Nutrition Flashcards

1
Q

Duodenum

A
  • Powerhouse for absorption
  • Preferred site for absorption of calcium, magnesium, iron, folate
  • 10 inches long
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2
Q

Jejunum

A
  • Absorption of 90% of nutrients, calcium, zinc, drugs
  • 6-10 feet long
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3
Q

Ileum

A
  • Absorption of B12, bile salts
  • 10-13 feet long
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4
Q

Transverse colon

A
  • Absorbs water, electrolytes
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5
Q

Stomach

A
  • Mix/dilute chyme
  • Digest protein
  • Acidic
  • Add intrinsic factor
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6
Q

Short bowel syndrome

A
  • Intestinal dysfunction –> malabsorptive
  • Small bowel length
  • Loss of function of long segments of small bowel
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7
Q

Short bowel syndrome characterizations

A
  • Maldigestion
  • Malabsorption
  • Malnutrition
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8
Q

Results of short bowel syndrome

A
  • Inability to maintain nutritional. fluid, electrolyte homeostasis while consuming normal/healthy diet
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9
Q

Causes of short bowel syndrome

A
  • Small bowel resection
  • Functional (luminal absorption failure)
  • Birth defects
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10
Q

Short bowel syndrome adaptation

A
  • Compensatory
  • Intestinal villi grows in length and thickness
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11
Q

S/S of short bowel syndrome (9)

A
  • Severe diarrhea
  • Dehydration
  • Malnutrition
  • Steatorrhea
  • Fatigue
  • Pain
  • Vitamin/mineral deficiencies
  • Edema
  • Weight loss
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12
Q

Electrolyte imbalances in short bowel syndrome

A
  • Hyponatremia
  • Hypokalemia
  • Hypomagnesemia
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13
Q

Iron

A

Necessary in RBC production, component of Hgb

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14
Q

Iron deficiency

A
  • Anemia
  • Weakness
  • Fatigue
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15
Q

Folate

A

Synthesis of protein and rapidly dividing cells (GI lining/fetus), maintenance of mature RBCs

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16
Q

Folate deficiency(4)

A
  • Anemia
  • anorexia
  • Fatigue
  • Diarrhea
17
Q

Calcium

A

Bone formation, coagulation, nerve/muscle function

18
Q

Calcium deficiency(3)

A
  • Osteoporosis
  • Prolonged bleeding
  • Muscle spasm
19
Q

Magnesium

A

Maintains normal nerve/muscle function, bones, protein synthesis

20
Q

Magnesium deficiency (4)

A
  • Dysrythmias
  • Muscle cramps
  • Fatigue
  • Osteoporosis
21
Q

Bile salt

A

Necessary for digestion and absorption of fats

22
Q

Bile salt deficiency

A
  • Decreased absorption of fat soluble vitamins
  • Increased fat in stool
  • Decreased level of plasma proteins
23
Q

Fat soluble vitamins

A
  • A
  • D
  • E
  • K
24
Q

Zinc

A

Important for growth and cell turnover

25
Q

B12

A

Necessary in production of RBCs, nerve/brain health

26
Q

B12 deficiency (7)

A
  • Anemia
  • Anorexia
  • Sore mouth/tongue
  • Pallor
  • Weight loss
  • Nausea
  • Constipation
27
Q

Pharmacological treatment for short bowel syndrome (8)

A
  • Multivitamins, mineral supplements
  • Antidiarrheal medications
  • Bile acid binding resins
  • Pancreatic enzyme
  • Medications to reduce GI secretions
  • Teduglutide
  • Somatropin
  • Glutamine
28
Q

Antidiarrheal medications

A
  • Loperamide (Imodium)
  • Diphenoxylate atropine (lomotil)
  • Slow intestinal transit
29
Q

Bile acid binding resins

A
  • Cholestyramine (Questran)
  • Manage diarrhea from malabsorbed bile salts
30
Q

Pancreatic enzyme

A

Help with digestion

31
Q

Teduglutide

A

Increases surface area

32
Q

Somatropin

A

Enhances intestinal adaption

33
Q

Glutamine

A

Improves absoprtion

34
Q

Equipment needed for TPN

A
  • CVC
  • PICC
  • IV pump
  • Micron filter
35
Q

TPN contains

A
  • Proteins
  • Carbs
  • Fats
  • Vitamins
  • Minerals
36
Q

Pancreatitis - Grey Turner Sign

A

Gray, blue discoloration of flanks

37
Q

Cullen’s sign

A

Ecchymosis of umbilical area

38
Q

Pancreatitis labs

A
  • Increased amylase
  • Increased lipase
  • Increased bilirubin
  • Increased alkaline phosphatase
  • Decreased calcium/magnesium
  • Increased WBCs, BUN, triglycerides, glucose
  • Thrombocytopenia
  • Decreased albumin