Intestinal Failure Flashcards

1
Q

what is intestinal failure?

A

inability to maintain adequate nutrition or fluid status via the intestines

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2
Q

what is the time frame for acute intestinal failure?

A

two weeks

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3
Q

what type(s) of intestinal failure are acute?

A

type 1 and 2

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4
Q

what type(s) of intestinal failure are chronic?

A

type 3

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5
Q

name a cause of acute intestinal failure

A

mucositis post chemotherapy

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6
Q

name a cause of chronic intestinal failure?

A

short gut syndrome

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7
Q

which type of intestinal failure is self limiting?

A

type 1

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8
Q

where would a patient with type 1 intestinal failure be treated?

A

on a ward

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9
Q

name three possible causes of type 1 intestinal failure

A

ileus
critical illness
various GI problems such as vomiting and dysphagia

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10
Q

how is type 2 intestinal failure treated?

A

prolonged parenteral nutrition (over 28 days)

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11
Q

where would a patient with type 2 intestinal failure be treated?

A

high dependency unit or ICU

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12
Q

name four causes of type 2 intestinal failure

A

post surgery awaiting reconstruction
crohn’s
adhesions
fistulae

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13
Q

how is type 3 intestinal failure treated?

A

long term PN support

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14
Q

where would a patient with type 3 intestinal failure be treated?

A

on a ward but sent home

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15
Q

name four causes of type 3 intestinal failure

A

crohn’s
dysmotility
malabsorption
inoperable obstruction

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16
Q

how is type 1 intestinal failure treated?

A

IV fluids and electrolytes
parenteral nutrition if needed
PPI’s

17
Q

what length of small bowel counts as short bowel syndrome?

A

under 200cm

18
Q

what is the most common indication for home parenteral nutrition?

A

short bowel syndrome

19
Q

what are the two types of venous access that can be used for PN therapy?

A

peripheral

central

20
Q

what is used for peripheral venous access in PN therapy?

A

blue 22G PVC

21
Q

what is used for central venous access in PN therapy?

A

PICC for 14 days
tunneled catheter
vascuport

22
Q

what does PICC stand for?

A

peripherally inserted central catheter

23
Q

name three possible complications of central venous access in PN Therapy

A

pneumothorax
arterial puncture
misplacement

24
Q

what is a last resort in intestinal failure?

A

small bowel transplantation

25
Q

what other organ is often transplanted at the same time as a small bowel transplantation?

A

liver