Professional Documents
Culture Documents
Identification
I. identification
Answer the questions asked below narratively. Be concise yet substantive in
answering the questions
1. Bile - yellow-green fluid that aids in the digestion and absorption of fat.
2. Gallbladder - Serves to store and concentrate bile
3. Hepatic - Term referring to the liver
4. Chemical - Type of digestion that uses digestive enzymes to break down food
particles into nutrients.
5. Peristalsis - Wave-like contractions that propel food through the digestive tract
6. Salts - The most important component of bile is bile _______.
7. Mechanical - Type of digestion that breaks food into smaller particles.
8. Alimentary - Another name for digestive tract is the ____ canal.
9. Liver - Secretes bile
10. Hepatocytes - Sheets of hepatic cells that fan out from the center of the hepatic
lobule.
11. Omentum - The portion of the mesentery that hangs over the small intestine like an
apron is called the greater ___________.
12. Bilirubin - Main bile pigment.
1. If the salivary glands do not function or are bypassed, which nutrients would
miss beginning digestion?
If the salivary glands do not function or are bypassed, the nutrients that would be
missing are carbohydrates & proteins. The salivary glands produce salivation, which
keeps the mouth and different pieces of the digestive system moist. It also helps break
down carbohydrates and lubricates the passage of food down from the oro-pharynx to
the esophagus to the stomach.
2. If the storage of bile is not possible because the gallbladder has been removed,
what effect would this have on the client?
Bile breaks down the fats into fatty acids, it helps with digestion and it will be stored in
the gallbladder. If the gallbladder of bile is not possible to store because the gallbladder
has been removed, the effect that the patient might have would be diarrhea. It is
because once the gallbladder has been removed, the stool will speed up the passage. It
is true that there is not as much bile, but there is enough to allow the digestion and
transfer of fat. People who have their gallbladders removed do not need to limit the fat
in their diet.
3. All of the colon is sometimes removed. What digestive actions would then not
occur?
Chyme is squirted down into the small intestine, where digestion of food continues so
the body can absorb the nutrients into the bloodstream. The surgeon will join the ileum,
to the rectum. A colectomy will allow the stool to continue passing the stool through the
anus without the need for an external pouch.
5. What are the two types of digestion and how do each type occur?
There are two types of digestion, the mechanical and chemical. These two types of
digestion is to break down the substances or the food into smaller particles. When we
say mechanical digestion, it involves physically breaking the food into smaller pieces.
Mechanical digestion begins in the mouth as the food chews. Chemical digestion
involves breaking down the food into simpler nutrients that can be used by the cell, and
this will occur when enzymes are being secreted throughout the digestive system. It is
because those chemical bonds that the food particles stick together, the enzymes will
break it so that the food will go into smaller particles.
II. Trace the path of a food (digestive process) from ingestion to defecation
Ingestion → propulsion → mechanical or physical digestion → chemical digestion →
absorption → defecation
PAGE 6:
1. Gastroenterology - The area of medicine concerned with the study of the digestive
tract and the diagnosis and treatment of its diseases.
2. Saliva - Clear fluid secreted by the mouth that contains digestive enzymes.
3. Digestion- Process of breaking down food into a form that cells can use.
4. Mesentery - Holds the intestines loosely in place
4. Mastication - Chewing
5. Submucosa - Tissue layer of the digestive tract that contains glands, blood vessels,
lymphatic vessels, and nerves
6. Incisors - Chisel-like front teeth with sharp edges for cutting food
7. Buccal - The mouth is also called the ___________________ cavity.
8. Enamel - Hardest substance in the body
9. Molars - Teeth with flat surfaces for crushing or grinding food
10. Deciduous - Early teeth that fall out and are replaced by permanent teeth
11. Bolus - Mass of moistened food that can be swallowed easily
12. Canine - Pointed teeth designed to tear food
PAGE 7:
List the six organs of the digestive tract.
1. Mouth
2. Esophagus
3. Stomach
4. Intestines
5. Rectum
6. Anus
Note: also give a brief description of their most important function.
Mouth - it is where the digestive tract starts or where the digestive tract begins.
Esophagus - to convey boluses of the food from the pharynx. It receives the food from
our mouth when it is being swallowed.
Stomach - this is the temporary storage for food.
Intestines - the important function of intestine is to digest food
Rectum - it is the opening to receive stool from the colon
Anus - marks the exit point of the digestive tract.
