PUD

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Author:
ktasky
ID:
139935
Filename:
PUD
Updated:
2012-03-06 09:45:17
Tags:
medical nutrition therapy
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Description:
peptic ulcer disease
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  1. PUD
    peptic ulcer disease
  2. LUQ
    left upper quadrant
  3. N & V
    nausea and vomiting
  4. AIDS
    acquired immune deficiency syndrome
  5. DAT
    diet as tolerated
  6. Abd
    abdominal
  7. what is the term used for the distal half of the stomach?
    the antrum of the stomach
  8. which foods may increase gastric acid secretion?
    alcohol, coffee, caffeine-containing foods (colar, chocolate, tea), and spices (black pepper, cloves, chili powder)
  9. which medication is used to reduce gastric acid secretion?
    omeprazole
  10. ischemia
    a reduction of blood supply to a localized tissue or organ, usually caused by arterial narrowing or obstruction of blood inflow to the tissue
  11. somatostatin
    a paracrine regulatory peptide secreted by the gastrointestinal mucosa and the pancreatic islets. In the stomach its release is stimulated by acid and it inhibits gastrin release and hydrocholoric acid secretion. In the pancreas it can inhibit the release of insulin
  12. gastropathy
    disease of the stomach
  13. gastrorrhea
    excess production of gastric exocrine secretions
  14. gastrotomy
    surgical cut into the stomach
  15. gastroplasty
    surgical repair of the stomach or lower esophagus using the stomach wall for the reconstruction
  16. hemigastrectomy
    surgical removal of the distal half of the stomach
  17. gastroenterologist
    specialist in the medical study of the function and disorders of the stomach
  18. dyspepsia
    impaired digestion of stomach content with epigastric pain caused by disorders affecting gastric function
  19. gastritis
    inflammation of the stomach
  20. zollinger-ellison syndrome
    rare syndrome including diarrhea and severe peptic ulceration due to gastric hypersecretion secondary to excessive gastrin release from an endocrine gastric and pancreatic neoplasm
  21. fistula
    abnormal opening or connection formed between one epithelial surface and another
  22. which anatomic structures are at risk for peptic ulceration?
    -the stomach, duodenum, esophagus, jejunum
  23. what are the casual agents of peptic ulceration?
    • -infections, helicobacter pylori
    • -intake of drugs, NSAIDs
    • - ischemia
    • -alcohol intake, a poor diet
    • -stress
    • -zollinger-ellison syndrome
  24. factors or conditions that can increase gastric acid secretion
    • -some foods: caffeine-containing foods and spices
    • - stress
    • -zollinger-ellison syndrome or other conditions
    • -chronic helicobacter pylori gastritis
    • -fast emptying of the stomach
  25. the main goals of nutrition care for clients with PUD
    • -help the client meet nutritional needs through an optimal and well-balanced diet and to prevent or treat nutrient deficiencies and malnutrition
    • -support the client in limiting eating behaviors and the intake of foods increasing gastric acid secretion and PUD symptoms
    • -teach the client to limit foods and lifestyle behaviors that irritate the gstrointestinal mucosa and are not tolerated
    • -to encourage the client to take his or her medication as prescribed by the physician and to adopt and maintain a healthy lifestyle to help treat the ulceration and prevent PUD complications
  26. usual dietary recommendations for clients with PUD
    • -optimize dietary intake through a healthy, well balanced regular diet as tolerated
    • -limit caffeine containing foods
    • -limit spices
    • -plan and eat meals at regular intervals
    • -avoid alcohol, cigarette smoking, and intake of NSAIDs
    • -other foods not recommended if symptomatic include high-fat foods
    • -limit other foods only if it triggers continual discomfort
  27. complications of peptic ulcer disease
    • -hemorrhage
    • -anemia
    • -perforation
    • -gastric outlet obstruction
    • -stomach cancer
  28. What is the difference between gastropathy and gastritis?
    gastropathy refers to any disease of the stomach whereas gastritis referes to inflammation and infiltration of the white blood cells
  29. True or False?
    Helicobacterpylori is the major caual agent in the development of gastric and duodenal ulcers
    True
  30. T or F?
    Individuals infected with Helicobacter pylori all develop a gastric and or duodenal ulcer
    false
  31. T or F?
    many factors may be involved in the pathogenesis of a gastric ulcer. Helicobacter pylori infection and NSAID usage are the most frequent conditions resulting in impaired mucosal defense. Ulcers form when damaging factors are not counterbalanced by protective factors.
  32. True
  33. T or F?
    GAstric acid secretion is always increased in clients with gastric ulcers
    false
  34. Why may a PUD patient be at risk for malnutrition?
    lack of absorption, bleeding/anemia, vomiting that leads to dehydration

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