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MNT 2 > FINAL KAHOOT > Flashcards

FINAL KAHOOT Flashcards

1
Q

When your CF patient has malabsorption you recommend

A

PERT

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2
Q

Kcal requirements for pts with CF is based on

A

REE, activity, fat absorption, lung function

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3
Q

Patients with COPD are typically on steroids so its important to monitor

A

CHO intake/glucose, fluid intake/lipids, Ca/Vit D for bone health
ALL

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4
Q

Vented patients may benefit from a TF formula low in fat

A

FALSE

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5
Q

Why are low CHO diets/formulas potentially useful for respiratory patients?

A

Promotes lower CO2 production

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6
Q

An example of lower CHO formula TF is

A

Glucerna

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7
Q

The flow phase follows the ebb phase. Flow is noted by

A

Increased catecholamines

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8
Q

Early enteral nutrition post op can increase risk for bacterial translocation

A

false

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9
Q

Oncology patients often complaint that meat tastes like

A

bitter/metallic

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10
Q

Cisplatin may alter an oncology patients serum

A

Mg

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11
Q

Xerostomia is often seen in oncology, renal and other pts as a side effect of meds. It is…

A

Dry mouth

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12
Q

Nutrition assessments in renal pts should use

A

EDW

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13
Q

Nutrition assessment in HIV patients should use

A

Pre illness weight

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14
Q

A milk exchange in DM menu planning is

A

1 cup

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15
Q

A milk exchange in renal diet planning is

A

1/2 cup

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16
Q

A goal of meal planning and prep for HIV pts is to consider timing and side effect of polypharmacy

A

TRUE

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17
Q

It is only legally defensible to stop tube feeding and hydration for a pt who is in a PVS

A

FALSE

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18
Q

The best MNT for terminally ill adults is

A

oral feeding with minimal restrictions

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19
Q

MNT for oxalate kidney stones includes

A

High Ca diet and low oxalate foods

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20
Q

Bacterial hydrolysis of blood from bleeding varices can lead to

A

Increased NH3

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21
Q

NutraHep TF product is

A

high in BCAA

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22
Q

Rapid ingestion/digestion of simple CHO causing increased insulin secretion is

A

Dumping syndrome

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23
Q

Guaiac and Melena are medical terms for

A

Blood in stool

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24
Q

TF in a patient at risk for aspiration should include

A

post-pyloric tube placement

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25
Q

IV lipid emulsions are highly concentrated with high mOsm so they cannot be given via PPN

A

false

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26
Q

What is the 24 hr TF rate of jevity 1.5 to provide your pt 2700 kcals per day?

A

75 mL / hr

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27
Q

Jevity 1.2 has 55.5 g pro/liter. How much protein does 350 ml bolus 4x / day provide?

A

78 g

28
Q

950 ml of 10% AA PN solution provides how many g pro and kcals?

A

95 380

29
Q

950 ML OF D12 solution provides how many g CHO and kcals?

A

114/387

30
Q

The primary ethical principle underlying decisions to forgo nutrition for terminally ill adults

A

right of self-determination

31
Q

The Hippocratic writings encourage physicians to recognize when medicine has reached its limit of usefulness. So it is ethically defensibe to … hydration and nutrition support for some patients who

A

have advanced dementia
are in a persistent vegetative state
are terminally ill
ALLLLLLL THE ANSWERS ARE CORRRECT!!!!

32
Q

In proving nutrition support to terminally ill adults, which method of feeding is preffered?

A

oral feeding with dietary restrictions eliminated or minimized

32
Q

In proving nutrition support to terminally ill adults, which method of feeding is preffered?

A

oral feeding with dietary restrictions eliminated or minimized

33
Q

Follow Sylvia’s wishes concerning her mother bc she is the health care proxy and is following her mothers wishes.

A
34
Q

Cancer diagnosis gold standard

A

PET

2-3 months after tx

35
Q

General energy requirements for cancer pts

A

30-35 kcal /kg

36
Q

Cancer cachexia

A

Progressive wt loss anorexia wasting weakened increased lipolysis
Cytokines produced by tumor . Causes proteolysis - amino acids. n excretion
Lipid mobilizing factor
Inhibits lipase no fat stores
Therefore bold goes back to liver and they are broken down into TG

37
Q

Medication for cancer cachexia

A

Magestrol/ megaCe
Used for anorexia cachexia and unplanned wt loss
Make sure pt doesn’t have a hx of clotting or on blood thinning

38
Q

When calcium level is high in cancer

A

We don’t put them on low calcium
We treat with hydration
Make sure they are not getting calcium supllmentestion and Vit d

39
Q

MNT for chemotherapy side effects

Diarrhea

A

MAINTAIN HYDRATION STATUS
replace electrolytes
Low fat low fiber possibly low
Bulking agents BRAT diet

40
Q

MNT for nausea in chemotherapy

A

Nausea medication
Finger
Small frequent meals
Empty stomach not good

41
Q

FOOD AND DEUG INTERACTION cancer Tx

A

Alimta

Requires b12 and folic acid to avoid anemia

42
Q

MNT FOR CHEMOTHERAPY SIDE EFFECT ORAL CHANGES

A

Hydration tart foods
Bitterness in meat
Meat aversions

43
Q

MNT for chemotherapy for oral mucositis

A

Soft diet and liquids

44
Q

Tamoxifen and a astrodome side effects

A

Hormonal

Hot flashes

45
Q

Radiation induced enteritis

A

Supplement b 12 fat soluble and calcium to prevent deficiency

46
Q

If terminal ileum is involved

A

B12

47
Q

CANCER pancreatic surgery , Whipple procedure MNT

A

Enzyme replacement, small frequent low fat meals and snacks, avoid simples CHO

Enzymes allow them to eat

48
Q

Resection of terminal ileum

MNT

A

Bile salts losses steatorrhea
B12 malabsorption
Diet low in fat osmolality lactose and oxalates

49
Q

When can you start using the GI tract cancer

A

if diarrhea ia less than 500 ml/day

50
Q

Minimal amount of fluid needed to eliminate daily fixed solute load of around 600 mOsm

A

500 mL

51
Q

Osteodystrophy in kidney disease

A

High serum phosphorus stimulates PTH o help with resorption of calcium from the blood - a way to help the blood calcium normal

52
Q

GFR calculator kidney disease, uses

A

serum creatinine, age, race, gender

53
Q

Lab tests renal disease

A

high BUN
excessice body protein catabolism
GI bleeding
high BUN doesn’t always mean renal

54
Q

Biggest risk factor for kidney stone

A

not drinking enough water

55
Q

nephritic syndrome MNT

A

restrict sodium to control BP

56
Q

Edema in nephrotic syndrome causes

A

`Proteinuria- GI permeability lower albumin in blood more oncotic pressure more edema
Glomerular injury leads to decrease in GFR then kidney kicks in rening angio tensin - retention of water and sodium

57
Q

Nephrotic syndrome nutrition

A

.8 PRO
35KCAL/KG/DAY
3G SODIUM
low sodium low protein helps control edema

58
Q

high biological value protein

A

contains all essencial amino acids

59
Q

juice used to treat bacterial infection in kidney - pyelonephritis

A

cranberry and blueberry

60
Q

Acute kidney disease oliguria amount

A

< 500 mL per day

61
Q

Kidney transplant medication can cause increase in serum

A

potassium

62
Q

name of kidney transplant medications

A

cyclosporine tacrolimus

causes high potassium htn hlp

63
Q

dialysis diet

A

low K, low sodium, postassium exchanges

64
Q

veggies ad fruites broken broken down in - renal diet

A

potassium content

MNT 2 (5 decks)

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