Alterations In Protein and fat Metabolism

Question 0

Gout

Answer 0

Inborn error in purine metabolism
Assessment- 
High uric acid level
Joint deterioration
Implementation- low purine diet: no fish or organ meats

Question 1

Phenylketonuria (PKU)

Answer 1

Inborn error in metabolism
Assessment-
High blood phenylalanine
Results in mental retardation
Implementation- milk substitute, low protein diet

Question 2

Celiac disease

Answer 2

Inborn error in wheat and rye metabolism
Assessment- 
Intestinal Malabsorption- malnutrition
Diarrhea, failure to thrive
Implementation- 
Gluten-free diet: no wheat, oats, rye, barley

Question 3

Alterations in fat metabolism: hepatobiliary disease

Answer 3

Assessment:
Fat metabolism
Fatty stools- float, light in color
Implementation- 
Low-fat, high protein diet
Vitamins

Question 4

Cystic fibrosis

Answer 4

Assessment- absence of pancreatic enzyme
Malabsorption of fat, fat soluble vitamins
Infection and lung disease
Implementation-
Pancreatic enzyme replacement- take before it with meal
High-protein, high-calorie diet

Question 5

Atherosclerosis

Answer 5

Assessment:
High blood cholesterol and triglyceride levels
Risk factors, diet, HtN, diabetes, smoking
Implementation
Low sat fat diet
Cholesterol-lowering agents