Process & Nutrition

Question 0

How long on Stage I (liquid diet)?

Answer 0

2 weeks post op

Question 1

Daily Goal for Protein

Answer 1

> 75 g

Question 2

How long on Stage II (purée diet)?

Answer 2

2 weeks (week 3 & 4 post op)

Question 3

What % must have follow up surgery to correct a complication?

Answer 3

10-20%. Most common is abdominal hernia.

Question 4

What % develop vitamin deficiencies?

Answer 4

30%

Question 5

What is expected loss?

Answer 5

55-75%

Question 6

What is the calorie goal for the 1st 6 months?

Answer 6

Between 600 & 800

Question 7

Minimum water?

Answer 7

64 oz (8 eight oz)

Question 8

No aspirin prior to surgery

Answer 8

10 days

Question 9

Day before prep

Answer 9

Regular meal at lunch.
Only clear liquids after 4pm
At least 6 eight oz water
No food or water after midnight

Question 10

What are clear liquids

Answer 10

Water
Coffee or tea
Apple, grape, or cranberry juice
Bouillon
Broth
Gelatin

Question 11

Post op activity

Answer 11

Deep breathing
Coughing
Leg exercises
Walking

Question 12

No strenuous activity for how long?

Answer 12

3 weeks

Question 13

How far should you be walking by week 6?

Answer 13

2 miles

Question 14

Lifting restriction

Answer 14

<10lbs for 6 weeks

Question 15

Common Complications

Answer 15

Nausea
Vomiting
Dehydration
Bowel changes
Hernia
Thrush
anemia
Hair and skin loss
Scars

Question 16

Long term complications

Answer 16

Gallstones
Ulcers
Bowel obstruction due to scarring
Iron deficiency

Question 17

Wait time after meals before drinking

Answer 17

60 min

Question 18

What type of calcium should be avoided?

Answer 18

Carbonate because it isn’t readily absorbed.

Take citrate instead

Question 19

3 types of exercise?

Answer 19

Cardio
Strength
Flexibility

Question 20

Cardio for maintaining

Answer 20

20 minutes, 3 or 4 times a week

Question 21

Weight loss cardio

Answer 21

30-45 minutes, 5 times a week

Question 22

Hospital cardio

Answer 22

Begin 4 hours after surgery, 5 minutes every hour, more is better

Question 23

Heavy lifting

Answer 23

None for 3 months

Question 24

8 rules of weight loss

Answer 24

``` Water is critical Eat only at mealtime Primary nutrition should be protein No liquids when eating solids Avoid foods high in sugars Stop eating when you feel full Regular exercise Support groups ```

Question 25

What is ghrelin?

Answer 25

Hormone that stimulates hunger

Question 26

How long on chewable vitamins?

Answer 26

At least 6 months

Question 27

Vitamin and mineral intake

Answer 27

Multi 2x Calcium with D 2 or 3x not with meals B-12 maybe

Question 28

In Phase I diet, when does it go full liquid instead of clear?

Answer 28

Day 3

Question 29

Goals for Phase I

Answer 29

``` No vomiting Get 64oz fluid Get 75g protein No stomach stretching Take supplements ```

Question 30

When to start suppliments

Answer 30

Day 3

Question 31

Meal nutritional goals

Answer 31

20-27 G protein 5-7 g carbs 3 g fat