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24 Cards in this Set
- Front
- Back
Diarrhea
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increase in frequency of bowel movements or increase in water contents
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Osmotic Diarrhea
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Increased water efflux due to increase in osmolality.
Resolves when NPO Maldigestion, excessive sorbitol or fructose |
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Secretory Diarrhea
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Caused by bacteria
Treatment is to resolve infection. |
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Diarrhea - Nutritional Implications
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Fluid Losses - Dehydration, hyponatremia, hypokalemia
Metabolic acidosis Malnutrition Infants and Elderly |
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Diarrhea - Interventions
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NPO or Clear liquids (Beware of simple Carbs)
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Constipation
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Decreased in frequency of bowel movements
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Constipation - Nutrition
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Whole grains
Fiber 20 - 35 g Slowly increase Bulking agents |
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Celiac Disease (SMALL INTESTINE)
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inflammation of the small intestine caused by gluten
Damage to villie |
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Celiac Disease - Internvention
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Gluten-free for life
Low-residue, low-fat, lactose-free FAT 40 - 50 g |
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Irritable Bowel Syndrome
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Characterized by abdominal pain with diarrhea and/or constipation
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Irritable Bowel Syndrome Nutrition
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Focus on increasing fiber to 25 g/d
Adequate fluid Pre- and Probiotics Avoid Foods that produce gas |
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Inflammatory Bowel Disease
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Autoimmune, chronic inflammatory condition of the gastrointestinal tract
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Inflammatory Bowel Disease Types (two)
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Ulcerative Colitis (colon and rectum)
Crohn's disease (ileum and colon) |
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UC
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ulcerations lead to toxic megacolon; thin ulcerated colon
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Toxic Megacolon
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very inflated colon with abdominal distention and sometimes fever, abdominal pain or shock
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Fistula
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an abnormal openiong or passage between two internal organs to the surface of the body
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Crohn's
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Fat wrapping Fissures
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Irritable Bowel Disease - Nutritional Interventions
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Enteral > Parenteral S
Supplement Glutamine, Arginine PRO 1.5 - 1.75 g/kg Low Residue, lactose-free |
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Diverticulosis
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presenence of outpockets or pourches on the outer surface of small intestine or colon
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Dierticulitis
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acute inflammation of these pockets
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Diverticulosis - Nutrition
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increase fiber
Not Nuts, seeds hulls |
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Diverticulitis
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Low-fiber Diet for Bowel Rest
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Illeostomy & Colonstomy
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maintain fluid and electrolyte balance
Reduce insoluble / Increase Soluble After surgery Oral Diet Chew completely not tough Foods |
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Short Bowel - Nutritoin
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TPN post op
Sugar-free, isotonic liquids clear liquids first Next Low-residue, low-fat, lactose-free, low oxalate diet. No caffiene or alcohol Avoid Insoluble Fiber |