Flashcards in Nutrition & Elimination part 2 (GAS#11 & Gas#12) Deck (65)
Irritable Bowel Syndrome is associated with..
s/s of Irritable Bowel Syndrome
constipation, diarrhea, feeling urge to defecate, abdominal pain, cramping, improves with defecation
Irritable Bowel Syndrome treatment
elimination diet, 6-8 glasses, Exercise, antispasmodics, soluble fiber
Diverticulosis occurs in which part of intestine
it can occur anywhere but most common in sigmoid colon
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
infection from food or bacteria being retained
s/s of Diverticulitis
fever, N/V, chills, cramping, constipation, bleeding (usually stops)
Diverticulitis can result in
abscess, fistulas, obstruction, perforation, peritonitis, hemorrhage
Management of Diverticulosis
High fiber Diet!
Management of Diverticulitis
bowel rest by liquids only then once inflammation subsides, high fiber, low fat diet and rest, antibiotics and pain meds
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
inflammation of the peritoneum ( can be caused by diverticulitis
s/s of Peritonitis
pain, tender, distention, rigid muscles, n,v, decreased perstalsis, increased WBC, altered electrolytes, hypovolemia
management of Peritonitis
increase fluids! because hypovolemia occurs & electrolytes go from intestines to peritonial cavity
WBC accumulate in intestine which create ulcers, can be located anywhere in the GI tract
two main s/s of Crohns disease
diarrhea, abdominal pain in Right lower quadrant
During an acute phase of crohns disease what is important for patient to be?
Crohns disease management
steroids, antibiotics, amodium, surgery, TPN then clear liquids as tolerated
Inflammatory Bowel Diseases
Crohns Disease & Ulcerative Colitis
continual inflammation, effects mucosa & submucosa. Mucosa becomes inflammed & sluffs off, bleeding is common which usually goes away
what is a common side effect of ulcerative colitis?
What can severe attacks of ulcerative colitis lead to?
Only cure for ulcerative colitis?
surgery where they remove the colon & rectum (which also decreases their risk for cancer)
Surgery for ulcerative colitis is only for which people?
people with precancerous cells and the very severe
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
inflammation of the small intestine triggered by gluten
Is celiac disease genetic?
what can celiac disease lead to
osteoporosis, infertility, cancer
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)