HNF 471 EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Metoprolol (Lopressor, Toprol XL), Lisinopril (Zestril,Prinivil)
-use/category
-effects
-nutritional implications
use/category: Cardiac glycoside; antiarrhythmic, CHF treatment
effects:
Increases urinary Mg loss and decreasesserum K
nutritional imp:
HypoK, hypoMg, hyperCa increase drug toxicity. Ca supplements and anti acids require
careful monitoring
Digestive system functions
Motility
Secretion
Digestion
Absorption
Common diagnoses for Upper GI
Inadequate oral intake
Inadequate fluid intake
,biting/chewing difficulty
involuntary weight loss
Stomatitis Interventions
adjust texture and temperature
avoid carbonation
avoid caffeine, all, tobacco
avoid other irritants like spicy and acidic foods
Nutrition intervention for taste changes
Varies
Room temp foods for less odor and pain
If tase has declined, consider spices like black pepper to enhance aroma
most common problem in esophagus
GERD damage
GERD
The LES (lower esophageal sphincter; allows food to enter the stomach) weakens and
allows acid from the stomach to erode the lining of the esophagus and result in GERD
commonly called heartburn and indigestion
, GERD worsening and managing
-maintenance of...
-lower LES pressure results from...
All about maintenance of LES pressure
Lower LES pressure (bad) can result from:
-Hiatal hernia
-pregnancy
-recurrent vomiting
-gastroparesis
-COPD
GERD management through pharmacology
-medications (2)
-name of meds
-drug-nutrient interactions
PPIs (proton pump inhibitors)
-Blocks H/K ATPase system which generates acid in stomach
End of the names of PPis
-prazole
-HEAVILY PERSCRIBED
Antacids
SOLUTIONS VERIFIED GRADED A++
Metoprolol (Lopressor, Toprol XL), Lisinopril (Zestril,Prinivil)
-use/category
-effects
-nutritional implications
use/category: Cardiac glycoside; antiarrhythmic, CHF treatment
effects:
Increases urinary Mg loss and decreasesserum K
nutritional imp:
HypoK, hypoMg, hyperCa increase drug toxicity. Ca supplements and anti acids require
careful monitoring
Digestive system functions
Motility
Secretion
Digestion
Absorption
Common diagnoses for Upper GI
Inadequate oral intake
Inadequate fluid intake
,biting/chewing difficulty
involuntary weight loss
Stomatitis Interventions
adjust texture and temperature
avoid carbonation
avoid caffeine, all, tobacco
avoid other irritants like spicy and acidic foods
Nutrition intervention for taste changes
Varies
Room temp foods for less odor and pain
If tase has declined, consider spices like black pepper to enhance aroma
most common problem in esophagus
GERD damage
GERD
The LES (lower esophageal sphincter; allows food to enter the stomach) weakens and
allows acid from the stomach to erode the lining of the esophagus and result in GERD
commonly called heartburn and indigestion
, GERD worsening and managing
-maintenance of...
-lower LES pressure results from...
All about maintenance of LES pressure
Lower LES pressure (bad) can result from:
-Hiatal hernia
-pregnancy
-recurrent vomiting
-gastroparesis
-COPD
GERD management through pharmacology
-medications (2)
-name of meds
-drug-nutrient interactions
PPIs (proton pump inhibitors)
-Blocks H/K ATPase system which generates acid in stomach
End of the names of PPis
-prazole
-HEAVILY PERSCRIBED
Antacids
