<h3>Pathophysiology: there are two conditions in IBD that are characterized by chronic inflammation of the digestive tract. Ulcerative colitis causes long-lasting inflammation and ulcers in the digestive tract on the innermost lining. Crohn’s disease causes inflammation deep in the layers of the GI tract throughout.</h3>
Overview
<ol>
<li style="font-weight: 400;">Autoimmune inflammatory conditions affecting the GI tract</li>
<li style="font-weight: 400;">Periods of remissions and exacerbations</li>
</ol>
<h3>Nursing Points</h3>
<h4 style="padding-left: 30px;">General</h4>
<ol style="padding-left: 60px;">
<li style="font-weight: 400;">Ulcerative Colitis
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Affects colon &amp; rectum</li>
<li style="font-weight: 400;">Poor absorption of nutrients</li>
<li style="font-weight: 400;">Edema + Lesions + Ulcers</li>
<li style="font-weight: 400;">10-20 Stools/day
<ol>
<li style="font-weight: 400;">Blood &amp; mucus</li>
</ol>
</li>
</ol>
</li>
<li style="font-weight: 400;">Crohn’s
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Affects entire GI tract</li>
<li style="font-weight: 400;">May affect other body systems (especially skin &amp; lymphatic system)</li>
<li style="font-weight: 400;">Thickening + scarring + abscesses</li>
<li style="font-weight: 400;">5-6 Stools/day
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Pus &amp; mucus</li>
</ol>
</li>
</ol>
</li>
</ol>
<h4 style="padding-left: 30px;">Assessment</h4>
<ol style="padding-left: 60px;">
<li>Review specific lessons for Ulcerative Colitis and Crohn’s Disease</li>
</ol>
<h4>Therapeutic Management</h4>
<ol>
<li style="font-weight: 400;">Major medication classes
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Corticosteroids
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Decreases inflammation</li>
<li style="font-weight: 400;">Risk for Cushing’s Syndrome with chronic use</li>
<li style="font-weight: 400;">i.e. Methylprednisolone</li>
</ol>
</li>
<li style="font-weight: 400;">Salicylates
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Inhibits pro-inflammatory chemicals (prostaglandins, interleukin-I, Tumor Necrosis Factor)</li>
<li style="font-weight: 400;">i.e. Sulfasalazine</li>
</ol>
</li>
<li style="font-weight: 400;">Immunomodulators
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Decreases immune and inflammatory response</li>
<li style="font-weight: 400;">Helps decrease need for corticosteroids</li>
<li style="font-weight: 400;">i.e. Azathioprine or Methotrexate</li>
</ol>
</li>
<li style="font-weight: 400;">Antidiarrheals
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Decrease loss of fluid and electrolytes</li>
<li style="font-weight: 400;">i.e. Loperamide</li>
</ol>
</li>
</ol>
</li>
<li style="font-weight: 400;">Surgical options
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Bowel resection or Colectomy
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Ulcerative Colitis &#8211; curative</li>
<li style="font-weight: 400;">Crohn’s &#8211; palliative </li>
</ol>
</li>
<li style="font-weight: 400;">Surgical removal of abscesses</li>
</ol>
</li>
</ol>
<h4 style="padding-left: 30px;">Nursing Concepts</h4>
<ol style="padding-left: 60px;">
<li style="font-weight: 400;">Fluid &amp; Electrolyte Balance
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Loss of fluids in diarrhea</li>
<li style="font-weight: 400;">Loss of electrolytes in diarrhea</li>
<li style="font-weight: 400;">Malabsorption</li>
</ol>
</li>
<li style="font-weight: 400;">Nutrition
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Anorexia</li>
<li style="font-weight: 400;">Malabsorption</li>
</ol>
</li>
<li style="font-weight: 400;">Elimination
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Multiple stools/day</li>
<li style="font-weight: 400;">Blood or mucus in stools</li>
</ol>
</li>
</ol>
<h3>Patient Education</h3>
<ol>
<li>Review specific lessons for Ulcerative Colitis and Crohn’s Disease</li>
</ol>

