ch 45 nutrition Flashcards
nutritional status labs
measures of plasma proteins such as albumin (21 days), transferrin (8 days), prealbumin (2 days), retinol-binding protein (12 hours), total iron-binding capacity, and hemoglobin (half life)
clear liquid diet
- Foods that are clear liquids at room or body temperature
- Should be progressed asap because doesn’t contain much nutrition
full liquid diet
Liquids that can be poured at room temperature
dysphagia stages, thickened liquids, pureed diet
clear and full liquid plus scrambled eggs, pureed meats, veg, and fruits, mashed potatoes and gravy
mechanical soft
- Adequate caloric content – may be used long-term
- No hard to digest or hard to chew foods
- Also may be called “bland” or “low-fiber” diet
high fiber diet
addition of fresh uncooked fruits, steamed veg, bran, oatmeal, and dried fruits
low sodium diet
4g (no added salt), 2g, 1g, or 500mg sodium diets
-requires selective food purchases
low cholesterol diet
300mg/day
diabetic diet
include balanced intake of carbs, fats, and proteins
gluten free diet
eliminates wheat, oats, rye, barley, and their derivatives
promoting appetite
includes keeping a patient’s environment free of odors, providing oral hygiene as needed to remove unpleasant tastes, and maintaining patient comfort. Offering smaller, more frequent meals often helps. In addition, certain medications affect dietary intake and nutrient use.
aspiration precautions-4
- perform dysphagia screening
- assess mental staus
- assess oral cavity
- assess swallowing reflex