1. The sight, smell, taste, or thought of food sends (a) NEURAL impulses to the brain.
The (b) PARASYMPATHETIC nervous system that signals the stomach to secrete (c.)
GASTRIC juice as well as (d) GASTRIN this is called the (e) CEPHALIC phase of
gastric secretion.
2. When food enters the stomach, the (a) GASTRIC phase begins. The stretching of the
stomach triggers nervous impulses that (b) INCREASE the secretion of (c.) GASTRIC
juice and (d) GASTRIN.
3. As chyme moves into the duodenum, the (a) INTESTINAL phase begins. At this
point, nervous impulses and hormones secreted by the duodenum (b) INHIBIT gastric
secretion.
PAGE 9:
Describe the process of carbohydrate digestion by filling in the blanks in the following
sentences with the correct word or phrase.
1. Salivary glands in the mouth secrete the enzyme SALIVARY AMYLASE which works
to hydrolyze STARCH to MALTOSE.
3. In the intestine, chyme mixes with BILE and the process of digestion EMULSIFIES .
4. The membranes of the cells covering the villi contain the enzymes ,SUCRASE,
LACTASE and MALTASE.
5. As chyme slides along the brush border, ENZYMES BIND WITH DISACCHARIDE.
This is called CONTACT digestion.
6. The final step in the digestion process produces GLUCOSE which is immediately
absorbed.
2. In the stomach, the enzyme (pepsin) (amylase) hydrolyzes the peptide bonds
between certain amino acids.
3. In the duodenum, the pancreatic enzymes (lipase and amylase) (trypsin and
chymotrypsin) assume the task of breaking peptide bonds.
4. Brush border enzymes called (pepsin) (peptides) break the remaining chains into
individual amino acids, which are then absorbed into the bloodstream.
FAT DIGESTION:
1 A. A fat globule enters the duodenum.
4 B. Pancreatic lipase begins to digest fat.
8 C. Triglycerides travel through the lymphatic system and enter the bloodstream at the
left subclavian vein.
6 D. Glycerol and short-chain fatty acids are absorbed into the bloodstream of villi, and
long-chain fatty acids are absorbed into the walls of the villi.
3 E. Two substances in bile (lecithin and bile salts) emulsify fat.
5 F. Fats are broken into a mixture of glycerol, short-chain fatty acids, long-chain fatty
acids, and monoglycerides.
2 G. The gallbladder secretes bile.
7 H. Triglycerides enter the lacteal of the villi.
Review on Biochemistry:
1. What is nutrition?
The study of food sources, their nutrients, and the different substances they contain is
deemed essential to support human health. It also includes the discussion of its
ingestion, digestion, absorption, transport, metabolism, interaction, storage, and
excretion. A more extensive definition incorporates the investigation of the environment
and of human conduct as it relates to these scientific processes.
DeBruyne, L., Pinna, K., and Whitney, E. (2015). Nutrition & Diet Therapy Ninth Edition.
Boston, USA. Cengage Learning Press
DeBruyne, L., Pinna, K., and Whitney, E. (2015). Nutrition & Diet Therapy Ninth Edition.
Boston, USA. Cengage Learning Press
3. What are the differences and similarities between vitamins and minerals?
Discuss and cite examples.
Vitamins and minerals are considered micronutrients and play essential roles in healthy
functioning of the body. The two differ in chemical composition. Vitamins are organic
compounds that cannot be manufactured by the body and are needed in small amounts to
catalyze metabolic processes. Vitamins are classified into fat soluble and water-soluble.
The water-soluble vitamins are those that cannot be stored in the body such as the vitamin
C and the B-complex, in order to avoid deficiency, people should incorporate it in daily
intake. Fat soluble vitamins are capable of storing in the body making it not necessary to be
taken daily. This includes vitamins A, D, E, K. Further, minerals are inorganic compounds
that are categorized through macrominerals and microminerals. Macrominerals are required
daily in amounts over 100 mg. These minerals include calcium,
phosphorus,sodium,potassium and magnesium. Microminerals are required to be taken
daily in less than 100 mg namely, iron, iodine, and fluoride.
DeBruyne, L., Pinna, K., and Whitney, E. (2015). Nutrition & Diet Therapy Ninth Edition.
