Transcript for:
Nutritional Guidance for Nausea, Vomiting, Constipation, and Diarrhea

Hi, I'm Cathy with Level Up RN. In  this video, I'm going to continue my   coverage of topics from our Level Up RN  nutrition flashcard deck. Specifically,   I'll be talking about nutritional guidance for  nausea, vomiting, constipation, and diarrhea. At   the end of the video, I'm going to give you guys  a quiz to test your understanding of some of the   key points I'll be covering. So definitely stay  tuned for that. And if you have our flashcards,   go ahead and pull out your flashcards on these  disorders so you can follow along with me.  Nausea is a common symptom associated with  a number of conditions, such as pregnancy,   a gastrointestinal infection, and cancer  treatment, just to name a few. Let's go   over some interventions that often help reduce  nausea. So first of all, individuals with nausea   are advised to consume five to six smaller meals  throughout the day as opposed to three larger   meals. In addition, drinking small amounts  of liquids during meals and consuming more   liquids between meals can help. Foods that are  at room temperature or chilled are often better   tolerated than hot foods. And then easily digested  low-fat carbohydrates, such as crackers or toast,   often go down better than high-fat foods.  And then finally, individuals with nausea   are advised to avoid strong food or drink smells. Next, let's talk about vomiting. An individual   who is vomiting is advised not to eat or drink  anything until vomiting has stopped. Afterwards,   they should drink clear liquids and then slowly  progress to full liquids and then slowly add back   in solid foods. A key complication of vomiting  is dehydration. And it's important to note that   children and older adults are at increased risk  for dehydration as well as electrolyte imbalances.   As a reminder, signs and symptoms of dehydration  include weight loss, hypotension, tachycardia,   decreased urine output, decreased skin turgor,  dry mucous membranes, and a weak, thready pulse.  Next, let's talk about constipation, which  is defined as having fewer than three bowel   movements per week. In addition, stools may be  hard, dry, and difficult to pass. Individuals   with constipation are advised to increase their  intake of fluids as well as fiber-rich foods,   such as whole grains, vegetables, and  fruits. In addition, increasing physical   activity helps to increase bowel motility. Last but not least, let's talk about diarrhea,   which is when an individual has loose,  watery bowel movements. There are many   causes of diarrhea, including contaminated food  or water, an infection, or a chronic disorder,   just to name a few. With diarrhea, it is  super important to replace lost fluids and   electrolytes. So an adult with diarrhea should  consume fluids that contain electrolytes,   such as a sports drink or an oral rehydration  solution, such as Pedialyte. And then a BRAT diet,   which contains bananas, rice, applesauce,  and toast, may improve symptoms. A child with   diarrhea should be given an oral rehydration  solution, such as Pedialyte, and a regular   diet should be resumed as soon as possible.  According to the American Academy of Pediatrics,   a BRAT diet should be avoided in children because  it is low in nutrients, and it can actually make   the child's symptoms last longer. And then as  a reminder, infants, children, and older adults   are at increased risk for dehydration if they have  diarrhea. So you'll definitely want to monitor for   signs and symptoms of dehydration that we talked  about earlier when we talked about vomiting.  All right, it's quiz time. And I've got  four questions for you. Question number one:   Drinking only small amounts of liquids with  meals can help reduce nausea. True or false?  The answer is true. Question number two: What is a key   complication of vomiting and diarrhea? The answer is dehydration as   well as electrolyte imbalances. Question number three: How does dehydration   affect a patient's blood pressure and heart rate? The answer is the patient's blood pressure will   be decreased, and then their heart rate will  increase to compensate for the hypotension.  Question number four: Children with diarrhea  should be given a BRAT diet. True or false?  The answer is false. Children with diarrhea  should be given an oral rehydration solution,   and then a regular diet should  be resumed as soon as possible.  All right. That's it for this video. Thank you for  watching. Take care and good luck with studying.  [BLOOPERS] Go ahead and pull out your   flashcards on these just-- low carbohydrate.  A dry something-- dry mucous membranes.  I invite you to subscribe to our channel  and share a link with your classmates and   friends in nursing school. If you found  value in this video, be sure and hit the   like button, and leave a comment and let  us know what you found particularly helpful