1: Surgical Nutrition Flashcards

1
Q

Explain why malnutrition is a problem in surgical patients

A

Malnutrition is associated with poorer outcomes. Surgery is a stressor that stimulates further cortisol release - leading to catabolism

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2
Q

Explain relationship between malnutrition and outcomes

A

Malnutrition = causes worse surgical outcomes (eg. wound healing)

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3
Q

When should patients be assessed for malnutrition and how

A

MUST in pre-operative assessment

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4
Q

If individual is unable to take sufficient calories orally what is used

A

Oral nutritional supplement (ONS)

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5
Q

If individual is unable to take sufficient calories orally with supplement or unsafe swallow what is used

A

NG Tube

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6
Q

If oesophagus is occluded (eg. atresia) what is used

A

Gastrostomy (PEG)

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7
Q

If gastric outflow is occluded, what is used

A

Jejunum (PEJ)

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8
Q

if jejunum is inaccessible what is used

A

Parenteral

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9
Q

What has been introduced to prevent malnutrition in post-surgical patients

A

Enhanced recovery after surgery (ERAS)

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10
Q

What are the 5 points of enhanced recovery after surgery

A
  • Reduced time patient is NBM. Just clear fluids up to 2-hours before
  • Pre-operative carbohydrate loading
  • Minimally invasive surgery
  • Rapid re-introduction of feeding post-op
  • Earlymobilisation
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11
Q

What time-frame after surgery can patients start nutrition

A

24h

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