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GI TRACT & NUTRITIONAL CARE (PAM)

Terms

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OBESITY

WEIGHT EXCEEDS 20% IDEAL WEIGHT
.
BODY COMPOSITION


FATNESS OR LEANNESS
.
FASTING


WEIGHT LOSS MEASURE
.
IDEAL WEIGHT


WIDE RANGE WITH GOOD HEALTH
.
ANOREXIA


SELF-INDUCED STARVATION
.
OBESITY


HYPERTENSION & DIABETES
.
BULEMIA


GORGING FOOD & INDUCED VOMITTING
.
LACK OF EXERCISE


FACTOR IN OBESITY
.
BEHAVIOR MODIFICATION


EFFECTIVE METHOD OF WEIGHT REDUCTION
.
DECREASED METABOLIC RATE


VERY-LOW CALORIE DIET DANGER
.
BULEMIA PHYSICAL PROBLEM


EROSION OF DENTAL ENAMEL
.
GLUCOSE AND GLYCOGEN


BODY'S CARBOHYDRATE ENERGY RESERVES
.
ANABOLIC STEROIDS


CAUSE STERILITY
.
GLYCOGEN


SOURCE FOR SHORT-TERM ENERGY NEEDS
.
STEADY EXERCISE


SUFFICIENT OXYGEN AVAILABILITY FOR CELLS
.
DEHYDRATION


BODY FAT DOESN'T AFFECT THIS
.
INCREASE HDL'S


EXERCISE EFFECT ON LIPOPROTEIN LEVELS
.
AEROBIC CAPACITY


HEART AND LUNG FITNESS
.
AEROBIC EXERCISE


70% MAXIMUM HEART RATE
.
CARBOHYDRATE


MAJOR NUTRIENT FOR ENERGY
.
WATER


MOST BENEFICIAL REHYDRATION FLUID
.
EXCESS PROTEIN INTAKE


INCREASES NITROGEN WASTE PRODUCTS
.
EXERCISE WITH DIABETES


INCREASES NUMBER OF INSULIN RECEPTOR SITES
.
ENDORPHINS


FEELING WELL AFTER VIGOROUS EXERCISE
.
IRON (FE)


MINERAL WITH INCREASED NEEDS OF FEMALES AND ADOLESCENT ATHLETES
.
STRETCHING


PREVENTS EXERCISE INJURY OR STRESS
.
CLINICAL DIETICIAN


PERSON RESPONSIBLE FOR NUTRITIONAL CARE IN THE CLINICAL SETTING
.
ANTROPOMETRIC MEASURE


GIVES ESTIMATE OF SUBCUTANEOUS FAT BY SKINFOLD THICKNESS
.
LYMPHOCYTE COUNT


LAB TEST THAT INDICATES IMMUNE CAPACITY
.
PROTEIN METABOLISM


24 HOUR URINE TEST ADMINISTERED HERE
.
NUTRITION


PERSON-CENTERED
.
GASTROINTESTINAL TRACT (GI)


ENTERAL FEEDINGS ADMINISTERED HERE
.
TPN


TOTAL PARENTERAL NUTRITION
TYPE OF PARENTERAL FEEDING
.
CALIPERS


MEASURES SKINFOLD THICKNESS
.
FULL-LIQUID DIET


SHERBERT OR CREAM OF WHEAT
.
CLEAR-LIQUID DIET


APPLE JUICE OR BROTH
.
X-RAYS


EVALUATE BONES OR GI TRACT
.
STOMACH


ESOPHAGEAL SPHINCTER MUSCLE CONTROLS ENTRY OF FOOD INTO HERE
.
DYSPHAGIA


DIFFICULT SWALLOWING
.
HIATAL HERNIA


SYMPTOMS ARE SIMILIAR TO THOSE OF REFLUX ESOPHAGITIS
.
DIVERTICULA


SMALL OUTPOUCHING IN THE GI TRACT
.
HIGH-FIBER FOODS


FOODS THAT APPEAR TO REDUCE IRRITABLE BOWEL SYNDROME IBS
.
DIARRHEA


LACTOSE INTOLERANCE CAN CAUSE THIS
.
DIVERTICULITIS


INFLAMMED DIVERTICULA
.
STEATORRHEA AND DIARRHEA


SYMPTOMS OF CELIAC DISEASE
.
HEPATITIS


RESULT OF A VIRAL INFECTION
.
CIRRHOSIS


CAUSE FATTY INFILTRATIONS OF THE LIVER
.
SODIUM (NA)


FLUID RETENTION
.
BILE


PRODUCED BY THE LIVER
.
GALLBLADDER


CONCENTRATES AND STORES BILE
.
CHOLE-


GALLBLADDER
.
GALLSTONES


CHOLELITHIASIS
.
CROHN'S DISEASE


INFLAMMATORY BOWEL DISEASE
.
MILK, EGGS, WHEAT


3 MOST COMMON FOOD ALLERGENS
.
LACTOSE INTOLERANT


LIMIT MILKSHAKES
CANT DIGEST MILK OR DAIRY
.
DISEASE MODIFICATIONS-

1. NUTRIENTS
2. ENERGY
3. TEXTURE
.
PERSONAL ADAPTATION

1. PERSONAL NEEDS
2. DISEASE
3. NUTRITIONAL THERAPY
4. FOOD PLAN
.
CLEAR LIQUID DIET---NO MILK

FULL LIQUID DIET--INCLUDES MILK
.
MODES OF FEEDING;
1. ORAL FEEDING
2. ASSISTED ORAL FEEDING
3. TUBE FEEDING--ENTERAL
4. PERIPHERAL VEIN FEEDING-IV
5. TOTAL PARENTERAL NUTRITION (TPN) LARGER CENTRAL VEIN IS NEEDED
.
THE NURSE ACTS AS THE:

COORDINATOR AND ADVOCATE
INTERPRETER
TEACHER OR COUNSELOR
.
DENTAL PROBLEMS

GINGIVITIS
STOMATITIS
GLOSSITIS
CHEILOSIS
.
XEROSTOMIA

DRYNESS OF THE MOUTH FROM LACK OF NORMAL SECRETIONS
.
PROBLEMS OF THE ESOPHAGUS

ESOPHAGITIS
MUSCLE SPASMS
UNCOORDINATED CONTRACTIONS OF THE TUBE
STRICTURE OF NARROWING OF THE TUBE
.
LOWER ESOPHAGEAL SPHINCTER PROBLEMS

LES
PERISTALSIS
GERD
.
NUTRITIONAL CARE IS BASED ON;

THE NEEDS OF INDIVIDUAL PATIENTS
.
PATIENTS HOUSING SITUATIONS HAVE ALOT

TO WITH THEIR ILLNESS & CONTINUING CARE
.
HISTORY TAKING IS AN IMPORTANT SKILL

IN PLANNING NUTRITIONAL CARE
.
A PATIENTS SOCIAL HISTORY IS VERY IMPORTANT

IN PLANNING HIS DIET
.
NORMAL NUTRITIONAL NEEDS ARE THE BASIS

FOR DIET THERAPY
.
A DIET MODIFIED IN ENERGY VALUE MAY BE

INDICATED FOR AN OBESE PATIENT
.
THE FOLLOWING PERSONAL DETAILS HELP TO DETERMINE A PATIENTS NUTRITIONAL NEEDS

FAMILY SIZE
BLOOD PROTEIN LEVEL
SKINFOLD THICKNESS
SYMPTOMS OF ILLNESS
.
A NUTRITIONAL HISTORY SHOULD INCLUDE THE FOLLOWING ITEMS OF NUTRITIONAL INFO

GENERAL FOOD HABITS
FOOD-BUYING PRACTICES
COOKING METHODS
FOOD LIKES AND DISLIKES
.
KNOWLEDGE OF THE FOLLOWING ITEMS IS NECESSARY FOR CARRYING OUT VALID DIET THERAPY FOR A HOSPITALIZED PATIENT

1.SPECIFIC DIET & RELATION TO DISEASE
2.FOODS AFFECTED BY DIET MODIFICATION
3.MODE OF THE HOSPITAL FOOD SERVICE AND THE
.
A SPECIAL DIET MAY BE BASED ON A SPECIFIC NUTRIENT MODIFICATION. FOR EXAMPLE, A 30-GRAM PROTEIN DIET WOULDINCLUDE INCREASED AMOUNT OF WHICH FOODS???

FRUITS AND VEGETABLES
.
THESE ACTIONS WOULD BE HELPFUL TO A DISABLED PATIENT WHO NEEDS ASSISTANCE IN EATING...

1. LEARINING THE EXTENT OF HIS DISABILITY AND ENCOURAGING HIM TO DO AS MUCH OF THE FEEDING AS HE CAN HIMSELF
2. SITTING COMFORTABLY BY THE PATIENTS BED
.
DISEASES OF THE GI TRACT AND ITS ACCESSORY ORGANS

INTERUPT TEH BODY'S NORMAL CYCLE OF DIGESTION, ABSORPTION & METABOLISM
,
ALLERGIC CONDITIONS PRODUCE

SENSITIVITY TO CERTAIN FOOD COMPONENTS
.
RISK FACTORS FOR RECURRING PEPTIC ULCER
1.HYPERSECRETION OF GASTRIC ACID
2.PREVIOUS RECURRENCES OF PEPTIC ULCER WITH COMPLICATIONS
3. UNRELIEVED EMOTIONAL STRESS
4. DENIAL OF EMOTIONAL PROBLEMS
5. POOR DIETARY HABITS
6. FAIL
.
THE FUNDAMENTAL CAUSE OF PEPTIC ULCER

IS UNKNOWN
.
ALL FOOD SOURCES OF WHEAT

MUST BE ELIMINATED IN THE GLUTEN-FREE DIET FOR TREATMENT OF CELIAC DISEASE
.
PKU

IS A GENETIC DISEASE REQUIRING DIETARY CONTROL OF THE ESSENTIAL AMINO ACID PHENYLALANINE
.
SOY PRODUCTS

ARE OFTEN USED FOR CHILDREN ALLERGIC TO MILK
.
THE NUTRITIONAL OBJECTIVE IN CYSTIC FIBROSIS IS TO MEET GROWTH NEEDS AND HELP,
ALONG WITH ENZYME REPLACEMENT THERAPY, COMPENSATE FOR NUTRIENT LOSSES
.
IN A GLUTEN-FREE DIET FOR CELIAC DISEASE, THE FOLLOWING FOOD WOULD BE ELIMINATED..

SALTINE CRACKERS
.
THE SYMPTOMS OF ANEMIA IN MALABSORPTION DISEASES ARE CAUSED BY POOR ABSORPTION OF THE FOLLOWING NUTRIENTS..

IRON AND FOLIC ACID
.
LACTOSE INTOLERANCE IN CERTAIN POPULATION GROUPS IS CAUSED BY A GENETIC DEFICIENCY OF THE FOLLOWING ENZYME....

LACTASE
.
TREATMENT FOR HEPATIC COMA INCLUDES:

DECREASED PROTEIN TO REDUCE AMMONIA LEVELS IN BLOOD
.

Deck Info

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