CH 12: Food related Issues Flashcards

1
Q

what do dietary guidelines do

A

they are designed to attain or maintain optimal nutritional status

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2
Q

whats quantitative dietary modification

A

mods in numbers of meals served, calories and specific nutrients

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3
Q

whats qualitative dietary modification

A

mods in texture, consistency and nutrients

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4
Q

what’s regular or general diet

A

the basis of modified diets in hospitals

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5
Q

what’s diet as tolerated

A

allows for postoperative diet progression that depends on patient’s tolerance

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6
Q

what mod contributes to hospital malnutrition

A

clear liquid diets

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7
Q

what is a clear liquid diet and how long should it be used

A

a diet of foods that are clear and liquid at room/body temp

used no more than 8 to 24 hours

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8
Q

when should full liquid diets be chosen

A

when patient is having difficulty chewing or swallowing solids

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9
Q

whats a full liquid diet and it’s issues

A

foods that are liquid at room temperature

problem with lactose intolerance and cholesterol and high saturated fat

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10
Q

when should dysphagia diets be chosen

A

when patients have difficulty chewing and swallowing

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11
Q

what are the levels of dysphagia diets

A

lvl 1 = dysphagia pureed
lvl 2 = dysphagia mechanically altered
lvl 3 = dyshpagia advanced
lvl 4 = return to reg diet

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12
Q

what is the soft diet

A

whole foods low in fiber and lightly seasoned

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13
Q

when to chose soft diet

A

for short period like for pre and post op patients or to help get back to reg diet

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14
Q

top causes of food poisoning

A

norovirus
salmonella species
clostridium perfringens
campylobacter species
staphylococcus aureus

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15
Q

what is considered Hospital Associated Infections (HAI)

A

campylobacter species
staphylococcus aureus

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16
Q

what does integrative medicine include

A

dietary or food changes

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17
Q

dietary supplements (DSHEA) defintion

A

products that supplement dietary intake and are considered food and not drugs or additives

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18
Q

purpose of GMO

A

increase food supply
make foods more shelf-stable
improve quality

19
Q

drawback of GMO

A

some people are have allergic reaction

20
Q

what is enteral nutrition

A

when nourishment is given directly to the GI tract

21
Q

when is a nonoral method used

A

when patients can’t eat for more than a 5 days

22
Q

why is enteral nutrition not ideal?

A

it opens up the opportunistic pathogens to affect the area

23
Q

physiological benefits of enteral feeding

A

maintains gut integrity and function

24
Q

what are the special formulas

A

elemental formulas
modular formulas
specialty formulas

25
what to check to select a formula
digest and absorb capacities fluid restrictions high metabolic requirements
26
what is the specialty formulas
formulas that meets specialized nutrient demand for specific disease state
27
what is modular formula
single macronutrients added to other foods/enteral
28
what is the elemental formula
made of partially or fully hydrolyzed nutrients
29
whats nasogastric
tube is passed through nose to stomach
30
whats nasoduodenal
tube passed from nose to duodenum
31
what's nasojejunal
tube passed through nose to jejunum
32
what's esophagostomy
tube is surgically inserted into neck and extends to stomach
33
whats gastrostomy
tube surgically inserted into stomach
34
whats jejunostomy
tube is surgically inserted into small intestine
35
key points of short feeding duration
acute nonsurgical placement
36
key points of long feeding duration
chronic surgical placement
37
methods of enteral nutrition administration
continuous intermittent bolus
38
tube feeding mechanical complications
tube displacement obstruction pulmonary aspiration mucosal damage
39
tube feeding metabolic diffulties
hyperosmolar dehydration overhydration
40
when to stop tube feedings and why
1 hour before and after meals to promote appetite
41
oral intake increase
decrease tube-feeding volume
42
when do you discontinue tube feeding
when oral intake exceeds 2/3 energy requirements
43
when is parenteral nutrition needed
short-term nutrition support needed