Med-Surg | Gastrointestinal

02-05-nursing-care-and-pathophysiology-for-inflammatory-bowel-disease-ibd

02.05 Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)

<h3>Pathophysiology: Ulcerative colitis is chronic inflammation and ulcers in the digestive tract on the innermost lining. </h3>
Overview
<ol>
<li style="font-weight: 400;">Chronic inflammation of mucosa and submucosa in colon and rectum</li>
<li style="font-weight: 400;">Progresses upward from rectum to cecum</li>
</ol>
<h3>Nursing Points</h3>
<h4 style="padding-left: 30px;">General</h4>
<ol style="padding-left: 60px;">
<li style="font-weight: 400;">Results in poor absorption of nutrients</li>
<li style="font-weight: 400;">Edema + lesions + ulcers
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Possible perforation</li>
</ol>
</li>
<li style="font-weight: 400;">Exacerbation and remission episodes</li>
</ol>
<h4 style="padding-left: 30px;">Assessment</h4>
<ol style="padding-left: 60px;">
<li style="font-weight: 400;">10-20 liquid stools per day 
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Blood and mucus</li>
</ol>
</li>
<li style="font-weight: 400;">Malnutrition</li>
<li style="font-weight: 400;">Dehydration</li>
<li style="font-weight: 400;">Electrolyte imbalances</li>
<li style="font-weight: 400;">Anorexia</li>
</ol>
<h4 style="padding-left: 30px;">Therapeutic Management</h4>
<ol style="padding-left: 60px;">
<li style="font-weight: 400;">Medications
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Corticosteroids</li>
<li style="font-weight: 400;">Salicylates</li>
<li style="font-weight: 400;">Immunomodulators</li>
<li style="font-weight: 400;">Antidiarrheals</li>
</ol>
</li>
<li style="font-weight: 400;">Maintain NPO during acute phase </li>
<li style="font-weight: 400;">Administering IV fluids and electrolytes</li>
<li style="font-weight: 400;">Reduce intestinal activity</li>
<li style="font-weight: 400;">Diet therapy
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Low residue</li>
<li style="font-weight: 400;">High protein</li>
<li style="font-weight: 400;">High calorie</li>
<li style="font-weight: 400;">Vitamins and iron</li>
<li style="font-weight: 400;">Avoid foods that may exacerbate symptoms
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Raw vegetables and fruits</li>
<li style="font-weight: 400;">Nuts</li>
<li style="font-weight: 400;">Popcorn</li>
<li style="font-weight: 400;">Whole-grains</li>
<li style="font-weight: 400;">Cereals</li>
<li style="font-weight: 400;">Spicy</li>
</ol>
</li>
</ol>
</li>
</ol>
<h4 style="padding-left: 30px;">Nursing Concepts</h4>
<ol style="padding-left: 60px;">
<li style="font-weight: 400;">Fluid &amp; Electrolytes
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Weigh daily </li>
<li style="font-weight: 400;">Maintain accurate I&amp;O</li>
<li style="font-weight: 400;">Monitor &amp; replace electrolytes</li>
</ol>
</li>
<li style="font-weight: 400;">Nutrition
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Encourage diet adherence</li>
<li style="font-weight: 400;">Nutrient/Calorie dense foods</li>
<li style="font-weight: 400;">Keep NPO in acute exacerbations</li>
</ol>
</li>
<li style="font-weight: 400;">Elimination
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Monitor stools for blood</li>
<li style="font-weight: 400;">Administer Antidiarrheals</li>
<li style="font-weight: 400;">Monitor for bowel perforation
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Rigid abdomen</li>
<li style="font-weight: 400;">Pain &amp; guarding</li>
</ol>
</li>
<li style="font-weight: 400;">Perform perineal care</li>
</ol>
</li>
</ol>
<h3>Patient Education</h3>
<ol>
<li style="font-weight: 400;">Appropriate dietary needs</li>
<li style="font-weight: 400;">Medication instructions and side effects</li>
<li style="font-weight: 400;">s/s to report to provider</li>
</ol>

