Nutrition & Elimination part 2 (GAS#11 & Gas#12) Flashcards Preview

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Flashcards in Nutrition & Elimination part 2 (GAS#11 & Gas#12) Deck (65)
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1

Irritable Bowel Syndrome is associated with..

Stress

2

s/s of Irritable Bowel Syndrome

constipation, diarrhea, feeling urge to defecate, abdominal pain, cramping, improves with defecation

3

Irritable Bowel Syndrome treatment

elimination diet, 6-8 glasses, Exercise, antispasmodics, soluble fiber

4

Diverticulosis occurs in which part of intestine

it can occur anywhere but most common in sigmoid colon

5

Diverticulosis

food gets caught in sac like herniation of the lining of the bowel usually in the sigmoid colon (or anywhere in small intestine or colon) and then gets infected which turns into diverticulitis; ppl can have this for years and not know it

6

Diverticulitis

infection from food or bacteria being retained

7

s/s of Diverticulitis

fever, N/V, chills, cramping, constipation, bleeding (usually stops)

8

Diverticulitis can result in

abscess, fistulas, obstruction, perforation, peritonitis, hemorrhage

9

Management of Diverticulosis

High fiber Diet!

10

Management of Diverticulitis

bowel rest by liquids only then once inflammation subsides, high fiber, low fat diet and rest, antibiotics and pain meds

11

What should be avoided with Diverticular disease?

morphine should be avoided because it can increase pressure on colon & NSAIDS because they increase risk of perforation

12

Peritonitis

inflammation of the peritoneum ( can be caused by diverticulitis

13

s/s of Peritonitis

pain, tender, distention, rigid muscles, n,v, decreased perstalsis, increased WBC, altered electrolytes, hypovolemia

14

management of Peritonitis

increase fluids! because hypovolemia occurs & electrolytes go from intestines to peritonial cavity

15

Crohns Disease

WBC accumulate in intestine which create ulcers, can be located anywhere in the GI tract

16

two main s/s of Crohns disease

diarrhea, abdominal pain in Right lower quadrant

17

During an acute phase of crohns disease what is important for patient to be?

NPO

18

Crohns disease management

steroids, antibiotics, amodium, surgery, TPN then clear liquids as tolerated

19

Inflammatory Bowel Diseases

Crohns Disease & Ulcerative Colitis

20

Ulcerative Colitis

continual inflammation, effects mucosa & submucosa. Mucosa becomes inflammed & sluffs off, bleeding is common which usually goes away

21

what is a common side effect of ulcerative colitis?

Diarrhea

22

What can severe attacks of ulcerative colitis lead to?

hemmorrage

23

Only cure for ulcerative colitis?

surgery where they remove the colon & rectum (which also decreases their risk for cancer)

24

Surgery for ulcerative colitis is only for which people?

people with precancerous cells and the very severe

25

With ulcerative colitis, during the acute phase, what happens to their calorie & protein levels? & whats important to teach them about it

they go down so make sure they have a diet high in calories & protein

26

Celiac Disease

inflammation of the small intestine triggered by gluten

27

Is celiac disease genetic?

yes

28

what can celiac disease lead to

osteoporosis, infertility, cancer

29

s/s of celiac disease

abdominal pain, fatigue, HA, foggy, tingling in extremities, depression//anxiety, missed menstrual periods, bone/jt pain, dermatitis Herpetiformis, pale foul smelling stool (children)

30

What diseases cause the villi to be destroyed in the small intestine & what happens with the patients nutrition

Celiac disease;they become malnourished