GI

Question 1

Hiatal Hernia

Answer 1

Reguritation of gastric acid upward into the esophagus d/t stomach being split into two portions by diaphragm
S/S heart burn, indigestion when lying down
Tx:
- Elevate HOB for 1hr after meal
- Increase amount of fluids with meal
- Increase amount of carbs
- Low protein

Question 2

Dumping syndrome

Answer 2

Grastric contents are dumped too quickly into duodenum.
S/S:
- Drunk (staggering, impaired judgement, labile (all blood gone to gut)
- Shock: cold/clammy, tachy, pale
- Acute abdominal distress: N/V, diarrhea, cramping, guarding, borborygmi
Tx:
- Lower HOB
- Decrease amount of fluids 1-2hr before and after meals
- Decrease amount of carbs
- High protein

Question 3

Diet for IBS

Answer 3

• Low fat protein
• high dietary fiber
• limit gas producing (broccoli, beans)
• limit alcohol
• Limit caffeine
• Limit high fat

Question 4

What are asterixis

Answer 4

Flapping of the arms and hands. A sign of hepatic encephalopathy

Question 5

Management of diverticulosis

Answer 5

• drink plenty of fluids
• exercise regularly
• whole grains, fruit, and veg
• low fat
• high fibre (low fibre/low residue diet may be used during a flare up/diverticulitis)