RD Exam - Domain 2 - MNT for Individuals | 730 Questions and Answers 100% Verified

eroded mucosal legion -ulcer treatment for ulcers - antacids, antibiotics to eradicate H pylori Drug therapy w/ ulcers - Cimetidine, Ranitidine - H2 blocker; prevents binding of histamine to receptor, drecreases secretion Diet for patient w/ ulcers - diet as tolerated well-balanced avoid late-night snacks omit any gastric irritants including cayenne, black pepper, large amounts of chili powder, excess caffeine and alcohol protrusion of a portion of the stomach above the diaphragm into the chest - hiatal hernia Major symptom of hiatal hernia: - heartburn Hiatal Hernia MNT - small, bland feedings avoid late-night snacks caffeine chili powder black pepper When rapidly hydrolyzed carbs enter jejunum, water is drawn to achieve osmotic balance. This causes a rapid decrease in vascular fluid compartment and a decrease in peripheral vascular resistance. Blood pressure drops and signs of cardiac insufficiency appear.About two hours later, the CHO is digested and absorbed RAPIDLY. Blood sugar rises, stimulating an overproduction of insulin, causing a drop in blood sugar below fasting. This is reactive or alimentary hypoglycemia The above describes what? - Dumping syndrome Dumping syndrome S/S - cramps rapid pulse weakness perspiration dizziness Dumping syndrome typically follows a - gastrectomy (Bilroth I or II) the stomach has limited space leading to food being dumped straight into the intestine gastroduodenostomy - Billroth I gasstrojejunostomy - Billroth II Which is more severe Billroth 1 or Billroth II - Billroth II Billroth 1 - attaches remaining stomach to duodenum Billroth II - attatches remaing stomach to the jejunum. What are some major concerns of the Billroth II procedure from a nutriton standpoint - -When food bypasses the duodenum, the secretion of secretin and pancreozymin by the duodenum is reduced. These two hormones are responsible for stimulating the pancreas so there is now little pancreatic secretion