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17 Cards in this Set
- Front
- Back
Peptic Ulcer
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Regular scheduled meals and foods that do not increase stomach acid. Avoid caffeine, citric acid juices, spicy seasonings, alcohol
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Inflammatory Bowel Disease
IBS (Crohn's Disease, Ulcerative colitis) |
Irritable bowel syndrome is managed by increasing fiber, reducing fat, avoiding large meals, and avoiding lactose or sorbitol-containing foods
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Celiac sprue
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Eliminates gluten from the diet. Wheat, rye, oats, barley are sources of gluten
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Gastroensophageal reflux (GERD)
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Weight mgt, small frequent meals, and avoid lying down after eating. Avoid irritants such as coffee, carbonated beverages, tomato and citrus juices, and spicy foods
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Diverticulosis
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High fiber diet
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Hepatitis
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High protein, high carb, moderate fat diet
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Cirrhosis
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Same as for hepatitis, with exception of a sodium restriction (500-1000 mg.day) to reduce ascites. If esophageal varices develop, soft foods should be given to prevent rupture. B vitamin supplements (tihiamin and folate) are given.
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Cholelithiasis (gall stones)
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Limit fat in the diet
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CAD (Coronary artery disease)
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American Heart Association Prudent diet. This diet is low fat and cholesterol and elimination of saturated animal fats. Fats should be polyunsaturated and monosaturated. Sodium may be restricted if excess fluid volume is a problem.
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Diabetes
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Recommended diet consists of 50% total calories from CHO, 20% from protein, and 30% from fat. Established meal plan (no skipping) should be developed. Patients are taught to select from an exchange list and intake is adjusted to meet changes in activity levels
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Chronic Renal Failure
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Amino acid supplements that are nitrogen free may be given. Water may be restricted, as well as sodium, potassium, and phosphate. Calcium supplements may be administered to correct hypocalcemia.
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Renal Calculi
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Diet treatment depends on the type of stone formed:
*Calcium phosphate stones - low calcium and high in acid (acid ash) *Calcium oxalate stones, low in calcium and oxaltes. Some foods high in oxalates are spinach, rhubarb, asparagus, cabbage, tomatoes, beets, nuts, celery, parsley, chocolate, instant coffee, tea, and Worcestershire sauce. *Uric acid stones: Reduce purine in the diet. Purine is found in processed meats, liver, venision, sweetbreads. NOTE: It is difficult to achieve changes in acidity/alkalilnity of urine via diet. Therefore, medications are used most often to achieve rapid therapy. |
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Pulonary Disease
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Patients require more calories to compensate for increased metabolic rate associated with the medication regimen. The diet should be higher in fats than carbohydrates, since carbohydrates produce more CO2.
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Cancer
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Diet high in nutrients and fluids
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HIV
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Diet high in nutrients and fluids
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Burns
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Vigorous protein and kcalories are required. The patient's kcalorie needs are double their usual requirements. Vitamin C, amino acids, thiamin, riboflavin, and niacin are important for energy and metabolism.
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Osteoporosis
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Foods rich in calcium, phosporus, and vitamin D.
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