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Lactose Tolerance Te
Terminology Phleb (Health and Safety)
| Question | Answer |
|---|---|
| What does it mean when a person is lactose intolerance | ¤A person lack the mucosal enzyme lactose ¤if the body doesn't produce LACTASE the lactose we ingest will stay in L Intestine where colonic bacteria will cause it to ferment |
| What does lactose intolerance cause | ¤ Stomach infections ¤cystic fibrosis ¤celiac disease |
| common symptoms of someone who is lactose intolerant | ¤ Abdominal cramps ¤ Diarrhoea |
| Difference between food allergy and food intolerance | Food intolerance is a digestive system response Food Allergy is a immune response |
| Types of lactose intolerance | Primary Secondary |
| Describe primary lactose intolerance | Is genetically determined Mostly occurs in asian or Hispanic people |
| Describe the secondary type of lactose intolerance | ¤celiac spruce ¤following bowel surgery ¤infections of small intestine |
| What is Celiac Spruce | ¤When people with celiac spruce eat gluten,the body mounts an immune response that attacks the small intestine ¤ leads to damage of villi,that promotes nutrient absorption ¤damaged villi results in nutrients not being absorbed properly |
| Why is an lactose intolerance test performed | To diagnose lactose intolerance due to lactase deficiency |
| How to prep patients beforehand | Adults need to fast 12 hours Peadtric patients should fast 10 hours |
| Lactose intolerance test procedure | Identify patient and obtain informed consent Confirm fasting period Ensure you have required worksheet Notify patient they may not leave depot Take a fasting glucose Label it (pt details, date and time of collection |
| How to prepare lactose solution | MIX 50G OF LACTOSE IN 250ML WATER Pt must complete drink in 5 minutes Once drink is completed-start timer immediately (Fasting: 15:30:45:60:90) |
| If symptoms ocvur during test what should you do | ¤ DON'T stop test ¤ record symptoms & time it occurred ¤continue test |
| Why is an glucose test done for lactose tolerance test | If there is Insufficient lactase to digest lactose, the lactose wil not be broken down into glucose after the patient ingests lactose solution |
| Pediatric lactose tolerance | 1g/1kg Water is calculated as weight:volume (250/5)= 5ml Eg baby weight 10kg 10kg=10g (lactose) 10 ×5 = 50 ml water |
| Adult dose lactose | 50 g lactose |