagnosis and treatment - Mayo Clinic. Mayoclinic.org.