FINAL KAHOOT Flashcards
When your CF patient has malabsorption you recommend
PERT
Kcal requirements for pts with CF is based on
REE, activity, fat absorption, lung function
Patients with COPD are typically on steroids so its important to monitor
CHO intake/glucose, fluid intake/lipids, Ca/Vit D for bone health
ALL
Vented patients may benefit from a TF formula low in fat
FALSE
Why are low CHO diets/formulas potentially useful for respiratory patients?
Promotes lower CO2 production
An example of lower CHO formula TF is
Glucerna
The flow phase follows the ebb phase. Flow is noted by
Increased catecholamines
Early enteral nutrition post op can increase risk for bacterial translocation
false
Oncology patients often complaint that meat tastes like
bitter/metallic
Cisplatin may alter an oncology patients serum
Mg
Xerostomia is often seen in oncology, renal and other pts as a side effect of meds. It is…
Dry mouth
Nutrition assessments in renal pts should use
EDW
Nutrition assessment in HIV patients should use
Pre illness weight
A milk exchange in DM menu planning is
1 cup
A milk exchange in renal diet planning is
1/2 cup
A goal of meal planning and prep for HIV pts is to consider timing and side effect of polypharmacy
TRUE
It is only legally defensible to stop tube feeding and hydration for a pt who is in a PVS
FALSE
The best MNT for terminally ill adults is
oral feeding with minimal restrictions
MNT for oxalate kidney stones includes
High Ca diet and low oxalate foods
Bacterial hydrolysis of blood from bleeding varices can lead to
Increased NH3
NutraHep TF product is
high in BCAA
Rapid ingestion/digestion of simple CHO causing increased insulin secretion is
Dumping syndrome
Guaiac and Melena are medical terms for
Blood in stool
TF in a patient at risk for aspiration should include
post-pyloric tube placement
IV lipid emulsions are highly concentrated with high mOsm so they cannot be given via PPN
false
What is the 24 hr TF rate of jevity 1.5 to provide your pt 2700 kcals per day?
75 mL / hr
Jevity 1.2 has 55.5 g pro/liter. How much protein does 350 ml bolus 4x / day provide?
78 g
950 ml of 10% AA PN solution provides how many g pro and kcals?
95 380
950 ML OF D12 solution provides how many g CHO and kcals?
114/387
The primary ethical principle underlying decisions to forgo nutrition for terminally ill adults
right of self-determination
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
have advanced dementia
are in a persistent vegetative state
are terminally ill
ALLLLLLL THE ANSWERS ARE CORRRECT!!!!
In proving nutrition support to terminally ill adults, which method of feeding is preffered?
oral feeding with dietary restrictions eliminated or minimized
In proving nutrition support to terminally ill adults, which method of feeding is preffered?
oral feeding with dietary restrictions eliminated or minimized
Follow Sylvia’s wishes concerning her mother bc she is the health care proxy and is following her mothers wishes.
Cancer diagnosis gold standard
PET
2-3 months after tx
General energy requirements for cancer pts
30-35 kcal /kg
Cancer cachexia
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
Medication for cancer cachexia
Magestrol/ megaCe
Used for anorexia cachexia and unplanned wt loss
Make sure pt doesn’t have a hx of clotting or on blood thinning
When calcium level is high in cancer
We don’t put them on low calcium
We treat with hydration
Make sure they are not getting calcium supllmentestion and Vit d
MNT for chemotherapy side effects
Diarrhea
MAINTAIN HYDRATION STATUS
replace electrolytes
Low fat low fiber possibly low
Bulking agents BRAT diet
MNT for nausea in chemotherapy
Nausea medication
Finger
Small frequent meals
Empty stomach not good
FOOD AND DEUG INTERACTION cancer Tx
Alimta
Requires b12 and folic acid to avoid anemia
MNT FOR CHEMOTHERAPY SIDE EFFECT ORAL CHANGES
Hydration tart foods
Bitterness in meat
Meat aversions
MNT for chemotherapy for oral mucositis
Soft diet and liquids
Tamoxifen and a astrodome side effects
Hormonal
Hot flashes
Radiation induced enteritis
Supplement b 12 fat soluble and calcium to prevent deficiency
If terminal ileum is involved
B12
CANCER pancreatic surgery , Whipple procedure MNT
Enzyme replacement, small frequent low fat meals and snacks, avoid simples CHO
Enzymes allow them to eat
Resection of terminal ileum
MNT
Bile salts losses steatorrhea
B12 malabsorption
Diet low in fat osmolality lactose and oxalates
When can you start using the GI tract cancer
if diarrhea ia less than 500 ml/day
Minimal amount of fluid needed to eliminate daily fixed solute load of around 600 mOsm
500 mL
Osteodystrophy in kidney disease
High serum phosphorus stimulates PTH o help with resorption of calcium from the blood - a way to help the blood calcium normal
GFR calculator kidney disease, uses
serum creatinine, age, race, gender
Lab tests renal disease
high BUN
excessice body protein catabolism
GI bleeding
high BUN doesn’t always mean renal
Biggest risk factor for kidney stone
not drinking enough water
nephritic syndrome MNT
restrict sodium to control BP
Edema in nephrotic syndrome causes
`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
Nephrotic syndrome nutrition
.8 PRO
35KCAL/KG/DAY
3G SODIUM
low sodium low protein helps control edema
high biological value protein
contains all essencial amino acids
juice used to treat bacterial infection in kidney - pyelonephritis
cranberry and blueberry
Acute kidney disease oliguria amount
< 500 mL per day
Kidney transplant medication can cause increase in serum
potassium
name of kidney transplant medications
cyclosporine tacrolimus
causes high potassium htn hlp
dialysis diet
low K, low sodium, postassium exchanges
veggies ad fruites broken broken down in - renal diet
potassium content
