-
What is inflammatory bowel disease?
Chronic disease characterized by inflammation
-
What are the two main inflammatory bowel diseases?
-
Where does the majority of digestion of food and abs of nutrients take place?
Small Intestine
-
What is the composition if intestinal juice?
Water, salt, digestive enzymes, beneficial bacteria
-
Beneficial bacteria that colonize in the ileum produce
Vitamin K2
-
Vitamin B12 is abs bound to the
intrinsic factor
-
Define the term ulcer.
Lesion of skin as a result of inflammation due to irritants or infection
-
Define Endoscopy
Examination of organ, interior or hollow organ using an instrument
-
How much dietary fiber is included in a fiber-restricted diet and a high-fiber diet?
- Low: >10 g of fiber/day esp not insoluble fiber
- High: Contain at least 14 g total fiber per 100 kcal of energy intake
-
What is Ulverative colitis?
Chronic causing formation of ulcers with abd pain and and bloody diarrhea
-
What is Crohn's Disease?
An autoimmune response, mucosal inflammation, can occur in any part of the GI tract, most often in terminal ileum and can cause fistulas
-
What is IDS?
Inefficient and uncoordinated contraction of the colon.
-
Explain inflammation.
Body's response to injury that causes chemical rxn in the tissue
-
What is a fistula?
An abdominal passage or connection between one epithelium and another.
-
What is colostomy?
Establishment by surg of an artificial cutaneous opening into the colon, possibly after the removal of the rectum and anus.
-
What is a colonoscopy?
An endoscope exam of the colon.
-
What is Acute Disease?
A disease with rapid onset, which is usually of high intensity
-
What is Chronic Disease?
Persistent or long term disease, which is usually of low intensity.
-
How does ulcerative colitis present clinically? S&S
- blood in stool
- diarrhea
- anorexia (lack of appetite)
- dehydration
- wt. loss
- anemia
- FFT
-
What are the complication of ulcerative colitis?
- loss of blood
- sepsis
- hyponatremia
- electrolyte imbalance
-
How ulcertive colitis dx?
- Barium enema
- C-reactive PRO
- Ulcers in the rectum and colon during colostomy
-
How does Crohn's disease present clinically? S&S
- Chronic abd pain
- wt loss
- fatigue
- spasms of the anal sphincter
- joint pain
-
What are the complications of Crohn's disease?
- Inflammation of the white part of the eye
- maldigestion at abs
- magaloblastoc anemia
- growth retardation
- oxcclate renal stones
- obstruction from urine entering bladder
-
What tests assist in the diagnosis of Crohn's disease?
- endoscopy
- Upper GI blood test
- Stool analysis - fecal fat
- C-Reactive PRO
-
What is the purpose of nutrition therapy for clients with inflammatory bowel disease?
- Control/prevent GI problems
- Normalize intestinal function
- Prevent IBD complications
- Promote healing
-
What are the recommendations for clients with IBD?
- At risk for malnutrition - increase energy, increase PRO
- Acute episode - clear liquid for healing, TPN, maintain electrolytes, DAT to low-fiber
- When in remission or disease is under control, a high-fiber DAT
-
Why are individuals with inflammatory bowl disease at high risk for malnutrition?
- Fear of Eating
- Nutrients aren't being abs
- diarrhea
- increased need to nutrients
- meds interfer eg. folacin
-
The intake and abs of which nutrients are at risk of not being adequate in clients with inflammatory bowel disease? For each nutrient, explain why.
- Ca
- -inf lammed intestine can make lactose and abs CA from milk
- -Fat in stool
- Water soluble Vitamins
- -Riboflavin
- -Paradoxiene
- -Inflammation of the ilium
- Blood loss causes Iron loss
- fear of eating
-
Explain the differences between Crohn's and ulcerative colitis
- Crohn's is patches anywhere in GI care create a fistula or hole
- UC- confined to colon and one area of inflammation no holes in wall mostly superficial.
-
Similarities between UC and Crohn's
- genetic
- allergy
- immune response
- physiological
- environmental
|
|