Exam (elaborations)
Jean Inman_ Domain II MNT - Questions with Explanations of Answers
- Course
- Institution
Jean Inman_ Domain II MNT - Questions with Explanations of Answers
[Show more]
Seller
Follow
stuviaexam
Content preview
Jean Inman: Domain II MNTUlcer: Definition - ✅✅ -A sore that develops on the lining of the esophagus,
stomach, or small intestine.
Ulcer: Treatment - ✅✅ -- Antibiotics (kill H. pylori bacteria)
- Drug therapy: Cimetidine, Ranitidine - H2 blocker to decrease acid secretion
- Diet as tolerated
- Omit cayenne, black pepper, chili powder, avoid excess alcohol, black pepper
Hiatal Hernia: Definition - ✅✅
-Condition in which part of the stomach pushes up
through the diaphragm muscle
✅✅-small, bland feedings
Hiatal Hernia: MNT -
When does dumping syndrome usually occur? - ✅✅-Follows a gastrectomy
(Billroth I, II), gastic surgery
Dumping Syndrome: Definition - ✅✅
-physiologic response to RAPID GASTRIC
EMPTYING into the jejunum, manifested by nausea, weakness, sweating,
palpitations, syncope, and possibly diarrhea
Billroth I: Definition -✅✅
-Gastroduodenostomy
- Attaches remaining stomach to the duodenum
✅✅
Biliroth II: Definition - -Gastrojejunostomy
- Attaches the remaining stomach to the jejunum
Which 2 Vitamins/Minerals are affected by gastrectomys? - ✅✅-Calcium and Iron
Dumping Syndrome: MNT - ✅✅-Frequent small, DRY FEEDINGS, fluids
before/after meals.
- Protein at each meal
- Moderate fat
- B12 injections maybe
Schilling Test - ✅✅-Diagnoses pernicious anemia
- lack of IF
✅✅
What 2 deficiencies are associated with Dumping Syndome/Gastroectomys? -
-B12 and Folate deficiency
- B12: lack of IF d/t dec HCl
- Folate: needs B12 for transport
,Gastroparesis: Definition - ✅✅ -delayed gastric emptying
- surgery, diabetes, viral infections, obstructions
Gastroparesis: Medications - ✅✅-Prokinetics (erythromycin, metoclopramide)
Gastroparesis: MNT - ✅✅ -- Small, frequent meals
- pureed foods
- avoid high fiber
- avoid high fat (liquid fat may be better tolerated)
✅✅-Chronic GI disease, intestinal lesions
Tropical Sprue: definition -
Tropical Sprue: complications, deficiencies - ✅✅-- diarrhea, malnutrition
- B12 and folate deficiency d/t decreased HCl and IF
Tropical Sprue: Treatment & MNT - ✅✅
-- antibiotics
- high calories, high protein
- B12 injections and Folate supplements
Non-Tropical Sprue (Celiac Disease) -✅✅-Reaction to gluten (gliadin in wheat)
Non-Tropical Sprue (Celiac Disease): Complications - ✅✅-Malabsorption
- macrocytic anemia
- weight loss
- diarrhea
- steatorrhea
- iron deficiency anemia
What to avoid if you have Non-Tropical Sprue: gliadin-free - ✅✅
-No WROB
(Wheat, Rye, Oat, Barley)
No CBBOGMTD (Couscous, Bran, Bulgur, Orzo, Graham, Malt, Thickening agents,
Durum)
Constipation: MNT - ✅✅-High fluid, high fiber, exercise
Diverticulosis: Definition - ✅✅-Presence of diverticula - small mucosal sacs that
protrude through the intestinal wall d/t structural weakness.
Diverticulosis: MNT - ✅✅ -High fiber diet.
This increases volume and weight of residue while providing rapid transit
Diverticulosis: Complications (2) - ✅✅-Constipation, Lifelong intra-colonic
pressures
, Diverticulitis: Definition -✅✅
-When diverticula become inflamed as a result of food
and residue accumulation and bacterial action.
Diverticulitis: MNT - ✅✅-Clear liquids, low residue or elemental gradual return to
high fiber
Gastritis -✅✅ -Inflammation of stomach
- anorexia, N/V, diarrhea
✅✅-clear liquids; advance as tolerated, avoid gastric irritants
Gastritis: MNT -
Crohn's Disease: location in intestine - ✅✅-Inflammatory Bowel Disease that
affects the TERMINAL ILEUM
Crohn's Disease: 2 Deficencies -✅✅-B12 deficiency and Iron Deficiency Anemia
Crohn's Disease: B12 deficiency leads to...? - ✅✅-Megaloblastic Anemia
Crohn's Disease: What causes Fe deficiency anemia? - ✅✅-Blood loss and
decreased absorption
Ulcerative Colitis: location in the intestine - ✅✅-IBD of the COLON, begins in the
rectum
Ulcerative Colitis: Complications (2) - ✅✅-BLOODY DIARRHEA & ELECTROLYTE
DISTURBANCE
Crohn's Disease: Acute Chronic Flare-up MNT - ✅✅-Bowel rest, parenteral
nutrition or minimal residue
Ulcerative Colitis: Acute UC Treatment - ✅✅-Elemental diet may be needed to
minimize fecal volume
When IBD is in remission or under control - MNT - ✅✅-High fiber to stimulate
peristalsis
IBD MNT (4-6) - ✅✅ -- maintain fluid and electrolyte balance
- antidiarrheal agent (sulfasalazine)
- ENERGY NEEDS ACCORDING TO CURRENT BMI
- LIMIT FAT ONLY IF STEATORRHEA
- HIGH FAT MAY IMPROVE ENERGY BALANCE
- ASSESS Ca, Mg, Zn (loss in steatorrhea)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller stuviaexam. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.79. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79751 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now