ASPEN ch 30 Short Bowel Syndrome

Question 1

when initiating enteral feedings in pt with SBS, formula needs to be ____

Answer 1

isotonic

Question 2

ppl with SBS have risk of developing ___ stones

Answer 2

calcium-oxalate

Question 3

most appropriate initial feeding regimen for SBS pt

Answer 3

isotonic, polymeric, fibre containing formula administered continuously

Question 4

clincal manifestations of SBS:

Answer 4

diarrhea, dehydration, lyte abnormalities, macro and micro deficiencies, wt loss

Question 5

most common cause of SBS

Answer 5

crohn’s

Question 6

3 types of SBS:

Answer 6

jejunoileocolonic anastomosis, jejunocolonic anastomosis, end jejunostomy

Question 7

type of SBS with best prognosis?

Answer 7

jejunoileocolonic anastomosis

Question 8

primary site of CHO, pro, and water soluble vit absorption

Answer 8

proximal jejunum

Question 9

primary site of absorption of B12

Answer 9

terminal ileum

Question 10

the colon primarily does this:

Answer 10

absorb water from stool, help prevent risk of dehydration, fermentation of fibre/cho

Question 11

areas of intestine that possess most potential for adaptation

Answer 11

ileum and colon

Question 12

bowel related complications in SBS

Answer 12

malabsorptive diarrhea, malnutrition, fluid and electrolyte disturbances, micronutrient deficiency, EFA deficiency, small bowel bacterial overgrowth, d lactic acidosis, renal dysfunction, metabolic bone disease, acid peptic disease, bowel obstruction

Question 13

pt with SBS who depend on PN longterm are at risk for :

Answer 13

PNALD (PN associated liver disease)

Question 14

how to reduce risk of PNALD:

Answer 14

trophic enteral feedings, cyclical PN, moderation of soybean based emulsions, close monitoring for mineral toxicities