Nutrition

Peptic Ulcer Disease

100

Some causes of peptic ulcer disease

H.Pylori, NSAID use, use of corticosteroids, GI surgery history 

200

S/S of PUD

epigastric pain, rigid rebound tension, monitor CBC for bleeding indications, blood sugar decreases with progression of infection 

300

What is a Esophagogastroduodenoscopy (EGD)?

most accurate way of diagnosis, visualizes ulcer 

400

Patient education for PUD? 

smaller meals, avoid OTC NSAIDS, avoid alcohol and tobacco, coping plans for stressors 

500

S/S of ulcer perforation? 

sudden sharp persistent epigastric pain or abdominal pain, bloody stool, bloody/coffee ground vomit 

Ulcers

100

What kind of ulcer causes abdominal pain 30-60 mins after a meal?

Gastric ulcer

200

What kind of ulcer causes upper abdominal pain 1.5-3 hours after meals and at night?

Duodenal ulcer

300

S/S of gastric ulcer 

malnourished, hyposecretion of the stomach, pain in upper abdomen 30-60 mins after a meal, atrophic gastritis, bloody emesis 

400

S/S of a duodenal ulcer?

well nourished, hypersecretion of the stomach acid production, upper abdominal pain 1.5-3 hours after meals, no gastritis, bloody stool 

500

Causes of stress ulcers 

sepsis, critically ill, extensive burns, increased intracranial pressure, stress 

Medications

100

What is the normal drug combo for combating PUD?

PPIs and antibiotics (2)

200

H2 Antagonists (MOA)

(-tidine) 

decrease gastric acid secretions by blocking histamine receptors in parietal cells 

300

PPIs (MOA) 

(-prazole)

block proton pump that secretes acid 

DRUG OF CHOICE

400

What causes which...

Magnesium hydroxide and Aluminum hydroxide 

Cause

constipation or diarrhea?

Magnesium hydroxide causes diarrhea 

Aluminum hydroxide causes constipation 

500

Mucosal Barrier Fortifiers (MOA and when to take them) 

protect stomach mucosa 

sucralfate- take one hour before meals and also before bed

Celiac Disease

100

What is celiac disease?

chronic inflammation of the small intestinal mucosa. A malabsorption syndrome and a multi-system autoimmune disease.

200

What is the diet someone with Celiac disease should follow? 

gluten-free diet (high calorie, high protein, fruits, veggies, low in fats and fiber until symptoms subside) 

300

S/S of Celiac Disease

weight loss, anorexia, diarrhea or constipation, abdominal pain or distension, vomiting, osteoporosis, joint pain, iron deficiency anemia, migraines, lactose intolerance 

400

What is another name for gluten?

hydrolyzed vegetable protein 

500

What are the primary complications of CD?

cancer, nutrition deficiencies