19 terms

Dumping Syndrome

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Define dumping syndrome
Rapid emptying of gastric contents into the small intestines. This results in a fluid shift into the gut causing abdominal distention.
Define dumping syndrome
Rapid emptying of gastric contents into the small intestines. This results in a fluid shift into the gut causing abdominal distention.
What are common s/s of Dumping syndrome?
Hypovolemia: [orthostatic hypotension, tachycardia, sweating, flushing, vertigo]
Epigastric pain
Syncope [due to hypovolemia]
Nausea, diarrhea
Hyperactive BS
Feeling of abdominal fullness and abdominal cramping [Due to fluid shift into the gut causing abdominal distention]
What should you encourage the pt to do to slow down gastric emptying?
lay down
What is the onset of dumping syndrome in EARLY symptoms?
within 30 minutes of eating
What is the cause of DS in early DS?
Rapid emptying of GI contents into the small intestines
What are some s/s of early DS?
Nausea, vomiting, dizziness ----> Dehydration
Tachycardia, palpitations
Diarrhea, abdominal cramping [Due to fluid shift into the abdomen]
What is the onset of LATE dumping syndrome?
1.5 to 3 hours after a meal
What is the cause of LATE DS?
Excessive insulin release
What are the s/s of LATE DS?
1) Hunger, dizziness, sweating
2) Palpitations, tachycardia
3) Shakiness
4) Confusion

HINT: Mimics s/s of hypoglycemia due to the excessive release of insulin
In regards to dietary management, what type of diet should a client with DS have?
Avoid salt, sugar and milk.
Decrease the amount of food taken at one time.
What should the pt. keep?
A food diary and rxn to certain foods that cause s/s so they know to avoid these foods
What should the clients' diet consist of?
High protein, high fat, low-carb diet [This provides caloric intake to promote gastric healing]
Why is the ingestion of proteins and fats important?
Prevents reflux and they exit the stomach SLOWER than carbs
Why should this pt increase fiber intake?
Promote feeling of fullness
Prevents overeating
Should this pt. eliminate or increase fluid intake with meals?
Eliminate liquids 1 hour BEFORE, with meals, and 2 hours AFTER
Why is fiber intake important?
Provides bulk to prevent diarrhea
Delays absorption of carbs, delays glucose absorption, and delays gastric emptying
How long should a pt. with DS lay down for after meals?
30-60 minutes to decrease rapid emptying and promote digestion [Think opposite of GERD/PUD]
What are important supplements to administer to this pt.?
Vitamin B12, folic acid, iron, Ca+
Antispasmodics to delay gastric emptying