Professional Documents
Culture Documents
organized process
through which nutrients
such as carbohydrates,
fats and proteins are
broken down,
transformed or otherwise
converted into cellular
energy
Nutrition
Ingestion
Digestion
Absorption
Energy
- measured in
kilocalories; obtained
from foods
1. Anabolism (Constructive
phase)
- metabolic storage
and synthesis of cell
constituents
- requires energy
Phases of Metabolism:
2. Catabolism (Destructive
phase)
breakdown of
complex molecules
into substances that
can be used for energy
adenosine
triphosphate
(ATP)
GLUCOSE
METABOLISM
Liver
- regulates entry of
glucose into the
blood.
- buffer system to
regulate blood sugar
levels.
Excess
Glucose
Fatty Acids
(stored in fat Stored in liver
cells as and skeletal
triglycerides) muscles as
glycogen
GLYCOGENOLYSIS
- breakdown of glycogen
- controlled by epinephrine
and glucagon
- conversion of glucose
into glycogen
- stimulated by insulin
GLUCONEOGENESIS
- building of glucose
from new sources
- conversion of amino
acids, lactate and
glycerol into glucose.
FAT METABOLISM
Triglycerides
Lipase
Fatty acids
Ketones
FAT METABOLISM
Ketones
- important source of
energy
Amino Acids
- building blocks of
proteins
- converted to fatty
acids, ketones or glucose
and stored or used as
metabolic fuel
Mechanisms of Heat
Production or Energy
Expenditure:
2. Diet Induced
Thermogenesis
Mechanisms of Heat
Production or Energy
Expenditure:
3. Exercise Induced
Thermogenesis
4. Thermogenesis in Response
to Changes in
Environmental Conditions
Alteration in Metabolism
- entails inefficient
energy source
mobilization that can
compromise well-being
CAUSES:
Structural defects
- interfere with
absorption/utilization
of metabolic substrates
or those that may
increase the need for
such.
CAUSES:
Overwhelming response
of bodily processes to
hormonal regulation
EFFECTS:
exhaustion of bodys
reserve
tissue depletion
biochemical lesion
clinical lesions
GOALS:
maintain cellular
nutrition in light of
metabolic demands
prevent cellular
degeneration
reverse functional
deterioration
Functions of the Stomach:
Functions in
carbohydrate, lipid, and
protein metabolism;
processing and
detoxification of drugs,
chemicals, alcohols, and
hormones
Functions of the Liver:
Excretion of bilirubin
Activation of Vitamin D
Functions of the Liver:
phagocytosis (Kupffer
cells engulf harmful
bacteria and anemic red
blood cells)
Functions of the Pancreas:
Exocrine part
- about 80% of the
organ
- consists of acinar cells
which secrete enzymes
(trypsin, chymotrypsin,
amylase, and lipase)
Functions of the Pancreas:
Endocrine part
- made up of Islets of
Langerhans, with
alpha cells producing
glucagons and beta
cells producing
insulin
Functions of the Pancreas:
Pancreatic juice
- contains enzymes that
digest starch
(pancreatic amylase),
triglycerides (pancreatic
lipase), and nucleic
acids (ribonuclease and
deoxyribonuclease)
Functions of the Pancreas:
Pancreatic juice
- buffers acidic gastric
juice in chyme
migrating motility
complexes propel
chyme toward the
ileocecal sphincter
Functions of the Small
Intestine:
digestive secretions
from small intestine,
pancreas, and liver
complete digestion of
carbohydrates, proteins,
lipids, and nucleic acids
Functions of the Small
Intestine:
circular folds, villi, and
microvilli increase surface
area for absorption
Mechanical
movements include
haustral churning,
peristalsis, and mass
peristalsis
The Large Intestine:
movement;
absorption;
elimination
Functions of the Large
Intestine:
absorbs water (1 to 2
liters), ions, (Na+ and
Cl-), and vitamins
Functions of the Large
Intestine:
Note:
Feces consist of
water, inorganic salts,
epithelial cells,
bacteria and
undigested foods.
GI CHANGES ASSOCIATED WITH AGING
-Enzyme activity
and cholesterol
synthesis are
diminished.
ASSESSMENT OF CLIENTS WITH
GI DISORDERS
I. HISTORY
Demographic Data
- age, gender,
culture, and
occupation
- Previous GI disorder or
abdominal surgeries
- Prescription medications
being taken
ASSESSMENT OF CLIENTS WITH
GI DISORDERS
I. HISTORY
Personal History
- Travel History
ASSESSMENT OF CLIENTS WITH
GI DISORDERS
Diet History
Diet History
- History of anorexia
- Changes in taste
- Dysphagia
ASSESSMENT OF CLIENTS WITH
GI DISORDERS
Diet History
- Abdominal pain/discomfort
that accompanies eating
- Onset
- Duration
- Quality
- Severity
ASSESSMENT OF CLIENTS WITH
GI DISORDERS
Chief Complaint
- Location
- Pattern of bowel
movements
ASSESSMENT OF CLIENTS WITH
GI DISORDERS
Current Health Problems
- Occurrence of diarrhea or
constipation
ASSESSMENT OF CLIENTS WITH
GI DISORDERS
- Presence of abdominal
distention or gas
ASSESSMENT OF CLIENTS WITH
GI DISORDERS
Current Health Problems
- Pain (PQRST)
ASSESSMENT OF CLIENTS WITH
GI DISORDERS
Current Health Problems