Boston, USA. Cengage Learning Press
4. What are the different types of macronutrients and what are their subtypes?
Make a tree diagram and define each branch briefly.
PROTEIN (a macronutrient that produces energy for the body that must be consumed in
an adequate healthy amount)
Subtypes:
-complete
-incomplete
FAT
Subtypes:
-saturated(no double bonds)
-polyunsaturated(many double bonds in the chemical structure)
-monounsaturated(one double bond in the chemical structure)
-trans fat
An adult person who is 5’7” and weighs 102 kgs has a BMI result of: 35.2kg/m2. This
BMI result is classified as: Obese.
A record of consumed foods during the past 24 hours that may be modified sometimes
to include consumed foods in a typical day. It is obtained through a guided interview in
which an individual recalls all consumed foods and beverages in the previous 24 hours.
The question includes the frequency of meals or snacks eaten, the consumed amount,
and how the foods were prepared.
DeBruyne, L., Pinna, K., and Whitney, E. (2015). Nutrition & Diet Therapy Ninth Edition.
Boston, USA. Page 396; Cengage Learning Press
https://motherchildnutrition.org/early-malnutrition-detection/detection-referral-children-
with-acute-malnutrition/interpretation-of-muac-indicators.html
Why is your waist circumference one of the indicators of nutritional status? Discuss.
The waist is an indicator of fat distribution in the abdomen and the proportion to body
fatness. A woman with a waist circumference greater than 35 inches and a man with a
waist circumference greater than 40 inches is at risk for diabetes, hypertension, and
other health problems. It is a reliable predictor of whether a person is at risk of
developing diseases.
BMI (kg/m2) Obesity Men: 102 cm (40 Men: > 102 cm (40
Class in.) or Less in.)
Women: 88 cm Women: > 88 cm
(35 in.) or Less (35 in.)
Underweight 1. <18.5 - - -
Normal 2. 18.5 - - - -
24.9
In not less than 5 sentences, how would you interpret the food label of Macaroni &
Cheese presented?
The macaroni and cheese comes in two servings, each with 250 calories. Fat accounts
for 110 of the 250 calories. The total fat for the ingredients that equate to one serving is
12g, corresponding to the percentage it took, as the basis for our daily value is only
18%. Saturated fat and trans fat are separated because they are the most important
fats, each containing 3g. The maximum amount of saturated fat we should consume per
day is 20g, according to the recommended daily values. Cholesterol, which is known to
cause heart disease, is only 30mg, which is not a concerning amount when compared
to the recommended daily value of 300 mg, but this is still dependent on whether the
ingredients are healthy or not. The mac and cheese contains 470 mg of sodium, which
is 20% of the daily value, 31g of carbohydrate, and only 10% of the 2,000 calories we
need each day. Sugar and protein each contains 5 g. Among the vitamins listed below,
calcium accounts for 20% of the daily value, vitamin C for 2%, vitamin A for 4%, and
iron for 4%. The final section shows the recommended daily values that most people
should be aware of in order to have a basis for consuming food in an appropriate
proportion.
II. Procedures
A. Following the steps in estimating the desirable body weight (DBW) discussed in the
lecture portion, calculate your total energy allowance (TEA).
1. Determine your height and actual body weight. Convert lbs into kg weight.
H = 160 cm; W = 53 kg
3 x 2 = 6 lbs
= 106 lbs
= 106 ÷ 2.2
= 48 kg
Basal Need
Male = 1 kcal per kg DBW/hour Female = 0.9 kcal per kg DBW/hour
= kcal/day x .50
= 519 kcal
Physical needs - approximate percentage increase above basal needs (use lower
factor for women).
Sedentary 30 percent
4. Add values from 2 to 3 to get TEA = 1,037 kcal + 519 = 1,556 kcal.
5. Distribute the total energy allowance among carbohydrates, proteins, and fats as
follows:
6. For a normal diet, allot 65% of the total energy allowance for carbohydrates, 15% for
proteins, and 20% fats. Thus, the corresponding energy contributors of the three
nutrients in your diet are as follows:
7. Calculate the number of grams of carbohydrates, proteins, and fats by dividing the
calories for each nutrient by corresponding physiologic fuel values (4 kcal/g CHO,
4kcal/g pro, 9 kcal/g fat).
