NUT 444 EXAM 2 CELIAC DISEASE, INFLAMMATORY BOWEL DISEASE, PANCREATITIS QUESTIONS AND VERIFIED ANSWERS

Example of Pancreatic Enzyme Dosing Method 2


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,2 Approaches to Calculate Enzyme Dose


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1. Based on amount of FAT in diet
-500-4,000 units lipase per gram of fat per meal
2. Based on body WEIGHT
-500-2,500 units per kg body weight per meal

**Should not exceed 10,000 units per kg/day (risk of Fibrosing
Colonopathy)




Cystic Fibrosis: Causes of Malnutrition


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-Maldigestion and malabsorption due to pancreatic insufficiency
-Increased energy expenditure
-Decreased oral consumption




Possible Dietary Measures in Crohn's for Symptom of: Several bowel obstruction,
high-output fistulas, or severe exacerbations of disease


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Total parenteral nutrition




Meds for IBD

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-Antidiarrheal drugs
-Anti-inflammatory drugs (sulfasalzine, corticosteroids)
-Antisecretory drugs (proton-pump inhibitors, H2 blockers)
-Laxatives
-Pancreatic enzyme replacements




Celiac Disease: Diagnosis


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-Serological test: IgA, IgG
=> (EMA, tTG): endomysium cells and tissue transglutaminase
-Bowel biopsy
-Response to gluten free diet




Reduced Absorptive Surface


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-Damage to endothelial cells
-Decreased absorptive surface
-Decreased mucosal enzymes
=> Disaccharidases
=> Peptidases




Causes of Malnutrition in Crohn's Disease


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