Exam 3: Biliary system and pancreas and Malnutrition and obesity Flashcards
1
Q
cholecystitis risk factors
A
- over 60 years old
- women
- type 1 diabetes
- obesity
- high fat diet
- low calorie, liquid protein diets
- high cholesterol
- rapid weight loss
2
Q
Cholecystectomy post op care
A
- Opioids via PCA pump
- T-tube (and care of)
- Antiemetics
- Wound care
- NPO until peristalsis returns
- Nutrition therapy
Post-cholecystectomy syndrome
3
Q
Acute pancreatitis Ranson’s critieria: At admission
A
- Age > 55 years
- Leukocytosis
(> 16,000) - Hyperglycemia
(>200 mg/dl) - LDH > 350 units/L
- AST > 250 units/L
4
Q
Pancreatic cancer/carcinoma nonsurgical management
A
- Drug therapy
- Radiation therapy
- Biliary stent insertion
5
Q
Pancreatic cancer/carcinoma risk factors
A
- Older age
- Tobacco use
- Chronic pancreatitis, DM, cirrhosis, obesity
6
Q
Decreased Hematocrit (HCT) means
A
- anemia, hemorrhage, excessive fluid, renal disease, cirrhosis
7
Q
Increased Hematocrit (HCT) means
A
dehydration
8
Q
Increased albumin means
A
dehydration
9
Q
Decreased albumin means
A
fluid excess
10
Q
Prealbumin normal range
A
15-36 mg/dL
- best indicator of nutritional status
11
Q
Cholesterol < 160 means
A
malnutrition
12
Q
Total lymphocytic count < 1500
A
Can be an indicator of malnourishment
13
Q
NGT care
A
- Confirm with x-ray
- Continuously stay in high fowlers
- Use irrigation set no more than 24 hours
- Discard any unused open cans after 24 hours
- Flush with 20-30 mL of fluid
- Every 4 hours during cont. tube feeding
- Before and after intermittent feeding and drug administration
- After checking residual
14
Q
Total parental nutrition care
A
- Dextrose 10% if solution is unavailable
- Daily weights
- Change IV tubing every 24 hours
- Accuchecks
15
Q
Total parental nutrition complications
A
- Fluid imbalance, hyperglycemia
- hyponatremia/hypokalemia
- osmotic diuresis
