Describe the GI side effects of chemotherapy and how they can be managed


Antineoplastic agents target those cells that have a high replication rate including those in the GI tract, resulting in diarrhea. In addition, these drugs, especially Antimetabolites (e.g., 5-fluorouracil), inhibit mitosis in rapidly proliferating crypt cells, leading to a disproportionate increase in the number of immature crypt cells. The patient with diarrhea should be encouraged to drink small amounts of fluid frequently throughout the day. Large amounts of fruit juices should be avoided as excessive fructose can exacerbate diarrhea. Clear liquid nutritional beverages and other oral rehydration fluids are recommended. Patients should be encouraged to use anti-diarrheal medications as prescribed by their physicians. Instructing the patient to increase his or her intake of foods high in soluble fiber may also help with the treatment of diarrhea.

Nutritional Science

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Which of the following health benefits is seen in aging adults that remain physically active?

A) Maintained muscle tissue B) Greater gains in body fat C) Lower rates of hair loss D) Better eyesight E) All of the above

Nutritional Science

The Maillard reaction is a browning reaction involving sugars and complex carbohydrates

Indicate whether the statement is true or false

Nutritional Science

Which of the following is NOT true regarding outcome data? a. The foodservice side of dietetics practice has only begun to use outcome data

b. The profession of dietetics is still in the process of determining how to best measure outcomes. c. Outcome data have been widely used to measure the impact of public health nutrition programs. d. Satisfaction surveys are somewhat more meaningful in foodservice than in clinical or community nutrition.

Nutritional Science

The Acceptable Macronutrient Distribution Range (AMDR) for carbohydrate is:

A) 10-35% of Calories. B) 20-35% of Calories. C) 45-65% of Calories. D) 55-75% of Calories. E) None of the above

Nutritional Science