PDA

View Full Version : nausea, diarrhea, sweating, palpitations, and flushing



Asclepius1
12-13-2004, 09:26 AM
A patient who recently underwent a gastrectomy procedure complains of
nausea, diarrhea, sweating, palpitations, and flushing soon after eating
a meal. This patient should be instructed to

A. eat less frequent, larger meals that are high in carbohydrates
B. eat less frequent, smaller meals that are high in fat
C. eat more frequent, larger meals that are high in protein
D. eat more frequent, smaller meals that are high in carbohydrates
E. eat more frequent, smaller meals that are high in fat

Asclepius1
12-13-2004, 10:46 AM
My guess is eat more chinese but in a smaller portion each time.

Asclepius1
12-13-2004, 10:52 PM
My guess is

D. eat more frequent, smaller meals that are high in carbohydrates

Asclepius1
12-14-2004, 02:16 PM
The postgastrectomy symptoms described above are collectively called the dumping syndrome. Because all or part of the stomach is removed, an ingested meal will be delivered to the small intestine more quickly than normal. The large increase in tonicity in the small intestine causes an osmotic fluid shift from the extracellular fluid (plasma) into the lumen of the gut. The increased distention of the small intestine increases motility through reflex mechanisms and causes diarrhea. The blood volume contraction and concomitant release of vasoactive substances such as bradykinin and/or vasoactive intestinal peptide can create hypotension and reflex tachycardia. Patients should be instructed to eat more frequent, smaller meals to reduce the osmotic and/or carbohydrate load that is delivered to the small intestine. Furthermore, since fats are the slowest to be absorbed, a diet that is higher in fat will also reduce the problem of rapid absorption

Asclepius1
12-14-2004, 02:17 PM
E. eat more frequent, smaller meals that are high in fat

r.r.r.r.
03-29-2005, 12:16 PM
thanks guest who posted the q's and guest who explained the answer!
Lor

Asclepius1
04-11-2005, 07:42 AM
i agree with this guy who have said the most

tialmiMD
08-02-2006, 03:43 PM
The answer Is E.

IMG SURVIVOR
03-20-2008, 07:55 AM
Good concept to remember







Copyright © 2003-2018 ValueMD, LLC. All rights reserved.