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Flashcards in Nutrition Deck (44)
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0
Q

Ileum

A

B12, fat absorbed

1
Q

Duodenum

A

Fe, Ca absorbed

2
Q

Steatorrhea

A
Pancreatitis
Cystic fibrosis
Crohn's
Celiac disease
Formation of oxalate kidney stones
Risk of bone loss
3
Q

Enhance intestinal adaptation after short bowel syndrome

A
Glutamine
Short chain fatty acids
Glu-peptide 2
Better if ileum and colon intact
Oral feed sooner the better
4
Q

Colon resection

A

Fluid electrolyte losses

Diarrhea

5
Q

Short bowel syndrome

A
Low fat
High complex carb
Small frequent feedings
short chain fatty acids - retain h2o
Medium chain triglyc
Low oxalate 
Avoid lactose
6
Q

Restrictive surgery

A

Vertical band
Sleeve gastrectomy
Gastric binding
Weight loss due to reduced food intake

7
Q

Gastric bypass surgery (most common)

A

Malabsorption and restrictive
Weight loss is from decreased intake and malabsorption
Change in GI hormones (GLP, PYY, Leptin) decrease ghrelin
Water, liquid, purée, soft foods
70g protein/day, multivitamins

8
Q

Malabsorptive (infrequent)

A

Bileopancreatic diversion
Jejunal-ileal bypass
Weight loss due to malabsorption

9
Q

Celiac disease

A

Lifelong Gluten free diet

Fresh fruit and vegetables, meat

10
Q

Crohn’s disease

A

Any part of GI tract
High calorie, high protein diet
Low fiber
Liquid supplements

11
Q

Ulcerative colitis

A

Only in the colon
Colectomy may be curative
Replace fluid and electrolyte losses
Low fiber

12
Q

Inflammatory bowel disease treatment

A

Antidiarrheal
Immunosuppressant
Anti inflammatory

13
Q

Pancreatitis acute

A
Nothing by mouth (NPO) until pain subsides
Fluids and electrolytes
Mild-low fat diet
Severe-J tube
High protein, high kcal
14
Q

Pancreatitis chronic

A

Steatorrhea treat w/ enteric coated pancreatic enzymes

Low fat diet, MCT oil

15
Q

Cystic fibrosis

A
High calorie, high fat
Frequent meals&snacks with
Pancreatic enzyme replacement
Multivitamins, fat sol vit
Liberal use if salt&salty foods
16
Q

Extensive bowel resection

Colon present

A
High carbs - colonic salvage
Low oxalate
Vit B12 injections
Calcium due to fat malabsorption 
Anti motility agents
17
Q

Extensive bowel resection

Colon absent

A
High salt
Vit B12
Multivitamins
Calcium
Oral rehydration solution
Antimotility agent
18
Q

Irritable bowel syndrome

A

High fiber
Low fat
Bulk agent psyllium
Low FODMAP

19
Q

Diverticular disease

A

High fiber
Bulk forming psyllium
Avoid nuts, seeds
Clear liquid diet

20
Q

Conditions that may require an ostomy

A
Inflamm bowel disease
Diverticulitis
Colorectal cancer
Clear liquid to low fiber diet
Carefully chew food
21
Q

Colostomy

A

High fiber diet

22
Q

Diarrhea

A

BRAT diet

Cheese, peanut butter

23
Q

Lactose intolerant

A

Most can tolerate 6g/day of milk products

Concern for Ca, vit D, riboflavin

24
Q

AREDs 1

A

Antioxidants and zinc good for intermediate/advanced AMD

No effect of nutrients on cataracts

25
Q

AREDS 2

A
Lower risk with fish and green veg
Lower risk in both with lutein and zeaxanthin (green veg)
Helped AMD
Supplements good
Not helpful for cataracts
26
Q

Nephrotic syndrome

A

Plasma protein in urine

Wasting
Infection
Rickets
Edema

Protein restriction
Low sat fat, sodium

27
Q

Osteodystrophy

A

Decrease serum phosphate - binders
Calcitriol supplement
Calcium supplement

28
Q

Hepatitis

A

Adequate energy and protein

Eliminate alcohol

29
Q

Hepatic encephalopathy

A

Hyperammonemia
Treat with lactulose, antibiotics
Branched chain amino acids (veg, milk protein)

30
Q

Cirrhosis

A

20-75% above expenditure

Multivitamins

31
Q

Dialysis nutrition

A

Folate, riboflavin, vit B6
Calcium
Restrict phosphorus

32
Q

Orlistat

A

Pancreatic Lipase inhibitor - fat is unabsorbed and excreted

Use with low fat diet

Approved for long term use

33
Q

Belviq

A

Increase brain serotonin levels

34
Q

Qysmia

A

Has phentermine appetite suppressant

& topiramate

35
Q

Soluble fiber

A

Slows transit

Good for diarrhea

36
Q

Insoluble fiber

A

Speeds transit

Good for constipation

37
Q

BMI

A

Weight/height^2

38
Q

Abdominal fat

A

Independent predictor of morbidity

39
Q

Recommended weight loss

A
5-10%
Reduce intake by 500kcal/day
1 pound/week
Lose weight over 6 months
Maintain weight after 6 months

Improved control of HTN, blood sugar, blood pressure

40
Q

Low fat diet

A

Increase TG

Decrease HDL

41
Q

Atkins diet

A

High protein - preserve LBM
High fat

Very low CHO
Causes insulin levels to decrease
Reduce B vitamins
Goal ketosis/lipolysis

42
Q

Sleep deprivation

A
Increase ghrelin (increase appetite)
Decrease Leptin (increase appetite)

BMI increase to decrease in sleep

43
Q

Weight loss drugs approved for

A

BMI > 30

BMI =27+T2DM, HTN, or high cholesterol