Celiac DiseaseJolene RodriguezSilmon Simmons

Michelle MartinezNorma Villanueva

Cecil RussellAlisha RedickJess Boswell

What is it?

• Celiac disease is an autoimmune disease whereby the consumption of gluten causes atrophy of the small intestine’s villi, resulting in malnutrition and related disease processes.

• Gluten is a protein found in wheat and other grains like barley and rye

What happens if you have it?

• Typical GI manifestations include flatulence, bloating, steatorrhea, and diarrhea.

• Malabsorption of nutrients in the small intestine may also lead to anemia, osteoporosis, arthritis, dental defects, and behavioral issues.

• Failure to thrive in children is almost guaranteed if the disease is not detected early.

a person with celiac disease may be deficient in one or all of these nutrients

Vitamin C Vitamin B complex Vitamin D Vitamin K

Vitamin A Vitamin E folic acid calcium magnesium

potassium zinc selenium iron copper manganese

phosphorus iodine fluoride chloride

What treatments are available?

• The only reliable treatment is a lifelong gluten-free diet.

• This includes minimally processed meats, eggs, dairy products, nuts, potatoes, rice, and produce.

• Corticosteroids are sometimes administered to control inflammation of the gut.

How is it diagnosed?

• Intestinal biopsy is the most accurate means of diagnosing celiac disease

• Detection of immunoglobulin A (IgA) antitissue transglutaminase and IgA antibody in the blood

Nursing interventions and patient teaching

• Monitor intake and output and electrolytes• Monitor CBC and liver enzyme values• Provide parenteral nutrition if necessary• Teach patient to avoid wheat, barley, rye, and oats for the rest of his

or her life. Teach patient to look for hidden sources of gluten in processed foods and medications.

• Educate patient about long-term corticosteroid use. Prolonged corticosteroid therapy may cause hypertension, hyperglycemia, weight gain, and osteoporosis.

ReferencesListing of vitamins - Harvard Health. (n.d.). Retrieved February 26, 2016, from

http://www.health.harvard.edu/staying-healthy/listing_of_vitamins

Lewis, S. M., Heitkemper, M. M., & Dirksen, S. R. (2013). Medical-surgical nursing: Assessment and management of clinical

problems. St. Louis: Mosby.