GI specific diets Flashcards
dumping syndrome (DS) typical meds
sedatives and antispasmodics
5 S/S of DS
- Vertigo and syncope
- Tachycardia and palpitations
- Abdominal distention, cramping, and pain
- Diarrhea and nausea
- Diaphoresis
DS: ?protein, ?fat, and ?carb diet
high protein, high fat, low carb
DS dry diet
no fluids 30-45 minutes before with or after meals
what position should DS eat in
semi=recumbent, and laying down after eating to delay gastric emptying
pt w DS= ? meals/day
5-6 small meals
S/S of GERD
heart burn
medication for GERD
antacids, H2R blockers, PPI
GERD pt should avoid eating what
chocolate, fatty foods, and large meals at night
GERD pt should avoid doing what after meals
laying down
for sleeping GERD pt should do what
elevate HOB or use pillows to prop head up
what is a hiatal hernia (HH)
part of the stomach pushing up through diaphragm
S/S of HH
- Gastric acid reflux into esophagus; substernal burning sensation
- Gastritis with bleeding and anemia
what to avoid with PUD
NSAIDS, stress, alcohol, milk, cream, caffeine, excessive seasonings, black pepper, chocolate, and smoking
what is the most common form of PUD
duodenal ulcer
what is peptic ulcer disease (PUD)
Tissue loss on the surface of the GI mucosa of the esophagus, stomach, or duodenum caused by H. pylori
S/S of PUD
- Abdominal pain 1⁄2 - 1 hour after meal
- Vomiting
- Hemorrhage
HH tx ?
small and frequent meals
weight loss
avoid leaning over or lying down immediately after meals
sleep w HOB elevated
antacids
two types of IBS
crohns disease and ulcerative colitis
when and how should PUD pt’s have meals
small, frequent and nutritious
important for PUD pt to never have a …
completely empty stomach.
S/S of IBS
- Abdominal pain
- Diarrhea
- Rectal bleeding
- Perforations
- Weight loss
IBS tx
Small, frequent meals
2. Low-fat, low-residue/fiber, high-protein, high-calorie diet
3. Vitamin and mineral supplements: D, zinc, calcium, magnesium, B9, B12, iron
4. Avoid foods high in oxalate
5. Increase antioxidant intake
6. Use probiotics and prebiotics
what is colostomy
an opening form the colon out through the abd wall. stoma required
what type of diet for colostomy pt
low residue/fiber, low fat, low simple sugar
colostomy pt should avoid what foods/drinks
food that may increase odor/gas, such as beans, onions, cabbage, eggs, fish,
alcohol, cucumbers, broccoli, Brussels sprouts, cauliflower, turnips, radishes,
asparagus, mushrooms, garlic, carbonated beverages, sausage, and sauerkraut
colostomy pt should include what in their diet
foods that help eliminate odor such as: yogurt with live and active cultures, buttermilk, spinach, parsley, tomato juice, and cranberry juice
