Domain 2 - 8.29.11 P 10 - P 5

Front 1

strong heart diet study:

Back 1

native american diets
consume 12% less kcal than ave US
increased DM and heart dz

lacking in b vits and aoxs

Front 2

POMR:

Back 2

prob oriented medical record

Front 3

SAP

Back 3

screen assessment plan

Front 4

Ulcer treatment

Back 4

antacids, abxs
drugs: cimetidine, rantidine (H2 blockers)
diet: as tolerated. avoid late snacks.
avoid: pepper, child powder, caffeine, alc

Front 5

how does H2 blockers work?

Back 5

prevents binding of histamine to receptor. decreases acid secretion.

Front 6

hiatal hernia diet:

Back 6

small bland feedings.
avoid: late snacks, caffeine, spicy

Front 7

dumping syndrom occurs after:

Back 7

gastrectomy (billroth I and II)

Front 8

what occurs in duodemum?

Back 8

secretin
pancreozymin
both are released.little pancreatic stimulation if duodenum is bypassed.

Front 9

schilling test

Back 9

diagnoses pernicious anemia (b12 test)

Front 10

b12 def can by caused by:

Back 10

no intrinsic factor
bac overgrowth in loop of intestine being bypassed.

Front 11

dumping syndrom diet:

supps:

Back 11

supplement maybe: b12 (injections?), folate, Fe

6 feeds/d
fluids before or after meals
50-60% complex CHO
protein each meal
mod fat
may need to avoid lactose

Front 12

Tropical sprue treatment:
(diet, supplements and meds)

Back 12

Diet: high kcal, high protein
Supplement: b12 (IM), folate
Meds: Abx

Front 13

tropical sprue is chronic?

Back 13

yes. affects the stomach often as well.

Front 14

rye gluten

Back 14

secalin

Front 15

barley gluten

Back 15

hordein

Front 16

oats gluten

Back 16

avenin

Front 17

celiac affects this part of GI

Back 17

jejunum and ileum

Front 18

Celiac deficiencies:

Back 18

fat sol vits
macrocytic anemia
Fe def

Front 19

buckwheat for celiac?

Back 19

may be contaminated

Front 20

malt and celiac?

Back 20

can't eat it.

Front 21

bulgur and celiac?

Back 21

can't eat it.

Front 22

couscous and celiac?

Back 22

can't eat it.

Front 23

guar gum and celiac?

Back 23

ok.

Front 24

arrowroot and celiac?

Back 24

ok.

Front 25

carob bean and celiac?

Back 25

ok

Front 26

diverticulosis diet:

Back 26

high fiber

Front 27

diverticulitis diet

Back 27

clear liquids
than gradually return to high fiber diet.

Front 28

pectins and gums are ___ fiber:

Back 28

soluble

Front 29

delay gastric empyting. ___ fiber:

Back 29

sol

Front 30

oat bran. __ fiber:

Back 30

insol.
but rest of oats are soluble fiber...

Front 31

is fiber digestible?

Back 31

nope. non digestible CHOs.

Front 32

high fiber diet may increase the need for:

Back 32

lots of minerals.

Front 33

gastritis diet:

Back 33

clear liqs. advance as tol.

Front 34

crohn's dx aka:

Back 34

regional enteritis

Front 35

crohn's affects:

Back 35

terminal ileum

Front 36

inflam bowel dx (IBD) is:

Back 36

ulcerative colitis and crohn's

Front 37

UC begins in

Back 37

rectum

Front 38

sulfasalazine is:L

Back 38

anti diarrhea

Front 39

actue UC treatment:

Back 39

elemntal diet. to min fecal vol.

Front 40

acute crohn's tx:

Back 40

bowel rest. PN or min residue.

Front 41

only limit fat if ___ in IBDs:

Back 41

steatorrhea

Front 42

when do you give high fiber to IBD's

Back 42

when inremission.

Front 43

IBS is

Back 43

chronic abdominal discomfort

Front 44

in IBS avoid:

Back 44

larg meals, alc, caffeine, sugars

Front 45

bacterial digestion of lactose relases ___ gas

Back 45

CO2 and H

Front 46

how long is H detected on breath after eating lactose?

Back 46

60 - 90 min.

Front 47

how much should glc rise after lactose tolerance test?

Back 47

>25 mg/dl = not intolerant
<25 mg/dl = lactose intolerant

Front 48

lactose intolerance should supplement:

Back 48

Ca + riboflacin

Front 49

% fat for chronic nonsepcific infantile diarrhea:

Back 49

40%

Front 50

diarrhea in adults diet:

Back 50

after diarrhea stops, start low fiber foods. then protein. pre/probiotics.
don't limit fat.
avoid lactose af first.

Front 51

probiotics are:

Back 51

good bacteria

Front 52

prebiotics are:

Back 52

food for good bac

Front 53

steatorrhea diet:

Back 53

high protein
high complex CHO
fat as tol
fat sol vits
minerals
water vits (some)
MCT (rapidly hydrolyzed in GI)

Front 54

wrost parts of GI to lose:

Back 54

ileum (esp the last 1/3), ileocecal valve, and colon.

Front 55

most digestion occurs in:

Back 55

dudodeum and upper J
(first 100 cm of who SI)

Front 56

this part of SI can take over another parts fx.

Back 56

ileum cna take over jejunal fxs.

Front 57

distal ileum absorbs:

Back 57

b12
bile salts
intrinsic factor
majority of fluid

Front 58

results of ileum not absorbing bile salts:

Back 58

lipids aren't emulsified... fats not absorbed... soaps (fats + Mg, Ca, Zn)...colon absorbs more oxalate... renal oxalate stones... increased fluid and electrolyte secretion from colon... increased colon motility.

Front 59

SBS diet:

Back 59

PN initially.
then enteral. continuous.

may take a weeks to months to get to real food.

Front 60

diet after jejunal resection:

Back 60

normal CHO
normal Phos
6 small feeds
avoid lactose
avoid conc sweets
vit and min supp

Front 61

diet after ileal resection:

Back 61

limit fat
use MCT
fat sol vits
Ca, Mg, Zn, PN B12

Front 62

does liver regulate fluids?

Back 62

yes.

Front 63

does liver regulate electrolytes?

Back 63

yes.

Front 64

ALP aka

Back 64

alkaline phosphatase.

elevated means:

Hint 64

liver dz
bone dz

Front 65

decreased ALP

Back 65

scury

Front 66

LDH aka

Back 66

lactic acid dehydrogenase

elevated levels mean:

Hint 66

hepatitis
myocardial infarction
muscle malignancies

Front 67

AST aka

Back 67

aspartate amino transferase.
and
SGOT.

Front 68

liver enzyme that is decreased with DKA

Back 68

AST aka SGOT

Front 69

ALT aka

Back 69

alanine aminotransferase or SGPT