Rd Exam - Mnt

Front 1

GI Disorders

Ulcer

Back 1

avoid foods that increase gastric secretions (cayenne, pepper, caffiene/alcohol)

Front 2

GI Disorders

Hiatal Hernia

Back 2

Avoid foods that increase gastric secretions (chili powder, black pepper)
-Small bland feedlings
-Avoid late night snacks

Front 3

GI Disorders

Dumping Syndrome

Back 3

-6 small feedings
-Restrict hypertonic sweets
-High Protein
-Moderate Fat
-Fluids before or after meals

Front 4

GI Disorders

IBD

Back 4

Crohn's disease (b12 deficiency/iron deficiency, decreased aborption)

Ulcerative Colitis - COLON, electrolytes H20

High PRO, High CHO, Low Fat

Front 5

Lactose Intolerance is determined by

Back 5

Breath hydrogen test

Front 6

Jejunal resection of Short Bowel Syndrome

Back 6

ileum can adapt and take over jejunal functions

Front 7

MNT for Jejunal and ileal resection - SBS

Back 7

Jejunal normal CHO, Pro and Fat. 6 small feedings avoid lactose and large concentrated sweets.

Ileal - limit fats use MCT supplement fat-soluble vitamins

Front 8

Functions of Livers

Back 8

stores and releases blood, filters toxic elements, metabolizes and stores nutrients, regulats frluid in electrolyte balance

Front 9

Liver Function Tests

Alkaline Phosphatase

Back 9

Increased - LIver and Bone disease

Decreased - Scurvy Malnutrition

Front 10

Liver Function Tests

AST (SGOT) & ALT (SGPT)

Back 10

AST Increased - hepatitis

ALT increased - liver disease

Decreased SGOT in uncontrolled diabetes with acidosis

Front 11

Protein deficiences in Cirrhosis lead to

Back 11

ascites, fatty liver and impaired blood clotting

Front 12

Diet for cirrhosis

Back 12

high protein 0.8 - 1.0 / 1.5 stress
high calorie 25-35 estimated dry weight
Moderate to low fat 25-40% of calories
Low Fiber is varices is present

Low fluid if hyponatremic

Front 13

Wernicke-Korsakoff Syndrome

Back 13

Thiamin deficiency

Front 14

Reactive hypoglycemia

Back 14

occurs in Dumping Syndrome

Front 15

Celiac disease affects ____ not the _____ (in tropical sprue)

Back 15

Celiac disease ONLY affects the GI tract; Tropical sprue affects both the GI and can affect the STOMACH.

Front 16

Treatment of IBD

Back 16

Maintain fluid and electrolyte balance
Therapeutic Vitamin C
High Cal / High PRO / Low Fat
Iron, folate MCT oil

Acute Crohn's - bowerl rest TPN or Low-Res
Acute UC - Elemetal diet
Remission - High Fiber diet

Front 17

Chronic nonspecific infantile diarrhea

Back 17

GIve 40% calories as fat, blanced with limited fluids
Restrict juices with high osmolalities - apple, grape

Front 18

Dumping Syndrome Process

Back 18

Hydrolyzed carbohydrate enters the jejunum,
Water is drawn into achieve osmotic balance. THIS CAUSES A RAPID DECREASE IN VACULAR FLUID COMPARTMENT & IN PERIPHERAL VASCULAR RESISTANCE.
-Blood Pressure Drops
CHO digested & absorbed rapidly Blood sugar rises stimulating an overproduction of insulin - Reactive or alimentary hypoglycemia.

Front 19

Anemia in Dumping Syndrome
Iron
B12
Folate

Back 19

Iron - Bleeding, impaired absorption
B12 - Lack of intrinsic factor and bacterial overgrowth
Folate - Due to lack of b12 (cofactor) and poor intake

Front 20

Tropical Sprue

Back 20

Chronic GI Disease, intestinal lesions (sometimes stomach too)
-Diarrhea, malnutrition of B12 & Folate (low intrinsic factor and HCL)

- High calorie & PRO
- IM B12 and oral folate

Front 21

Celiac Disease

Back 21

Effects: Malabsorption, (fat soluble vitamins), macrocytic anemia, weight loss, diarrhea, steatorrhea, iron deficiency anemia

Front 22

Constipation

Back 22

High Fluid, High Fiber

Front 23

A high fiber diet may increase the needs for...

Back 23

Calcium, Magnesium, Potassium, Copper, Selenium, Zind and Iron

Front 24

A low fiber diet may lead to...

Back 24

Constipation

Front 25

MNT for Diverticulitis

Back 25

Clear Liquids, Low-residue or elemental, gradual return to high fiber