HUN4446 ulcerative colitis

HUN4446 ulcerative colitis - fiber: symptomatic pt: as...

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Ulcerative Colitis: inflammation of rectum extents to colon mucosal damage ONLY Signs and Symptoms: bloody diarrhea: key symptom abdominal pain tenesmus: urgency to go to bathroom fever negative N balance edema dehydration anemia anorexia weight loss non-GI tract lesions toxic megacolon inflammatory marker remission/exacerbation Medications: antibiotics  anti-inflammatory immunomodulators corticosteroids newer drugs: colazol and keratinocyte growth factor Nutritional Management: depends on: severity of symptoms nutritional status medical/surgical management objectives: provide adequate nutrition support for repair decreases stool frequency  increase pt comfort general recommendations: kcals: ~BEE*1.5 protein: 1 to 1.5 g/kg BW
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Unformatted text preview: fiber: symptomatic pt: as tolerated asymptomatic pt: no restriction vitamins/minerals: ensure adequate intake fluids/electrolytes: supplement as indicated lactose: symptomatic pt: as tolerated asymptomatic pt: no restriction severe cases initial restriction of oral intake parental nutrition (intractable diarrhea) peripheral or central PN progress to enteral feedings as tolerated oral/tube fiber content per pt tolerance lactose-containing foods as tolerated elemental diet/PN may be necessary in preparation for surgery potential treatments: probiotics: microbial foods or supplements alter microflora; promote acidic pH...
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This note was uploaded on 10/25/2009 for the course HUN 4446 taught by Professor Mathews during the Spring '09 term at University of Florida.

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HUN4446 ulcerative colitis - fiber: symptomatic pt: as...

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