02-06-nursing-care-and-pathophysiology-for-ulcerative-colitisuc

02.06 Nursing Care and Pathophysiology for Ulcerative Colitis(UC)

<h6>Pathophysiology: Crohn’s disease is autoimmune where the body will attack it&#8217;s own GI mucosa. It causes inflammation deep in the layers of the GI tract throughout.</h6>
<h3> 
Overview</h3>
<ol>
<li style="font-weight: 400;">Autoimmune inflammatory disease of GI mucosa anywhere from mouth to anus </li>
<li style="font-weight: 400;">Most often affects the terminal ileum</li>
</ol>
<h3>Nursing Points</h3>
<h4 style="padding-left: 30px;">General</h4>
<ol style="padding-left: 60px;">
<li style="font-weight: 400;">Thickening and scarring of intestinal walls</li>
<li style="font-weight: 400;">Ulcerations and abscesses</li>
<li style="font-weight: 400;">Remissions and exacerbations</li>
</ol>
<h4 style="padding-left: 30px;">Assessment</h4>
<ol style="padding-left: 60px;">
<li style="font-weight: 400;">Fever</li>
<li style="font-weight: 400;">Abdominal cramping</li>
<li style="font-weight: 400;">Abdominal pain after meals (relieved by defecation)</li>
<li style="font-weight: 400;">Diarrhea containing mucus or pus, possibly blood (5-6 stools/day)</li>
<li style="font-weight: 400;">Anemia</li>
<li style="font-weight: 400;">Electrolyte imbalances</li>
<li style="font-weight: 400;">Malnutrition</li>
</ol>
<h4 style="padding-left: 30px;">Therapeutic Management</h4>
<ol style="padding-left: 60px;">
<li style="font-weight: 400;">Diet Therapy
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Low residue</li>
<li style="font-weight: 400;">High protein</li>
<li style="font-weight: 400;">High calorie</li>
<li style="font-weight: 400;">Vitamins and iron</li>
</ol>
</li>
<li style="font-weight: 400;">Medications &#8211; similar to Ulcerative Colitis
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Corticosteroids</li>
<li style="font-weight: 400;">Salicylates</li>
<li style="font-weight: 400;">Immunomodulators</li>
<li style="font-weight: 400;">Antidiarrheals</li>
</ol>
</li>
<li style="font-weight: 400;">Surgical Options
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Bowel Resection &#8211; NOT curative</li>
</ol>
</li>
</ol>
<h4 style="padding-left: 30px;">Nursing Concepts</h4>
<ol style="padding-left: 60px;">
<li style="font-weight: 400;">Fluid &amp; Electrolytes
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Weigh daily </li>
<li style="font-weight: 400;">Maintain accurate I&amp;O</li>
<li style="font-weight: 400;">Monitor &amp; replace electrolytes</li>
</ol>
</li>
<li style="font-weight: 400;">Nutrition
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Encourage diet adherence</li>
<li style="font-weight: 400;">Nutrient/Calorie dense foods</li>
<li style="font-weight: 400;">Keep NPO in acute exacerbations</li>
</ol>
</li>
<li style="font-weight: 400;">Elimination
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Monitor stools for blood</li>
<li style="font-weight: 400;">Administer Antidiarrheals</li>
<li style="font-weight: 400;">Perform perineal care</li>
</ol>
</li>
</ol>
<h3>Patient Education</h3>
<ol>
<li style="font-weight: 400;">Appropriate dietary needs</li>
<li style="font-weight: 400;">Medication instructions and side effects</li>
<li style="font-weight: 400;">s/s to report to provider</li>
</ol>
<div style="margin-top: 20px; margin-bottom: 20px; width: 100%;background:white;border-radius:4px;padding:20px">
 <center>
 Want to learn more? View a suggested lesson<h4 style="margin: 10px;"><a href="https://admin.nursing.com/lesson/nursing-care-plan-for-inflammatory-bowel-disease-ulcerative-colitis-crohns-disease-2/" style="text-decoration:none;">Nursing Care Plan for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)</a></h4><h4 style="margin: 10px;"><a href="https://admin.nursing.com/lesson/nursing-mnemonics-christmas/" style="text-decoration:none;">Crohn&#8217;s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)</a></h4></center>
 </div>

