GI specific diets

Question 1

dumping syndrome (DS) typical meds

Answer 1

sedatives and antispasmodics

Question 2

5 S/S of DS

Answer 2

1. Vertigo and syncope
2. Tachycardia and palpitations
3. Abdominal distention, cramping, and pain
4. Diarrhea and nausea
5. Diaphoresis

Question 3

DS: ?protein, ?fat, and ?carb diet

Answer 3

high protein, high fat, low carb

Question 4

DS dry diet

Answer 4

no fluids 30-45 minutes before with or after meals

Question 5

what position should DS eat in

Answer 5

semi=recumbent, and laying down after eating to delay gastric emptying

Question 6

pt w DS= ? meals/day

Answer 6

5-6 small meals

Question 7

S/S of GERD

Answer 7

heart burn

Question 8

medication for GERD

Answer 8

antacids, H2R blockers, PPI

Question 9

GERD pt should avoid eating what

Answer 9

chocolate, fatty foods, and large meals at night

Question 10

GERD pt should avoid doing what after meals

Answer 10

laying down

Question 11

for sleeping GERD pt should do what

Answer 11

elevate HOB or use pillows to prop head up

Question 12

what is a hiatal hernia (HH)

Answer 12

part of the stomach pushing up through diaphragm

Question 13

S/S of HH

Answer 13

1. Gastric acid reflux into esophagus; substernal burning sensation
2. Gastritis with bleeding and anemia

Question 14

what to avoid with PUD

Answer 14

NSAIDS, stress, alcohol, milk, cream, caffeine, excessive seasonings, black pepper, chocolate, and smoking

Question 14

what is the most common form of PUD

Answer 14

duodenal ulcer

Question 14

what is peptic ulcer disease (PUD)

Answer 14

Tissue loss on the surface of the GI mucosa of the esophagus, stomach, or duodenum caused by H. pylori

Question 15

S/S of PUD

Answer 15

1. Abdominal pain 1⁄2 - 1 hour after meal
2. Vomiting
3. Hemorrhage

Question 15

HH tx ?

Answer 15

small and frequent meals
weight loss
avoid leaning over or lying down immediately after meals
sleep w HOB elevated
antacids

Question 16

two types of IBS

Answer 16

crohns disease and ulcerative colitis

Question 17

when and how should PUD pt’s have meals

Answer 17

small, frequent and nutritious

Question 18

important for PUD pt to never have a …

Answer 18

completely empty stomach.

Question 19

S/S of IBS

Answer 19

1. Abdominal pain
2. Diarrhea
3. Rectal bleeding
4. Perforations
5. Weight loss

Question 20

IBS tx

Answer 20

Small, frequent meals
2. Low-fat, low-residue/fiber, high-protein, high-calorie diet
3. Vitamin and mineral supplements: D, zinc, calcium, magnesium, B9, B12, iron
4. Avoid foods high in oxalate
5. Increase antioxidant intake
6. Use probiotics and prebiotics

Question 21

what is colostomy

Answer 21

an opening form the colon out through the abd wall. stoma required

Question 22

what type of diet for colostomy pt

Answer 22

low residue/fiber, low fat, low simple sugar

Question 23

colostomy pt should avoid what foods/drinks

Answer 23

food that may increase odor/gas, such as beans, onions, cabbage, eggs, fish, alcohol, cucumbers, broccoli, Brussels sprouts, cauliflower, turnips, radishes, asparagus, mushrooms, garlic, carbonated beverages, sausage, and sauerkraut

Question 25

colostomy pt should include what in their diet

Answer 25

foods that help eliminate odor such as: yogurt with live and active cultures, buttermilk, spinach, parsley, tomato juice, and cranberry juice