Ch 20 Flashcards Preview

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Flashcards in Ch 20 Deck (24):
1

Achalasia

Failure to relax smooth muscle fibers improve GI

inhibit ability to swallow

Degeneration of ganglion cells in wall of organ

Aka cardiospasm

2

Pyrosis

Heartburn

3

Gastritis

Inflammation of stomach

4

Cirrhosis

Chronic liver disease

Loss of functional cells

Fibrous and nodular regeneration

5

Endemic

Remains in human community

Clinically recognized only in a few

6

Parenchymal cells

Functional cells of organ

Structure and framework

7

Necrosis

Cell death by enzyme breakdown

8

Icteric

Aka jaundice

9

Diverticular disease

Weakened musculature in bowel wall

Increase in pressure within bowel contractions

10

Diverticular disease: nutritional management

Chronic: increase Fiber

Acute: decrease fiber

11

Cirrhosis nutrition management

Energy 40-50 kcal

Protein 1-1.5 g/kg

Sodium 2000mg

Texture: soft foods

Carbohydrate: adequate

Fat: less than 30 %

Vitamins and minerals: supps

Alcohol: abstinence

Personalized food plan

Fluids: water intake

12

Types of diarrhea

Watery

Fatty/steatorrhea

Small-volume

Chronic

13

watery diarrhea

Acute disease

Water exceeds aging absorbed

14

Fatty/steatorrhea

Maldigestion/malabsorption

Lack of enzymes activity

Celiac disease

Increase carbohydrate and protein intake

Decrease fat intake

Refrain from coffee and alcohol

15

Small-volume diarrhea

Acid-base imbalance

Decrease fat soluble vitamins, B12, folic acid

Protein energy malnutrition (PEM)

16

Chronic diarrhea

GI Tract mobility disfunction

Cause: Malabsorption and food intolerance, IBS

17

Celiac disease

Fat malabsorption

Low gluten

No gram crackers

Corn and rice

18

Cystic fibrosis (CF)

Autosomal trait

Increase in sodium and decrease H2O

Mucus in lungs, stunted growth, excessive swearing in hot water lead to dehydration

Inflammation: arthritis, clubbing, vasculitis

19

Peptic ulcer disease (PUD)

Infection of Helicobacter Pylori (H. Pylori) bacteria

Anti-inflammatory drugs (aspirin, ibuprofen, naproxen)

20

Peptic ulcer disease (PUD): medications for treatment

H2 receptor antagonisys

PPIs (proton pump inhibitors)

Mucosal protectors

Antacids

Antibiotics

21

Flatulence

Excessive stomach gas

Air swallowing (aerophagia)

Change diet, take meds, decrease air swallowed

22

Irritable bowel disease (IBD)

"Spastic colon"

Low fruit and veg juices limit to 1/2 c.

23

Prebiotics

Growth of symbiotic bacteria in colon

24

Probiotics

Modify and reestablish intestinal floral and improve health of host