Nutrition in Adults

Question 1

DETERMINE

Answer 1

Disease
eating poorly
Tooth loss
economics
reduced social contact
multiple meds
involuntary weight change
need for assistance
elderly

Question 2

5 Domains nutrition assessment

Answer 2

1. Nutritional History
2. Anthropometrics (Ht, Wt, %BF, BMI, etc)
3. Biochemical data
4. Physical findings
5. Social history

Question 3

5 Rs IBS Tx

Answer 3

Remove offenders
Replace enzymes
Reinoculate (Pre/Probiotics)
Repair ( VitC, Zn, Glu, Taur, Om-3)
Rebalance (Lifestyle changes)

Question 4

IBS Diet

Answer 4

Low FODMAP; NO:

• Free frustose (Apple, cheery, mango)
• LActose
• Fructans (Artichokes, chicory, wheat, rye, barly, legumes)
• Galacto-oligosaccharides (Legumes/lentils/chickpeas)
• Polyols (Plum, prune, cauliflower, mushroom, snowpeas, sugar alcohols)

Question 5

Liver Disease Nutrition

Answer 5

*ALL nutrients at risk

Hepatitis: Small freq meals; No Raw meats/dairy

Cirrhosis: Low salt; well balanced and frequent meals; watch glucose

Question 6

Treatment for Non-alcolohlic fatty liver

Answer 6

Lose weight

Question 7

Pancratitis Nutrition

Answer 7

• Initailly NPO
• Low fat; no EtOH
• May need enzyme replacement
• Hyperglycemia control
• Enteral > parenteral

Question 8

Indications for Parenteral support

Answer 8

• NPO or inadequate intake
• MAlnourished t unable to eat >3-5 d
• Normally nourished unable to east > 7 days