EN/PN

Question 1

Who is eligible for EN

Answer 1

Enteral Nutrition
If the gut works, use it
Severe protein, cal malnutrition
Those who have GI function buts its compromised, UC, Acute Pancreatitis

Question 2

Home/Standard type of formula for EN

Answer 2

Isotonic 300 mOsm

Question 3

pre-digested/elemental

Answer 3

chemically defined

Acute pancreatitis

Question 4

Specialized like Nepro

Answer 4

Very specific to that disease

Question 5

NasoGastric

Answer 5

BEST

Mimics normal eating

Question 6

Nasoduodenal, NasoJejunal

Answer 6

for those who can’t have gastric feedings

goes from the nose into SI

Question 7

Nasojejunal

Answer 7

prevents aspiration

farthest from gastric region

Question 8

Longer then 3-4 weeks

Answer 8

Gastrostomy (PEG)

jejunostomy (PEJ)

Question 9

PEG is for who

Answer 9

used for head/neck cancer, or advanced dysphagia

Question 10

PEJ is for who

Answer 10

if they can’t tolerate PEG or have a compromised gastric function

Question 11

open system

Answer 11

hang is 4 hours
feeding is prepared on site the can it put into the feeding bag
higher contamination

Question 12

closed system

Answer 12

hang time 24-48 hours

the bag is purchased ready to serve

Question 13

Dilantin/Phenytoin

Phenobarbital

Answer 13

lose 
b12
b6
folate
vit K
vit D
hold nutrition support 2 hours before and after administration

Question 14

Propofol

Answer 14

1.1 cal per cc
increases weight and TG
Given before surgery, sedative

Question 15

Free water

Answer 15

amount of water already provided in formula

Question 16

1cal/cc

1. 5cal/cc
2. 0cal/cc

Answer 16

1cal/cc= 83%

1. 5 cal/cc= 77%
2. 0 cal/cc =70%

Question 17

GRV

Answer 17

gastric residual volume
volume remaining in stomach during feeding
should be checked every 4 hours during the first 24 hr

Question 18

pn

Answer 18

parenteral nutrition

admin of nutrition for patients who cannot eat or absorb enough food

Question 19

TPN

Answer 19

given through subclavian

risk of bacterial

Question 20

PPN

Answer 20

Is peripherally given through the small surface veins into the arm
800-900 mOsm

Question 21

PPN indications

Answer 21

post surgery when En is expected to resume 5-7 days
mild to mod malnutrition
as a supplement to EN

Question 22

total PN indications

Answer 22

mod to sev malnourished pts,
with GI bleeds, bowel obstruction
Malnourished cancer pts unable to eat 7-14 days
peritonitis

Question 23

TPN is used with

Answer 23

NC 1.4- altered GI function

NC 2.1 impaired nutrient utilization

Question 24

refeeding syndrome

Answer 24

RF-s low K, low Mag, low potassium
glucose rises fast upon refeeding after starvation causing low blood glucose
Hypoglycemia

Question 25

overfeeding

Answer 25

caused high blood glucose

hyperglycemia

Question 26

dextrose

Answer 26

3.4 kcal

Question 27

Aminoacid

Answer 27

multiply by 4kcal

Question 28

fat

Answer 28

10% multiply by 1.1

20% multiply by 2.0

Question 29

GIR

Answer 29

glucose infusion rate

GIR = (CHO in grams X 1000/KG)/1440