Exam 1 Flashcards
What is medical nutrition therapy?
Evidence based application of the nutrition care process
What is a “competent” RD?
passed the RD exam
What is a “proficient” RD?
3+ years of experience
What is a “expert” RD?
Highest degree attainable within your area of practice. Advanced degree and additional certifications or other advances in that specific area
What are the 4 principles of the Code of Ethics?
1) Competence/non maleficence: do no harm
2) Integrity/autonomy: allowing patients to make their own decisions, and honest in professional relationships, maintain credentials.
3) Beneficence: respect everyone’s values and rights
4) Social responsibility & justice
How are dietitians different than nutritionists?
RD’s use evidence based practice.
What are advanced directives?
living will; in the case where you can’t verbalize your wishes in end of life care, the statement will give precedence
What is palliative care?
for comfort but doesn’t mean hospice, often times is in end of life care but doesn’t have to be
T/F withholding food has been shown to not be harmful or painful to the patient in end of life care
TRUE
What is furanocumarin?
- compound found in grapefruit
- inhibits p450 for up to 72 hours
- avoid grapefruit with these drugs: statins, ambian, nighttime sleep medication, Viagra, warfarin (blood thinner), hydrocodone, zoloft
Hospice care
begins after treatment of the disease is stopped and when it is clear that the person is not going to survive the illness
importance of albumin in drugs
Many drugs rely on albumin to carry the drug, low albumin levels can cause higher free fractions of the drug floating around
What is a superbill?
- contains ICD-10 code, docter referral, and CPT codes
- client used form to file for reimbursement for MNT provided by RDN
What is the difference between an ICD-10 code and CPT codes?
- ICD-10 code represent patient diagnosis assigned by a doctor
- CPT codes represent services provided
What services does the Center for Medicare Services (CMS) for the elderly and low income cover?
- diabetes
- non-dialysis kidney disease
- post kidney transplant (within 3 years)
covers 3 total hours in the first year, 2 hours every subsequent year
What are the CPT codes currently used?
- nutrition counseling (individual and group for 15-30 minute increments)
- assessment
- reassessment
What is a black box warning?
- this drug taken with alcohol can cause death
- ex: morphine and alcohol
What do antibiotics cause the most damage to?
gut microflora
What is the golden rule of nutrition support?
IF THE GUT WORKS, USE IT!
Appetite enhancers
Marinol, derivative of marijuana
What are the benefits of using enteral nutrition?
- decreased risk of malnutrition
- maintain integrity of the gut
- improved immune response
- ## compared to PN: decreased rates of infectious complications, reduced length of stay, cost savings
Do we need bowel sounds to initiate EN (enteral nutrition)?
No
What formula is recommended by ASPEN?
standard plyometric formula
What is the maximum volume for bolus feeding?
500 ml/feeding
