MNT Study Guide 3

Question 1

EN contras

Answer 1

no functioning gut
-fisulas, motility, obstructions

-pancreatitis

-GI surgery/bowel rest

Question 2

<4 weeks EN

-fx gut w no complications

Answer 2

Nasogastric

Question 3

<6 weeks

-delayed gastric emptying, reflux

Answer 3

Nasoduodenal

Question 4

<6 weeks

-upper GI issues, unconscious px on back

Answer 4

Nasojejunal

Question 5

swap feeding nostrils/replace tubes

Answer 5

Every 4-6 weeks

Question 6

> 6 weeks

fully fx gut

-swallowing, trauma, burns, chemo, dementia

Answer 6

PEG

Question 7

> 6 weeks

-coma, reflux, SBS, obstructions

Answer 7

PEJ

Question 8

often first feeding style used

-low rate, more tolerated

-better than intermittent

Answer 8

continuous feeding

Question 9

EN defs

Answer 9

sod, pot, mag, phos, iron, livers, fats, B’s

Question 10

PN defs

Answer 10

K, iron, zinc, copper

Question 11

Immune mediated (IgE) food sens

Answer 11

food allergy
-immediate onset with small amounts

Question 12

Delayed T-cell response or non-IgE food sens

Answer 12

food intolerance
-up to 48 hours onset

Question 13

food allergy fruits

Answer 13

apple, strawberry, pawapaw, cherries, tomato

Question 14

food intolerance sxs

Answer 14

confusion, memory loss, poor concentration

Question 15

food intolerance triggers

Answer 15

salicytes
amines
sulphies
sulfphur
MSG
Lactose

Question 16

Paleo concerns

Answer 16

-cal/D def
-high sat fat + protein=kidney/heart disease

Question 17

Ramadan fasting

Answer 17

-check BGL regularly
-treat hypo (under 4 mm)

-pre dawn largest meal
-complex carbs and protein

-3 dates break fast

-avoid excess exercise

-reduce insulin levels

Question 18

Vegan concerns

Answer 18

Protein, B12, Iron, Cal, D, Zin, Omega 3

Question 19

BCAA’s

Answer 19

Leucine
Isoleucine
Valine

Question 20

conditional AA’s

Answer 20

body can make them, just not during stress or illness

Question 21

HIV reccs

Answer 21

10-15% more cals (400/300)

50-100% more protein (85/72)

-A, B6, 12, iron, zinc (immune/fight infections)

Question 22

Osteoporosis, moods, thin hair/skin, edema, cal, zinc, phos def

Answer 22

Steroid use s/e

Question 23

1 hour

Answer 23

how long it takes liver to process one drink, backs up

Question 24

Liver dx progression

Answer 24

fatty liver->alc hep->cirrhosis

Question 25

creatinine

Answer 25

HIIT/team sports
-gains