malnutrition and nutrition assessment Flashcards

1
Q

define malnutrition

A

state of nutrition in which imbalance of energy, protein and other nutrients causes measurable adverse effects on tissue or body form, and function and clinical outcome

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2
Q

diagnosing malnutrition

A

nutrition screening then nutrition assessment

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3
Q

describe nutrition screening

A

quick, simple and practical; during initial assessment of patient or at regular intervals by a non-nutrition professional

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4
Q

describe nutrition assessment

A

more detailed, in depth; could use anthropometrics; by a dietitian or specialist nutrition nurse

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5
Q

methods of assessing nutritional status: body size changes

A

weight, % weight loss, BMI, muscle circumference, handgrip, skinfold thickness

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6
Q

methods of assessing nutritional status: food intake

A

diet history, 3-7 day food diary

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7
Q

methods of assessing nutritional status: biochemistry

A

albumin and CRP, creatinine, cholesterol

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8
Q

5 enteral access routes

A

nasogastric, gastrostomy, nasoduodenal, nasojejunal, jejunostomy

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9
Q

define refeeding syndrome

A

syndrome consisting of metabolic disturbances due to reinstitution of nutrition to patients who arestarved or severely malnourished

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10
Q

consequences of refeeding syndrome

A

hypophosphataemia, hypokalaemia, hypomagnesia; all impact cardiac, respiratory and neuro-muscular systems

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11
Q

3 managements of refeeding syndrome

A

daily biochemistry by replacing electrolytes as required; vitamin suppplementation for first 10 days of feeding (vitamin B co strong/thiamine); start nutrition support at maximum of 10 kcal/kg/day, increasing slowly

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