Fluid and nutrition Flashcards
1
Q
Name three types of crystalloid fluids
A
normal saline
5% dextrose
Hartmann’s
2
Q
Name three ways to assess/examine fluid status
A
HR BP JVP CRT Skin turgor Oedema Mucous membranes Consciousness Urine output Incr Urea + Cr
3
Q
How to distinguish between post-renal e.g. catheter and pre-renal cause of reduced urine output post-op?
A
flush catheter= post-renal
fluid challenge= pre-renal
4
Q
Name two modes of delivering nutrition
A
Enteral- oral or NG tube
Paraenteral- CV catheter, Hickmann or PICC
5
Q
Two complications of enteral feeding?
A
blockage NG tube Electrolyte imbalance Diarrhoea Aspiration Nasal trauma
6
Q
Two complications of paraenteral nutrition?
A
Pneumothorax Sepsis Arrythmia PE Electrolyte disturbances
7
Q
What is refeeding syndrome?
A
life threatening complication after refeeding following period of starvation- hypophosphataemia which can lead to shock, seizures, resp distress, rhabdo, arrhythmias
