Mnt 2 - Lower Gi

Front 1

Diarrhea

Back 1

increase in frequency of bowel movements or increase in water contents

Front 2

Osmotic Diarrhea

Back 2

Increased water efflux due to increase in osmolality.
Resolves when NPO
Maldigestion, excessive sorbitol or fructose

Front 3

Secretory Diarrhea

Back 3

Caused by bacteria
Treatment is to resolve infection.

Front 4

Diarrhea - Nutritional Implications

Back 4

Fluid Losses - Dehydration, hyponatremia, hypokalemia
Metabolic acidosis
Malnutrition
Infants and Elderly

Front 5

Diarrhea - Interventions

Back 5

NPO or Clear liquids (Beware of simple Carbs)

Front 6

Constipation

Back 6

Decreased in frequency of bowel movements

Front 7

Constipation - Nutrition

Back 7

Whole grains
Fiber 20 - 35 g
Slowly increase
Bulking agents

Front 8

Celiac Disease (SMALL INTESTINE)

Back 8

inflammation of the small intestine caused by gluten
Damage to villie

Front 9

Celiac Disease - Internvention

Back 9

Gluten-free for life
Low-residue, low-fat, lactose-free
FAT 40 - 50 g

Front 10

Irritable Bowel Syndrome

Back 10

Characterized by abdominal pain with diarrhea and/or constipation

Front 11

Irritable Bowel Syndrome Nutrition

Back 11

Focus on increasing fiber to 25 g/d
Adequate fluid
Pre- and Probiotics
Avoid Foods that produce gas

Front 12

Inflammatory Bowel Disease

Back 12

Autoimmune, chronic inflammatory condition of the gastrointestinal tract

Front 13

Inflammatory Bowel Disease Types (two)

Back 13

Ulcerative Colitis (colon and rectum)

Crohn's disease (ileum and colon)

Front 14

UC

Back 14

ulcerations lead to toxic megacolon; thin ulcerated colon

Front 15

Toxic Megacolon

Back 15

very inflated colon with abdominal distention and sometimes fever, abdominal pain or shock

Front 16

Fistula

Back 16

an abnormal openiong or passage between two internal organs to the surface of the body

Front 17

Crohn's

Back 17

Fat wrapping Fissures

Front 18

Irritable Bowel Disease - Nutritional Interventions

Back 18

Enteral > Parenteral S
Supplement Glutamine, Arginine
PRO 1.5 - 1.75 g/kg
Low Residue, lactose-free

Front 19

Diverticulosis

Back 19

presenence of outpockets or pourches on the outer surface of small intestine or colon

Front 20

Dierticulitis

Back 20

acute inflammation of these pockets

Front 21

Diverticulosis - Nutrition

Back 21

increase fiber
Not Nuts, seeds hulls

Front 22

Diverticulitis

Back 22

Low-fiber Diet for Bowel Rest

Front 23

Illeostomy & Colonstomy

Back 23

maintain fluid and electrolyte balance
Reduce insoluble / Increase Soluble
After surgery Oral Diet
Chew completely not tough Foods

Front 24

Short Bowel - Nutritoin

Back 24

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