nutrition GERD,ulcer,IBD

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  1. What does GER stand for
    gastroesophageal reflux
  2. What does GERD stand for?
    gastroesophageal reflux disease
  3. what does LES stand for?
    lower esophageal sphincter
  4. What does pt.Ed mean?
    patient history
  5. term meaning has a problem with chewing and swallows
  6. term referring to a passage of substances beneath the vocal chords into the pharynx and trachea
  7. aspiration of the stomach content into the lungs following a gastroesphagel reflux
    reflux aspiration
  8. inflammation of the lungs due to the entrance of foreign matter, such as food particles, into respitory passages
    aspiration pneumonia
  9. ______ is a mucous membrane covering the tubular body structures and formed by superposed layers of epithelium, lamina properia and smooth muscle (alimentary tract)
  10. _____ is a clear, thick and sticky secretion of mucous membranes. It contains mucin, white blood cells,epethelial cells and salt suspended in water.
  11. endocrine hormone released by the stomach stimulates hydrochloric acid secretion
  12. what diets are indicated for the management of dysphagia?
    diets modified in food texture and fluid consistancy
  13. ______ is condition characterized by abnormal, recurrent reflux of gastric acid into the esophagus causing symptoms and esophageal damage
  14. _______ _________ is an inflammation of the esophagus due to gastroesophageal reflux, which causes increased epithelial cell turnover
    reflux esophagitis
  15. _________ or belching is the passage of gas or a small amount of refluxed acidic gastric material through the mouth
  16. _________ is defined as pain when swallowing
  17. a _____ is the narrowing or stenosis of a hollow structure or tube.
  18. _____ is damage to mucosa or skin surface, due to superficial loss of tissue and possibly accompanied by inflammation
  19. _____ is fiberous tissue replacing normal tissue damaged by disease or injury
  20. _______ is characterized by abnormal transformation of differentiated tissue of one type into differentiated tissue of another type
  21. ________ is the growth of abnormal tissue
  22. an ______ is an examination of the interior of a hollow organ using an instrument like the endoscope
  23. _________ is defined as an epithelial cell cancer (neoplasm or malignant tumor)
  24. signs and symptoms of GERD
    • heartburn
    • belching
    • regurgitation
    • increased salivation
    • odynophagia
  25. complications that result from GERD
    • bleeding
    • severe dysphagia
    • ulceration
    • weightloss
    • malnutrition
    • anemia
  26. etiological factors and conditions that contribute to the development of GERD
    • excess gastric acid secretion
    • zollinger-ellison syndrome
    • increased hormone secretion
    • increased abdominal pressure
    • binge eating
    • high caffeine
    • high fat diet
    • obesity
  27. type of treatments available for GERD
    • diet therapy
    • medications
    • surgeries
  28. dietary and lifestyle recommendations for patients with GERD
    • avoid high fat food
    • dont lie down after eating
    • avoid mint, choc, black pepper
    • lose wt
    • no tight clothes
    • avoid smoking
  29. what type of drugs used for the management of GERD
    • histamine blocker
    • zantac
    • pepsin AC
    • maalox
    • TUMS
  30. dietary sources of asorbic acid can be recommended
    • potatoes
    • green vegetables
    • strawberries
    • melons
  31. what does PUD stand for?
    peptic ulcer disease
  32. what does N & V stand for?
    nasuea and vomitting
  33. what does DAT stand for?
    diet as tolerated
  34. which foods increase gastric acid secretion ?
    alcohol, coffee, spices, caffeine-containing food
  35. what does ischemia mean?
    reduction of blood supply to a localized tissue or organ usually caused by arterial narrowing or obstruction of blood inflow to the tissue
  36. _________ is impaired digestion of stomach content with epigastric pain caused by disorders affecting gastric function
  37. ________ is a break in the mucosa of an organ of the alimentary tract exposed to gastric acid and pepsin
    peptic ulcer
  38. ________ is the inflammation of the stomach, especially the mucosa with leukocyte inflitration
  39. ________ is a rare syndrome including diarrhea and severe peptic ulceration due to gastric hypersection secondary to excessive gastrin release from an endocrine gastric and pancreatic neoplasm
    zollinger-ellison syndrome
  40. ______ is surgical incision of the vagus nerve
  41. ________ surgical excision or removal of part or all of the stomach
  42. ________ is the formation of an artifical or surgical opening into the stomach
  43. _______ is an abnormal opening or connection formed between one epithelial surface and another, artifical passage can be between two organs or two parts of the same organ
  44. casual agents of peptic ulceration
    • infections
    • intake of drugs or steroids
  45. what factors or conditions increase gastic acid secretion?
    • alcohol
    • spices
    • stress
    • chronic h.pylori gastris
  46. treatment options for clients with peptic ulcers?
