Malabsorption Syndromes Flashcards
What is malaborption syndrome?
Malaborption results from the bodies inability to aborb the required nurtients. This can be caused by a deficiency in enzymes typically needed to break down food products, mechanical disruption of the mucosal layer of the intestine, or the loss of intestinal surface area
What are some diseases that lead to malabsorption?
- Lactose Intolerance
- Celiac Disease
Lactose Intolerance
Also known as lactase deficiency, is a condition where the lactase enzyme needed to break down lactose is deficient or absent
Celiac Disease
Also known as celiac sprue or gluten-sensitive enteropathy, is an autoimmune condition where the ingestion of gluten causing inflammation. Gluten is found in wheat, rye, and barley.
Causes of lactose intolerance
Genetic Link
Assessment of lactose intolerance
- Bloating
- Flatulence
- Cramping abdominal pain
- Diarrhea
- Symptoms occur within a half hour to several hours after ingesting a milk product
Diagnostic Tests Lactose Intolerance
- Lactose Intolerance Test
- Lactose Hydrogen breath test
Nursing Diagnosis for Lactose Intolerance
Imbalanced Nutrition, less than body requirements r/t gastrointestinal symptoms
Malaborption Syndrome
Results from impaired absorption of fats, carbs, proteins, minerals, and vitamins
TNIs for Lactose Intolerance
- Avoid milk and milk products
- Cultured buttermilk, yogurt, sour cream may be better tolerated by patients with low lactose levels
- Lactase Enzyme (lactaid)
Celiac Disease Define
Hypersensitive reponse initiated by gluten that causes injury to the villi of intestines
Assessment of Celiac Disease
- Foul smelling diarrhea
- Steatorrhea (fat in feces)
- Flatulence
- Abdominal Distention
- Symptoms of malnutrition
- Weight Loss
Celiac Disease Diagnostic Test
- Blood antigen testing
- Biopsy of small intenstine (endoscopy)
Nursing Diagnosis for Celiac Disease
Imbalanced nutrition, less than body requirements r/t gastrointestinal symptoms
TNIs for Celiac Disease
- Low gluten diet
- gluten is found in grains of wheat, rye, barley, oats
- Corn and rice become substitute grain foods