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25 Cards in this Set
- Front
- Back
GI Disorders
Ulcer |
avoid foods that increase gastric secretions (cayenne, pepper, caffiene/alcohol)
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GI Disorders
Hiatal Hernia |
Avoid foods that increase gastric secretions (chili powder, black pepper)
-Small bland feedlings -Avoid late night snacks |
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GI Disorders
Dumping Syndrome |
-6 small feedings
-Restrict hypertonic sweets -High Protein -Moderate Fat -Fluids before or after meals |
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GI Disorders
IBD |
Crohn's disease (b12 deficiency/iron deficiency, decreased aborption)
Ulcerative Colitis - COLON, electrolytes H20 High PRO, High CHO, Low Fat |
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Lactose Intolerance is determined by
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Breath hydrogen test
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Jejunal resection of Short Bowel Syndrome
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ileum can adapt and take over jejunal functions
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MNT for Jejunal and ileal resection - SBS
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Jejunal normal CHO, Pro and Fat. 6 small feedings avoid lactose and large concentrated sweets.
Ileal - limit fats use MCT supplement fat-soluble vitamins |
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Functions of Livers
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stores and releases blood, filters toxic elements, metabolizes and stores nutrients, regulats frluid in electrolyte balance
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Liver Function Tests
Alkaline Phosphatase |
Increased - LIver and Bone disease
Decreased - Scurvy Malnutrition |
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Liver Function Tests
AST (SGOT) & ALT (SGPT) |
AST Increased - hepatitis
ALT increased - liver disease Decreased SGOT in uncontrolled diabetes with acidosis |
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Protein deficiences in Cirrhosis lead to
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ascites, fatty liver and impaired blood clotting
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Diet for cirrhosis
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high protein 0.8 - 1.0 / 1.5 stress
high calorie 25-35 estimated dry weight Moderate to low fat 25-40% of calories Low Fiber is varices is present Low fluid if hyponatremic |
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Wernicke-Korsakoff Syndrome
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Thiamin deficiency
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Reactive hypoglycemia
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occurs in Dumping Syndrome
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Celiac disease affects ____ not the _____ (in tropical sprue)
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Celiac disease ONLY affects the GI tract; Tropical sprue affects both the GI and can affect the STOMACH.
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Treatment of IBD
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Maintain fluid and electrolyte balance
Therapeutic Vitamin C High Cal / High PRO / Low Fat Iron, folate MCT oil Acute Crohn's - bowerl rest TPN or Low-Res Acute UC - Elemetal diet Remission - High Fiber diet |
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Chronic nonspecific infantile diarrhea
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GIve 40% calories as fat, blanced with limited fluids
Restrict juices with high osmolalities - apple, grape |
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Dumping Syndrome Process
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Hydrolyzed carbohydrate enters the jejunum,
Water is drawn into achieve osmotic balance. THIS CAUSES A RAPID DECREASE IN VACULAR FLUID COMPARTMENT & IN PERIPHERAL VASCULAR RESISTANCE. -Blood Pressure Drops CHO digested & absorbed rapidly Blood sugar rises stimulating an overproduction of insulin - Reactive or alimentary hypoglycemia. |
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Anemia in Dumping Syndrome
Iron B12 Folate |
Iron - Bleeding, impaired absorption
B12 - Lack of intrinsic factor and bacterial overgrowth Folate - Due to lack of b12 (cofactor) and poor intake |
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Tropical Sprue
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Chronic GI Disease, intestinal lesions (sometimes stomach too)
-Diarrhea, malnutrition of B12 & Folate (low intrinsic factor and HCL) - High calorie & PRO - IM B12 and oral folate |
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Celiac Disease
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Effects: Malabsorption, (fat soluble vitamins), macrocytic anemia, weight loss, diarrhea, steatorrhea, iron deficiency anemia
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Constipation
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High Fluid, High Fiber
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A high fiber diet may increase the needs for...
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Calcium, Magnesium, Potassium, Copper, Selenium, Zind and Iron
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A low fiber diet may lead to...
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Constipation
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MNT for Diverticulitis
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Clear Liquids, Low-residue or elemental, gradual return to high fiber
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