Intestinal failure Flashcards Preview

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Flashcards in Intestinal failure Deck (9):
1

What is intestinal failure?

Where the gut is no longer able to supply the hydration and nutritional needs of the body.

2

What could cause chronic intestinal failure?

Short bowel syndrome
Neoplasia
Severe crohn's disease
vascular
mechanical
radiation enteritis
dysmotility

3

How long is acute intestinal failure?
Give an example of what could cause this?

2 weeks.
Mucositis post chemotherapy

4

What is the management for acute intestinal failure?

Replace fluid
Parenteral feeding
Watch electrolytes and glucose
Allow some diet if tolerated/safe

5

How long is a normal small bowel?
How long is it in short bowel syndrome?
What is the result?

250-850 cm (Males longer than females)
In short bowel syndrome, it is <200cm
There is insufficient small bowel to meet nutritional needs without artificial nutritional support

6

When is parenteral nutrition needed for short bowel syndrome?

When there is <50cm of small bowel

7

What medicine should be prescribed in short bowel syndrome?

Proton pump inhibitors
Loperamide
Codeine
Octreotide

8

What are complications of parenteral nutrition?

Sepsis
SVC thrombosis
Line fracture
Line leakage
Line migration
Metabolic bone disease
Nutrient toxicity/insufficiency
Liver disease
Metabolic disturbance
Psycho-social

9

What are the main indications for small bowel transplantation?

Loss of venous access and liver disease

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