8. For simplicity and practicality of the diet prescription (Rx), round off calories to the
nearest 50, and carbohydrates, proteins, and fats to the nearest 5 g. thus, your diet
prescription is:
Diet Rx: 1,560 kcal; CHO 235g, CHON 60g, FAT 45g.
Tanhauser’s Method
1. Determine your height and actual body weight. Convert lbs into kg weight.
H = 160 cm - 100 = 60
60 ÷ 10 = 6
60 - 6 = 54 kg
Basal Need
= kcal/day x .50
= 583 kcal
Physical needs - approximate percentage increase above basal needs (use lower
factor for women).
Sedentary 30 percent
4. Add values from 2 to 3 to get TEA = 1,166 kcal + 583 = 1,749 kcal.
5. Distribute the total energy allowance among carbohydrates, proteins, and fats as
follows:
6. For a normal diet, allot 65% of the total energy allowance for carbohydrates, 15% for
proteins, and 20% fats. Thus, the corresponding energy contributors of the three
nutrients in your diet are as follows:
8. For simplicity and practicality of the diet prescription (Rx), round off calories to the
nearest 50, and carbohydrates, proteins, and fats to the nearest 5 g. thus, your diet
prescription is:
Diet Rx: 1,750 kcal; CHO 260g, CHON 70g, FAT 50g.
I. Veg A
Veg B
II. Fruits
III. Milk
IV. Rice
V. Meat
VI. Sugar
VII. Fat
Total
Snacks
Reflection Time:
According to Arkansas State University (2016), nurses should learn about Nutrition and
Diet Therapy since nurses are the main point of contact with patients, they must
understand the importance of nutrition basics and be able to explain the facts about
healthy food choices to their patients. Do you agree with this claim? Why or why not?
Discuss in not less than 5 sentences.
As a student nurse, having the opportunity to learn about this subject would give us an
advantage in providing holistic care to our patients because we would be able to provide
them with the appropriate treatment, education, and intervention to restore their health
to an optimal level. Here are some reasons why nurses should learn Nutrition and Diet
Therapy:
• Nurses provide direct care to patients while also serving as advocates. As one,
we provide not only emotional support, but also the best of our abilities, including
the knowledge we have gained in order to provide the best quality health care.
Certain procedures or treatments are carried out in order to eliminate the
pathogenic microorganism that is causing a patient's illness.
They must regain their strength by eating a sufficient amount of healthy foods.
Healthy foods in a healthy range aid in the production of energy, the facilitation of
body processes, and the proper functioning of the body. With the presence of
medications that aid in the elimination of foreign substances, as well as proper
care, intervention, environment, an appropriate proportion of healthy foods, and
rest, the patient can almost certainly restore his or her health.
1. What are the bases for estimating the desirable intake of an individual?
2. What are the pointers to consider in planning a normal diet? A therapeutic diet?
When planning a diet, there are things that we should consider depending on the
diet that we’re supposed to do. For example, on a normal diet, it doesn’t have any
restrictions so you just need to balance and control your food intakes. However, the
therapeutic diet is prescribed by the physicians as a part of their treatment plan for
specific clinical conditions. If you plan on having a normal diet, the pointers that you
need to consider are your current weight and health condition. Also, the amount of
calories and serving sizes would matter depending on your age, gender, and weight.
Having a therapeutic diet on the other hand, requires the prescription of a physician and
is planned by a dietitian. The factors that are needed to be considered in this type of
diet are the underlying disease conditions that require a change in your diet, the
possible duration of the condition, the factors in the diet which must be altered to
overcome these conditions, and lastly, the patient's tolerance for food by mouth. It is
also modified for nutrients, texture, and/or food allergies or food intolerance.
References:
http://www.vivo.colostate.edu/hbooks/pathphys/digestion/smallgut/
absorb_lipids.html
https://med.libretexts.org/Bookshelves/Nutrition/Book
%3A_An_Introduction_to_Nutrition_(Zimmerman)/05%3A_Lipids/
5.04%3A_Digestion_and_Absorption_of_Lipids
https://www.ncbi.nlm.nih.gov/books/NBK535456/figure/article-18425.image.f1/
DeBruyne, L., Pinna, K., and Whitney, E. (2015). Nutrition & Diet Therapy Ninth Edition.
Boston, USA. Cengage Learning Press
https://www150.statcan.gc.ca/n1/pub/82-003-x/2008004/article/10703/t/5800493-
eng.htm