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ENTERAL NUTRITION Flashcards

1
Q

ENTERAL in Greek is? And this means?

A

ENTERON = INTESTINE

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2
Q

A term synonymous to ENTERAL FEEDING IN THE CLINICAL SETTING

A

TUBE FEEDING

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3
Q

Main purpose of ENTERAL FEEDING

A

For maintaining and/or restoring nutrients in the body in case the oral food intake is not efficiently or adequately receving food.

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4
Q

T or F: Enteral Feeding is important for immunological defense of the body.

A

true

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5
Q

ASPEN GUIDELINES FOR USE OF EN:

A

5-10 Starving Bodies Should Properly Intake Nutrition!

✔ 5-10 → Inadequate oral intake for 5 days or <50% of needs for 7-10 days
✔ Starving → Severe dysphagia
✔ Bodies → Burns (Major full-thickness burns)
✔ Should → Short gut syndrome
✔ Properly → Psychiatric/eating disorders
✔ Intake → Impaired swallowing
✔ Nutrition → Nutritional losses (sepsis)

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6
Q

ASPEN GUIDELINES FOR USE OF EN: LIMITED OR UNLIMITED VALUE

A

Intestines Inflamed, Ten Percent Left!

✔ Intestines → Patients with <10% remaining small intestines
✔ Inflamed → Patients with acute enteritis (due to radiation, infection, or inflammatory bowel disease)
✔ Therapy → Patients receiving intensive therapy

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7
Q

ASPEN GUIDELINES FOR USE OF EN: CONTRAINDICATION

A

BOWELS STOP Giving Life!

✔ B → Bowel obstruction (Complete or small bowel obstruction)
✔ O → Ongoing ileus or intestinal hypomotility
✔ W → Watery diarrhea (Severe diarrhea resistant to pharmacologic treatment)
✔ E → Extreme pancreatitis (Severe pancreatitis)
✔ L → Low perfusion (Shock)
✔ S → Severe GI bleeding (Gastrointestinal bleeding)
✔ STOP → Legal matters (When feeding decisions are legally restricted)

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8
Q

Tube inserted through the nose into the stomach

A

NASOGASTRIC (NGT)

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9
Q

Tube inserted through the nose into the duodenum

A

Nasoduodenal

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10
Q

Tube inserted through the nose into the duodenum

A

Nasoduodenal

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11
Q

tube placed directly into the stomach via the abdominal wall

A

gastrostomy

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12
Q

Endoscopically placed gastrostomy tube

A

PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG)

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13
Q

Tube placed directly into the jejunum via the abdominal wall

A

Jejunostomy

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14
Q

What is the indication of the Nasogastric route?

A

normal GI funx

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15
Q

What is the indication of the Nasoduodenal route?

A

-normal S.I
-need to bypass stomach

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16
Q

What is the indication of the Nasojejunal route?

A

-normal S.I
-need to bypass stomach

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17
Q

What is the indication of the Gastrostomy route?

A

Normal G.I funx
bypass the upper G.I

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18
Q

What is the indication of the PEG route

A

normal GI
bypass the upper GI

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19
Q

What is the indication of the JEJUNOSTOMY route

A

normal GI funx
but need to bypass the components of GI tract.

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20
Q

TYPE OF FORMULA: composed of intact proteins, disaccharide and polysaccharides variable amounts of fat, residue and lactose.

A

Standard/Polymeric

21
Q

TYPE OF FORMULA: The osmolality of this is usually lower than the osmolality of “ELEMENTAL” formulas

A

STANDARD/POLYMERIC

23
Q

The osmolality of polymeric formulas is usually _____ than the osmolality of “elemental” formulas.

24
Q

TYPE OF FORMULA: these formulas require a functioning gastrointestinal tract for digestion and absorption of nutrients.

A

STANDARD/POLYMERIC

25
Q

TYPE OF FORMULA: composed of low molecular weight nutrients

A

MONOMERIC/PREDIGESTED/HYDROLYZED

26
FOR PREDIGESTED/HYDROLYZED, Minimal residue means:
less stimulation of pancreatic and gastrointestinal secretions
27
TYPE OF FORMULA: less allergenic than other formula.
PREDIGESTED/HYDROLYZED
28
other term for PREDIGESTED/HYDROLYZED formula
MONOMERIC
29
TYPE OF FORMULA: individual macronutrient modules such as glucose polymers, protein, or lipids are available as additives to food and enteral formulas to change overall fuel composition.
MODULAR
30
TYPE OF FORMULA: these products are designedfor patients who have specificmedical conditions that mayrequire nutrient modification.
SPECIAL DISEASE-SPECIFIC
31
TYPE OF FORMULA: supplemented with additional amounts of specific amino acids such as glutamine or arginine.
Elemental
32
TYPE OF FORMULA: most viscous and may require a larger diameter feeding tube for adequate flow
DIETARY FIBER
33
DIETARY FIBER enteral formula are:
most viscous andmay require a larger diameter feeding tube for adequateflow.
34
T or F: most enteral formulas meet the DRIs for vitamins and minerals within a specified volume of 1500 mL w/in 24 hrs
True
35
most enteral formulas meet the DRIs for vitamins and minerals within a specified volume of:?? and in how many hours?
1500 mL w/in 24 hrs
36
electrolyte content of enteral formulas is typically ____ compared with oral diet
modest
37
formulas are transferred from original container
Open Feeding system
38
administered directly form the prepackaged container
Closed feeding system
39
Continuous feeding – constant, steady rate over a ______ hour period (or more), feeding pump
16-24
40
constant, steady rate over a 16-24 hour period (or more), feeding pump
Continuous feeding
41
Cyclic Feeding – delivered by continuous drip method at an increased rate over ______ hours, feeding pump
8 to 16
42
delivered by continuous drip method at an increased rate over 8 to 16 hours, feeding pump
Cyclic Feeding
43
Intermittent feeding- can be infused at specific intervals throughout the day, (HOW MUCH TIME), gravity or pump assist
20-60 minutes
44
can be infused at specific intervals throughout the day, 20-60 minutes, gravity or pump assist
Intermittent feeding
45
▪Bolus feeding- rapid administration of feeding, (HOW MUCH TIME)
4-10 minutes
46
rapid administration of feeding, 4-10 minute
Bolus feeding
47
What is the desired volume for the initial enteral feeding?
can be started at 10-40 (50) ml/hr, then progress until desired rate.
48
What is the desired volume for the initial CONTINUOUS enteral feeding
50 mL/hr then add 25 mL as desired rate is achieved
49
What is the desired volume for the initial BOLUS enteral feeding
125 then increase by 125 mL until final volume is achieved
50
TYPES OF FORMULA: less allergenic than other formula.
PREDIGESTED/HYDROLYZED

MEDICAL NUTRITION THERAPY (5 decks)

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