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학습 자료 둘러보기 →In a severe UC flare with 8-10 bloody stools/day, the immediate threat is hypovolemic shock from massive fluid and electrolyte loss. Monitor I&O, daily weights, and serum electrolytes (especially potassium) to guide resuscitation.
Do not confuse chronic management with acute priorities. Hemodynamic stability (vital signs, LOC) takes precedence over nutrition, medication, or psychosocial support during the initial presentation of a severe exacerbation.
Avoid antidiarrheals (e.g., loperamide) and high-fiber foods in acute severe UC; they can precipitate toxic megacolon or worsen bowel irritation.
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