Exam #3 MNT 4 Questions and Answers Already Passed
Steatorrhea - Answers fat in stool -> seen in malabsorptive diarrhea
Medication-induced diarrhea - Answers Lactulose: hepatic encephalopathy (too high ammonia)
Sorbitol (sugar alc) -> found in tylenol
Antibiotic-associated diarrhea - Answers C. diff (Clostridium difficile)
Medical treatment for diarrhea - Answers - Identify and treat underlying problem
- Mange fluid and electrolyte replacement
- Supplementation with probiotics -> yogurt and Keopectate (medication)
MNT for diarrhea - Answers - Replacement of fluids and electrolytes
- something isotonic like BRAT diet
- Soluble fiber might help and small amount
- Low fiber diet (low residue)
- Sugars may need to be limited
GI stricture and obstruction - Answers Partial or complete obstruction
MNT: Chew food well and Avoid excessive fiber intake
IBD - Answers food may not be absorbed well
Crohn's Disease -> anywhere in GI tract
Ulcerative colitis -> only in Colon
Medical management for IBD - Answers Corticosteroids
Anti-inflammatory agents
Immunosuppressants
Antibiotic
Anticytokine medication
Surgical management for IBD - Answers Bowel resection: possible short bowel syndrome (SBS)
Nutrition support -> TF
, Nutrition management for IBD: energy and protein needs - Answers Energy needs don't change
much (unless surgery)
Protein needs might be higher (1.3-1.5)
Nutrition management for IBD: MNT - Answers Might use oral enteral formula
Use of foods that are well tolerated
Small frequent meals slowly
Parenteral nutrition in patients with severe disease or obstruction
Multivitamin supplement containing folic acid, B12 and B6
Omega 3 FA supplementation
Consider use of prebiotics and probiotics
Modify fiber intake as necessary
Test for food intolerances
IBS (inflammatory bowel disease) - Answers Symptoms of abdominal discomfort
Discomfort relieved by defectation
Onset associated with change in frequency of stool
Onset associated with a change in form of the stool
3 months before diagnosed
Medical management of IBS - Answers Validating patient's complains (ask questions)
Osmotic laxatives for constipation
Antipasmotic agents -> meta muci
MNT for IBS - Answers Ensure adequate nutrient intake
Soluble fiber might help
Avoid high-fat foods
Diet low in fermentable oligo-, di- and monosaccharides and polyols (FOODMAPS)
Diverticulosis - Answers condition -> high fiber diet
Occurs due to American Diet
Steatorrhea - Answers fat in stool -> seen in malabsorptive diarrhea
Medication-induced diarrhea - Answers Lactulose: hepatic encephalopathy (too high ammonia)
Sorbitol (sugar alc) -> found in tylenol
Antibiotic-associated diarrhea - Answers C. diff (Clostridium difficile)
Medical treatment for diarrhea - Answers - Identify and treat underlying problem
- Mange fluid and electrolyte replacement
- Supplementation with probiotics -> yogurt and Keopectate (medication)
MNT for diarrhea - Answers - Replacement of fluids and electrolytes
- something isotonic like BRAT diet
- Soluble fiber might help and small amount
- Low fiber diet (low residue)
- Sugars may need to be limited
GI stricture and obstruction - Answers Partial or complete obstruction
MNT: Chew food well and Avoid excessive fiber intake
IBD - Answers food may not be absorbed well
Crohn's Disease -> anywhere in GI tract
Ulcerative colitis -> only in Colon
Medical management for IBD - Answers Corticosteroids
Anti-inflammatory agents
Immunosuppressants
Antibiotic
Anticytokine medication
Surgical management for IBD - Answers Bowel resection: possible short bowel syndrome (SBS)
Nutrition support -> TF
, Nutrition management for IBD: energy and protein needs - Answers Energy needs don't change
much (unless surgery)
Protein needs might be higher (1.3-1.5)
Nutrition management for IBD: MNT - Answers Might use oral enteral formula
Use of foods that are well tolerated
Small frequent meals slowly
Parenteral nutrition in patients with severe disease or obstruction
Multivitamin supplement containing folic acid, B12 and B6
Omega 3 FA supplementation
Consider use of prebiotics and probiotics
Modify fiber intake as necessary
Test for food intolerances
IBS (inflammatory bowel disease) - Answers Symptoms of abdominal discomfort
Discomfort relieved by defectation
Onset associated with change in frequency of stool
Onset associated with a change in form of the stool
3 months before diagnosed
Medical management of IBS - Answers Validating patient's complains (ask questions)
Osmotic laxatives for constipation
Antipasmotic agents -> meta muci
MNT for IBS - Answers Ensure adequate nutrient intake
Soluble fiber might help
Avoid high-fat foods
Diet low in fermentable oligo-, di- and monosaccharides and polyols (FOODMAPS)
Diverticulosis - Answers condition -> high fiber diet
Occurs due to American Diet
