HNF 471 EXAM #2 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
What drugs are frequently described to manage GERD?
PPIs: proton pump inhibitors (heavily prescribed)
what can long term PPI use lead to?
achlorhydria (absence of hydrochloric acid in gastric secretions), decreased calcium
and vitamin B12 absorption, megaloblastic anemia, and osteoporosis
MNT for Gerd: Recommendations
- Small, frequent meals
- avoid eating several hours before bedtime
elevate head when sleeping
consume foods high in calcium and B12 at the same time
- avoid spicy foods, citrus foods, foods high in fat
What are black, tarry stools called? (common with ulcers)
Melena
What medications do people take to help treat ulcers?
Can take PPIs or H2 antagonists (blocks histamine and acid production)
what is the MNT for ulcers?
similar to GERD, have patient avoid trigger foods
what is a gastrectomy?
, removal of all or part of the stomach, typically due to gastric cancer
- risk of gastric cancer increases with H. pylori infection and heavy alcohol consumption
what is gastroparesis?
weakness of smooth muscles in stomach resulting in delayed gastric emptying
symptoms: early satiety, feelings of fullness, N/V
- commonly seen in diabetes and gastrectomy: damage to nerves controlling the
muscles of the stomach
what is the MNT for gastroparesis?
- small, frequent meals
- liquids and liquid supplements (empty faster than solids)
- low fiber
- low fat
- chew well
- walk after a meal if possible
- may suggest reglan (promotility agent) if not already taking one and is interested
what is a bezoar?
food residue that collects in a stomach that doesn't empty well
what is a gastric outlet obstruction?
food cannot enter the small intestine
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
What drugs are frequently described to manage GERD?
PPIs: proton pump inhibitors (heavily prescribed)
what can long term PPI use lead to?
achlorhydria (absence of hydrochloric acid in gastric secretions), decreased calcium
and vitamin B12 absorption, megaloblastic anemia, and osteoporosis
MNT for Gerd: Recommendations
- Small, frequent meals
- avoid eating several hours before bedtime
elevate head when sleeping
consume foods high in calcium and B12 at the same time
- avoid spicy foods, citrus foods, foods high in fat
What are black, tarry stools called? (common with ulcers)
Melena
What medications do people take to help treat ulcers?
Can take PPIs or H2 antagonists (blocks histamine and acid production)
what is the MNT for ulcers?
similar to GERD, have patient avoid trigger foods
what is a gastrectomy?
, removal of all or part of the stomach, typically due to gastric cancer
- risk of gastric cancer increases with H. pylori infection and heavy alcohol consumption
what is gastroparesis?
weakness of smooth muscles in stomach resulting in delayed gastric emptying
symptoms: early satiety, feelings of fullness, N/V
- commonly seen in diabetes and gastrectomy: damage to nerves controlling the
muscles of the stomach
what is the MNT for gastroparesis?
- small, frequent meals
- liquids and liquid supplements (empty faster than solids)
- low fiber
- low fat
- chew well
- walk after a meal if possible
- may suggest reglan (promotility agent) if not already taking one and is interested
what is a bezoar?
food residue that collects in a stomach that doesn't empty well
what is a gastric outlet obstruction?
food cannot enter the small intestine