crohns-disease

Nursing Care and Pathophysiology for Crohn&#8217;s Disease

In this course, you'll be able to learn different mnemonics that will help you to remember the need to know nursing information!

nursing-mnemonics-cram

Aortic Aneurysm – Management Nursing Mnemonic (CRAM)

nursing-mnemonics-pee-bads

Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)

nursing-mnemonics-sad

Aortic Stenosis Symptoms Nursing Mnemonic (SAD)

nursing-mnemonics-be-joan-of-arc

Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)

nursing-mnemonics-toilet-paper-my-ass

Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)

nursing-mnemonics-the-5-ps

Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)

nursing-mnemonics-i-have-a-right-to-camp-if-you-left-off-the-ac

Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)

nursing-mnemonics-please-read-his-text

Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)

nursing-mnemonics-unload-fast

CHF Treatment Nursing Mnemonic (UNLOAD FAST)

nursing-mnemonics-the-4-ts

Cyanotic Defects Nursing Mnemonic (The 4 T’s)

nursing-mnemonics-chop

Heart Failure-Left-Sided Nursing Mnemonic (CHOP)

nursing-mnemonics-left-lung-right-rest

Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)

nursing-mnemonics-head

Heart Failure – Right Sided Nursing Mnemonic (HEAD)

nursing-mnemonics-ape-to-man

Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

nursing-mnemonics-the-4-cs

Hypertension- Complications Nursing Mnemonic (The 4 C’s)

nursing-mnemonics-diuretic

Hypertension – Nursing care Nursing Mnemonic (DIURETIC)

nursing-mnemonics-vak

Increase MAP Nursing Mnemonic (VAK)

nursing-mnemonics-hard-ass-mrs-msd

Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)

nursing-mnemonics-tv-sparc-cube

Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)

nursing-mnemonics-his-leg-might-fall-off

Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)

nursing-mnemonics-cold-hand

Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)

nursing-mnemonics-triple-h-therapy

Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)

Cardiovascular (Cardiac, CVD) Mnemonics

nursing-mnemonics-kult

Anion Gap Acidosis 1 Nursing Mnemonic (KULT)

nursing-mnemonics-mudpiles

Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)

nursing-mnemonics-rome

Arterial Blood Gases Nursing Mnemonic (ROME)

nursing-mnemonics-universally-odd

Blood Type O Nursing Mnemonic (Universally Odd)

nursing-mnemonics-piso

Electrolytes – Location in Body Nursing Mnemonic (PISO)

nursing-mnemonics-groans-moans-bones-stones-overtones

Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)

nursing-mnemonics-machine

Hyperkalemia – Causes Nursing Mnemonic (MACHINE)

nursing-mnemonics-dry-hot-insulin-shot

Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)

nursing-mnemonics-aired

Hyperkalemia – Management Nursing Mnemonic (AIRED)

nursing-mnemonics-murder

Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)

nursing-mnemonics-model

Hypernatremia – Causes Nursing Mnemonic (MODEL)

nursing-mnemonics-salt

Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)

nursing-mnemonics-cats

Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)

nursing-mnemonics-tired

Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)

nursing-mnemonics-6-ls

Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)

nursing-mnemonics-salt-loss

Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)

nursing-mnemonics-all-dogs-eat-kibble

Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)

nursing-mnemonics-birth-control

Vitamins – Water Soluble Nursing Mnemonic (Birth Control)