    • drug therapy
    • diet therapy
    • surgery
  47. main goals of nutrition care for clients with PUD (peptic ulcer disease)
    • healing = adequete nutrient intake
    • limit acid production
    • individualize
  48. dietary recommendations for clients with PUD
    • healthy, well balanced diet
    • limit caffeine
    • limit spices
    • plan and eat meal at regular intervals
    • avoid alcohol
  49. complications of peptic ulcer disease?
    • hemorrhage
    • anemia
    • perforation
    • gastric obstruction
    • stomach cancer
  50. difference between gastropathy and gastritis?
    • gastropathy - general term of any disease of the stomach
    • gastritis- inflammation, inflitration of w.b.cells
  51. is h. pylori the major casual agent in the development of gastric and duodenal ulcers
  52. why are PUD clients at risk for malnutrition
    • iron def.
    • vomitting
    • dehydration
    • food intolerance
  53. what is inflammatory bowel disease?
    is a chronic disease characterized by inflammation of the intestines
  54. two main inflammatory bowel diseases?
    • 1. crohn's
    • 2. ulcerative colitis
  55. majority of digestion of food and absorbtion of nutrients takes place where?
    small intestine
  56. composition of intestinal juice?
    water, salt, mucus, digestive enzymes
  57. beneficial bacteria that colonize in the ileum produce what vitamin?
    vitamin k
  58. vitamin b12 is absorbed bound to the _____ ______
    intrinsic factor
  59. define ulcer
    lesion of skin as result of inflammation
  60. define endoscopy
    exam of organ using an endoscope
  61. dietary fiber on fiber-restricted diet? __g
    10g, no insoluble
  62. how much dietary fiber for a high fiber diet?
    __ g -woman
    __g - men
    • 25g
    • 38g
  63. define ulcerative colitis ?
    chronic disease causing ulcers in small intestine
  64. define crohn's disease
    • autoimmune response
    • inflammation in any part of the GI tract
  65. define irritable bowel syndrome (IBS)
    • abdominal pain
    • diarrhea or constipation
  66. define inflammation
    body responses to injury
  67. define fistula
    abnormal passage or connection between one epithelium and another
  68. define colostomy
    removal of the rectum and anus
  69. define colonoscopy
    • over 50 years old
    • endoscopic examination of the colon
  70. define acute disease
    • rapid onset
    • high intesity
  71. define chronic disease
    • long term
    • low intensity
  72. signs and symptoms of ulcerative colitis
    • abdominal pain
    • fever
    • cramps
    • rectal bleeding
  73. complications of ulcerative colitis
    • loss of blood
    • sepsis
    • anemia
  74. how is ulcerative colitis diagnosed
    • barium enema
    • CBC
    • c-reactive protein
  75. signs and symptoms of crohns
    • fatigue
    • bloody stool
    • abdominal pain
  76. complications of crohns
    • absess
    • maldigestion or malabsorbtion
    • low protein in blood
  77. tests done to diagnose crohns
    • endoscopy
    • blood test
    • CBC
  78. purpose of nutrition therapy for IBD
    • 1. prevent malnutrition/correct
    • 2.promote healing
    • 3. normalize system
  79. dietary recommendations for clients with IBD
    • individualize
    • high cal, protein, vit, mineral
    • supplements
    • more serious: clear liquids
    • improvement: low residue/low lactose/high fiber
  80. why are individuals at high risk for malnutrition with IBD
    • nutrients not absorbed
    • inadequete digestion
    • discomfort
    • high need of nutrients
  81. nutrients at risk of not being adequete with IBD
    • folacin
    • calcium
    • water soluble vitamins
  82. 3 differences between crohns and ulcerative colitis
    • 1. patches anywhere
    • 2. fistulas
    • 3. can effect entire GI tract
  83. 4 similarities between crohns and ulcerative colitis
    • 1. inflammation
    • 2. bloating, cramps
    • 3. both increased in insidence
    • 4. frequent in young adult females
  84. steps of digestion
    main digestion where?
    • pro: peptones + pepsin = amino acids
    • fat: short chain fatty acids + lingual lipase = pancreatic lipase
    • carb: starch+salivary amylase
    • starch-> maltose +maltase
    • starch-> glucose + sucrose
    • starch-> lactose+ lactase
  85. oral disease can lead to ?
    types of oral disease (4)
    • nutritional deficits
    • gingivitis-gum inflammation
    • stomatitis- inflammation of membranes
    • glossitis- shiny tougne
    • cheilosis - cracks in corner of mouth
  86. motility disorder with absence of peritalsis
    (opposite of GERD)
  87. what is dumping syndrome
    increased osmolar load enters small intestine to quickly from stomach
  88. if lipid is not absorbed in small intestine
  89. abnormal presence of outpockets or pouches on surface of colon
  90. autoimmune chronic inflammatory condition of GI tract
    2 sub groups
    • inflammatory bowel disease
    • ulcerative colitis- fistula - one patch
    • crohns disease - multiple patches
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nutrition GERD,ulcer,IBD
nutrition GERD
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