Chapter 14 Nutrition and Surgical Oncology Pt

Question 1

Once intake reaches 50% of needs what can nutrition support do

Answer 1

be weaned as oral intake increases

Question 2

How long should nutrition support continue

Answer 2

until 2/3 to 3/4 of needs are met and 1000 mL water are met for 3 days.

Question 3

feeding proximal to an anastamosis makes it more likely to leak

Answer 3

false - makes it more prone to resist leaks

Question 4

emerging research says to start feeding again within ____

Answer 4

24 hours of surgery

Question 5

what is typically started for patients with peritonitis

Answer 5

PN because there is usually a profound ileus accompanying it

Question 6

what does the denervation of the vagus nerve do to the system

Answer 6

reduce the ability to feel satiety- causing overaeating and regurgitation

Question 7

what can be used to compensate for loss of digestive insufficiencies

Answer 7

PERT (oral pancreatic enzyme replacement therapy)

Question 8

How long might it take for colon to adapt to increase fluid and nutrient absorption

Answer 8

2 years

Question 9

What does bacteria in colon synthesize

Answer 9

vitamin K and SCFA

Question 10

for liver cancer protein should be limited only when

Answer 10

there are mental status changes (.8 kg/day)

Question 11

neuroendocine tumor: insulinoma

Answer 11

effects hypoglycemia (fasting) - steady complex carb intake helps

Question 12

neuroendocine tumor: gastrinoma

Answer 12

causes recurrant ulcers, diarrhea, GERD - helped with meds

Question 13

neuroendocine tumor: glucagonomas

Answer 13

causes erythema and diabetes- carb counting plan

Question 14

neurodendocrine tumor: VIPomas

Answer 14

increased secretion of vasoactive intestinal peptide, verner-morrison syndrome, pancreatic choler or WHDA (watery diarrhea, hypokaelmia, achlorhydria) - meds an dfluids are required, enteral or parenteral management of electrolytes may be needed