Electrolytes & Labs Mnemonics

nursing-mnemonics-batted

ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)

nursing-mnemonics-beep

Bleeding Complications (Minor) Nursing Mnemonic (BEEP)

nursing-mnemonics-mr-dice-runs

Mnemonic for Organ Systems (MR DICE RUNS)

nursing-mnemonics-randi

Bleeding Precautions Nursing Mnemonic (RANDI)

nursing-mnemonics-coal

Canes Nursing Mnemonic (COAL)

nursing-mnemonics-clpn

Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)

nursing-mnemonics-cho-cho-chon

CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)

nursing-mnemonics-map-it

Community Health Tool Nursing Mnemonic (MAP-IT)

nursing-mnemonics-i-prepare

Environmental Health Assessment Nursing Mnemonic (I PREPARE)

nursing-mnemonics-fit

Exercise Guidelines Nursing Mnemonic (FIT)

nursing-mnemonics-pass

Fire Safety 1 Nursing Mnemonic (PASS)

nursing-mnemonics-race

Fire Safety 2 Nursing Mnemonic (RACE)

nursing-mnemonics-brow

Gluten Free Diet Nursing Mnemonic (BROW)

nursing-mnemonics-kings-eat-big-cakes

High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)

nursing-mnemonics-scum

IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)

nursing-mnemonics-never-carry-dirty-socks-or-smelly-clothes

Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)

nursing-mnemonics-cake-everyday

Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)

nursing-mnemonics-opqrst

Pain Assessment Questions Nursing Mnemonic (OPQRST)

nursing-mnemonics-precede-proceed

Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)

nursing-mnemonics-pooper-scoop

Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)

nursing-mnemonics-perrla

Pupil Reactions Nursing Mnemonic (PERRLA)

nursing-mnemonics-madle

Safety Check Nursing Mnemonic (MADLE)

nursing-mnemonics-sbar

SBAR Communication Nursing Mnemonic (SBAR)

nursing-mnemonics-soapie

Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)

nursing-mnemonics-fast

Stoke Assessments Nursing Mnemonic (FAST)

nursing-mnemonics-adpie-a-delicious-pie

Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)

nursing-mnemonics-aapie-an-apple-pie

Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)

nursing-mnemonics-abcdefghi

Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)

nursing-mnemonics-traumatic

Trauma – Complications Nursing Mnemonic (TRAUMATIC)

nursing-mnemonics-ample

Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)

nursing-mnemonics-start

Triage Nursing Mnemonic (START)

nursing-mnemonics-wandering-wilma-always-late

Walkers Nursing Mnemonic (Wandering Wilma Always Late)

old-carts

OLD CARTS Mnemonic (OLD CARTS)

Fundamentals & Nursing Process Mnemonics

nursing-mnemonics-anorexia

Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)

nursing-mnemonics-pains

Appendicitis – Assessment Nursing Mnemonic (PAINS)

nursing-mnemonics-bulimia

Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)

nursing-mnemonics-washed

Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)

nursing-mnemonics-christmas

Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)

nursing-mnemonics-please-bring-happy-energy

Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)

nursing-mnemonics-bad-hits

Causes of Pancreatitis Nursing Mnemonic (BAD HITS)

nursing-mnemonics-brat

Diarrhea – Treatment Nursing Mnemonic (BRAT)

nursing-mnemonics-please-fix-his-abscess-soon

Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)

nursing-mnemonics-air-raid

Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)

nursing-mnemonics-reflux-is-probably-mean

GERD causes Nursing Mnemonic (Reflux Is Probably Mean)

nursing-mnemonics-her-belly-really-hurts-following-dinner

Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)

nursing-mnemonics-5-fs

Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)

nursing-mnemonics-the-3-cs

Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)

Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)

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