Does the long-term use of proton pump inhibitors have nutritional ...

[vicky]

Does the long-term use of proton pump inhibitors have nutritional effects? Are there specific interventions that you might implement to address these effects?
 
  What will be an ideal response?

Question 2

Poor growth secondary to poor nutrition status is a common problem in pediatric patients with CP. Summarize at least three factors that may contribute to malnutrition and subsequent poor growth in CP.
 
  What will be an ideal response?

[iceage]

Answer to Question 1

 Chronic use of proton pump inhibitors (PPIs) can decrease the absorption of calcium, vitamin B12 and iron
 Additionally, hypergastrinemia may occur resulting in a hypersecretion of gastric acid upon discontinuation of PPIs
 Interventions for these concerns could be iron, calcium vitamin B12 supplementation, adequate consumption of foods with high iron, calcium and vitamin B12 content.

Answer to Question 2

 Mechanical issues with chewing/swallowing (e.g. dysphagia) - tongue or teeth may be arranged in abnormal positions making it difficult to chew/swallow
 Limited self feeding ability - spasticity in the upper body may contribute, increasing the individual's reliance on assistance from a caregiver. They may also use adaptive eating utensils.
 Extended time needed to consume meals - can be exhausting and require patience for both the patient and caregiver
 Food refusal - this may be due to swallowing/aspiration issues which result in a refusal to eat/limiting of intake to protect oneself
 Limited physical activity - needed to promote proper and healthy accumulation of lean body mass (e.g. bone mineral density, skeletal muscle)

[vicky]

Thanks for the timely response, appreciate it

[kjohnson]

Excellent