medical nutrition therapy for individuals Flashcards
Ulcer: omit___ avoid ___
pepper/chili powder, avoid excess caffeine and alcohol
hiatal hernia: ___,___ feedings
small bland feedings
Gastrectomy (Billroth I, II) may cause
Dumping syndrome
Dumping syndrome happens when rapidly hydrolyzed carb enters ___
jejunum, water comes in, BP drop, 2 hrs, absorbed sugar rise, insulin rice, reactive alimentary hypoglycemia
Billroth II affect what nutrients
Ca, Fe
pernicious anemia dx is ___
schilling test
gastroparesis: delayed ___ ___ may cause ____
gastric emptying, hyperglycemia.
bezoar formation in ___ pts dt undigested food/ med
gastroparesis
diet for gastroparesis:
small frequent meals, pureed food, avoid high fiber high fat.
celiac dz also called
non tropical sprue
symptom of celiac dz:
malabsorption (loss of fat soluble v) anemia, wt loss, D, steatorrhea
celiac dz need to avoid:
bran. graham, malt, bulgur, ccouscous, durum, orzo, thickening agents
small mucosal sacs: dz? diet?
diverticular dz, high fiber diet
gastritis is ___ of stomach, symptoms, diet
inflammation, anorexia, NVD, clear liquids
IBD has two kinds: regional, chronic
chrohn’s dz, UC
tx for IBD
Limit fat if steatorrhea, frequent feedings Ca Mg Zn supplement if fatty stool.
Lactose intolerance need to supplement
ca and riboflavin
diarrhea diet:
40% calories as fat, balance with limited fluids, restrict fruit juices with high osmolar loads
steatorrhea _g is indicative of malabsorption
7
SBS short bowel syd involved with which part of SI
ileum
what happens if ileal resection
B12 bile salt resorption, fluid, increased need for Ca Zn Mg
what to watch for with ilead resection (fat, fluid)
limit fat, use MCT to bypass bile salt, supplement Ca, Zn, Mg 1 L more water
with liver disease, liver enzymes are ___
elevated because tissue damage cause them to leak into circulation
___happens when blood cannot leave liver, ___happens when blood cant enter the liver
ascites, esophageal varices (connective tissues)