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applied nursing > Git 2 > Flashcards

Git 2 Flashcards

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1
Q

Nutrition

A

Is the process by which the body uses food for energy, growth, and maintenance and repair of tissue

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2
Q

Essential nutrition components

A 
Carbohydrates 
Fats
Protein 
Vitamins
Minerals
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3
Q

Nutritional problems

A

Over nutrition -
Refers to the injestioncof more food thanxrequired
For body needs
Under nutrition
- poor nourishment as a result of inadequate diet or disease disease that interfere with normal appetite

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4
Q

Enteral nutrition

A

Is delivery if nutritional support into GI tract and can include oral nutrition support and enteral tube feeding

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5
Q

Enteral nutrition

A

Delivery of nutrients via feeding tube or device into the gastrointestinal tract
Maybe the only source of nutrition or supplement oral intake

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6
Q

Administration of nutritionally balance

A 
Liquified food and formula 
Through inserted tube
Csn be in stomach
Doudenum
Jejunum
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7
Q

Types of enteral feeding tube and placement locations

A 
Nastrogastric tube or nasointestinal tube ( short term)
Gastronomy tube (stomach long term)

Jejunostomy(pej)
Jejunum
Nasoduodenal

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8
Q

Tube feeding

A

Patient unable to take any or enough oral nourishment but has a functioning git

Impaired swallowing
Nutritional deficiency
Inability to eat due to surgery injury

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9
Q

Contraindications

A

Peritonitis
Intestinal obstruction
Gastric outlet
Gastric resection

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10
Q

Gastronomy feeding tubes

A

Percutaneous enteral gastronomy
Long term
Methods of insertion : surgical/laparoscopic/radiological/endoscopical

Insertion site and device care first 48 hours

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11
Q

Comensing feed

A

Adult -2-4 hours

Children 4-6 hours

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12
Q

Enteral feeding tube delivery

A

Continuous

Pump infusion

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13
Q

Potential problems tube feeding

A 
Feed intolerance 
Tube malfunction 
Tube misplacement
Metabolic process
Fluid and electrolyte imbalance
Hyperglycaemia
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14
Q

Gastrointestinal problem

A

Diarrhoea
Constipation
Dehydration
Vaginal bleeding

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15
Q

Nursing diagnosis enteral tube feeds

A 
Imbalanced nutrition 
Risk of diarrhoea 
Disturbed body image
Risk for ineffective airway clearance
Deficient knowledge
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16
Q

Enteral feed nursing management

A 
Patient wellbeing
Assessing bowel elimination 
Assessing bowel elimination 
Aspiration risks
Care of tubing
Care formula
Insertion site care
Assessing complications
17
Q

Parenteral nutrition

A

Administration of nutrients (iv)
Providing a nutritionally adequate hypertonic solution consisting of glucose，protein, minerals, and vitamins

Can sustain life when patients are unable to take sufficient Nourishment via the gi for a long period

18
Q

Clinical indications

A

Used in clients who are unable to digest or absorb enteral nutrition

(Non- functional GIT, inability to ingest food, major infection, burns, unwillingness to digest food)

19
Q

Components of tpn

A 
Kilojoules 
Protein 
Electrolyte
Vitamins
Water
Trace minerals
20
Q

Presentation of tpn

A

1-3 L bag
Maybe dual chamber( lipid sep)
Myst be protected with light with cover
Nothing to be added in bag

21
Q

Management of tpn

A

Ordered and managed by the doctor in a daily basis
Require clinical and lab management
The delievrry requires access to the main vein
Maybe inserted peripherally via inserted catheter
May be long term at home

22
Q

Nursing management of tpn

A 
Verification of catheter position
Check hospital policy
Administered via infusion pump
 Rate gradually increase 24- 48 hours
Metabolic and electrolyte abnormalities
Ensure as supply of tpn in the ward
If ton stopped for more than 30 mins contact doctor ( risk of hypo)
Unprescribed speeding and slowing of infusion rate is contraindicated
23
Q

Assesing for complication

A

Infection
Metabolic
Mechanical

24
Q

Discontinuation of tpn

A

Weaning
Ensure oral intake
Site dressing
Continued biopsy

applied nursing (33 decks)

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