NUTRI 1 Flashcards

1
Q

It is modied or tailored to the nutrition needs of
a particular person

A

MODIFIED AND THERAPEUTIC DIET

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2
Q

● Modication in consistency and texture

● Transition between liquid diets and a regular diet

● Used when your body is ready for more than liquids
but still unable to switch to a regular diet

● Portion size is small

● Should be easy to chew, swallow and digest;
usually low in fiber and connective tissues and
generally bland in flavor

A

SOFT DIET

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2
Q

● Made up of foods that are low in residue, low in
fiber, easy to digest, soothing to the intestines

● Does not over-stimulate the digestive system, and
mildly seasoned

USES:
● Heartburn, nausea, vomiting, gas, ulcer
● Stomach or intestinal surgery

A

BLAND DIET

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2
Q

basis for a modied diet

● An aid to relieving signs and symptoms of a disease

A

REGULAR OR HOUSE DIET

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3
Q

● Recovering from surgery or a long illness
● Difficult in chewing and swallowing due to dental
problems

A

Uses for soft diet

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3
Q

● Referred to as “dental soft” or
“mechanically-altered” diet is a modification in
texture of a regular diet

● Foods should be well-cooked, easy to chew and if
necessary chopped, ground, mashed, or pureed

USES:
● With limited chewing ability

A

MECHANICAL SOFT DIET

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4
Q

● Indigestible carbohydrate in the diet is eliminated

● Animal products, rened grain products, and
selected fruits and vegetables are included

● Avoid any food made with seeds, nuts, and raw and
dried fruit

USES:
● Diarrhea and abdominal cramping
● Allow the bowel to rest during acute exacerbation of
diverticulitis

A

LOW FIBER DIET/LOW RESIDUE DIET

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5
Q

● Limits the amount of dietary fiber

● Usually found in fruits and vegetables that cannot
be digested

USES:
● To avoid irritation of the GIT, when the GI system
needs a rest, and to decrease bowel movement

A

RESIDUE RESTRICTED DIET

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6
Q

● Diculty in swallowing and as a symptom of a
disease or dysfunction that results from a
neurological, mechanical, structural or behavioral
disorder or condition

A

DYSPHAGIA DIET

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7
Q

● Provide a adequate energy, nutrients, and uids in a
consistency tolerated by the individual and adjusted
according to their changing needs

A

PURPOSE OF NUTRITIONAL CARE

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8
Q

● Smooth pureed, homogenous, very cohesive,
pudding like-foods that require very little chewing
ability

● No course textures, raw fruits and vegetables, or
nuts are allowed

A

NDD LEVEL 1: DYSPHAGIA PUREED

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9
Q

For patient who gets tired when chewing, who have
missing teeth, or sore mouth with severely reduced
oral

A

PUREED DIET

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10
Q

● Food for this level is cohesive, moist, semisolid
foods that require some chewing ability

● Patients on a dysphagia level 2 diet can tolerate
some textures but not all

USES:
For patients who can tolerate a minimum amount
of easily chewed food

A

NDD LEVEL 2: DYSPHAGIA MECHANICALLY ALTERED

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11
Q

● Food is soft solid, which requires more chewing
ability

● Based on a mechanical diet and consists of soft
food items prepared without blenderizing or
pureeing

A

NDD LEVEL 3: DYSPHAGIA ADVANCED

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12
Q

● Also called non-residue diet
● Consists of clear liquids or foods that are easily
digested and leave no undigested residue in the
intestinal tract

Often used before tests, procedures or surgeries
that require no food in your stomach or intestine

A

CLEAR LIQUID DIET

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13
Q

● Contains food which are liquid at room temperature
or could be liqueed at body temperature (e.g. can
melt in the mouth or stomach)

● Prescribed for patients who can digest all liquids
but cannot handle solid food due to any of the
following:
○ Fever
○ Infections
○ Lesions in the mouth
○ GI disturbance
○ Nausea or vomiting

USES:
● Recommended after surgery, as a transition
between clear liquid and solid foods and for
patients who cannot chew or swallow foods

A

FULL LIQUID DIET

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14
Q

● Sometimes referred to as the T & A diet used
(tonsillectomy and adenoidectomy)

● Designed to minimize pain in the oral cavity and
avoid bleeding in the affected area

A

COLD LIQUID DIET

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15
Q

● Foods that are calorie-dense and protein-dense

● For health conditions that need energy and nutrient
in excess of usual requirements and to improve
overall nutritional status

A

HIGH CALORIE/HIGH PROTEIN DIET

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15
Q

● Limits the number of calorie intake to between 1500
and 1800 each day

● This is considered low compared to the 2000 to
2400 calories per day that a normal person should
consume

A

LOW CALORIE DIET (LCD)

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16
Q

● Total fat intake of less than 30% of the total
calories or less

● Limiting fat-containing foods restrict the total
amount of fat in the diet

A

LOW FAT DIET

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17
Q

● Level of protein diet is about 0.6/kg of body weight
per day, or about 40-50 grams per day

Focuses on obtaining most of a patient’s daily
calories from complex CHOs

A

LOW PROTEIN DIET

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18
Q

● The diet regulates both the type and amount of fat

● It is planned to provide 15-25 percent of the total
calories of fat

A

CHOLESTEROL CONTENT

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19
Q

This is a diet in which the potassium content is
reduced to about 1.0 to 1.8 grams (25 to 46mEq)
per day

A

LOW POTASSIUM DIET

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19
Q

Includes no more than 2,000 to 3,000 mg of sodium
per day

A

LOW-SODIUM CONTENT

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20
Q

an important part in the prevention and treatment of:
● Osteoporosis
● Postmenopausal women
● Amenorrheic women

A

HIGH CALCIUM DIET

21
Q

For people with weakened immune system to help
protect them from bacteria and other harmful
organisms found in food and drinks

A

NEUTROPENIC DIET

21
Q

prescribed for patients to
manage the pain and discomfort caused by
atulence, bloating or diarrhea related to lactase
ingestion

A

LACTOSE-FREE DIET

22
Q

● Due to health reasons
● Eating less meat is economical

A

VEGETARIAN DIET

23
Q

Also known as tube feeding, is a way of delivering
nutrition directly to your Gastrointestinal (GI) tract or
small intestine usually from a tube, catheter,or
stoma.

Should be the first option vs parenteral nutrition

USES:
● Providing nutrition
● Providing fluids
● Providing medication
● Decompressing the stomach
● Removing stomach contents

A

ENTERAL NUTRITION

24
Q

● Starts in the nose and ends in the intestines
(subtypes include nasojejunal and nasoduodenal
tubes)

● Indicated for use in enteral nutrition in both gastric
and small intestine regions, such as the duodenum
and jejunum

A

NASOENTERIC TUBE

25
Q

● Starts in the nose and ends in the stomach.

● Nasogastric tubes are used for feeding clients who
have adequate gastric emptying, and who require
shorter-term feedings

A

NASOGASTRIC TUBE (NGT)

26
Q

feeding has the tube inserted from the nose with the tip resting in the duodenum -

feeding has a feeding tube inserted from the nose with the tip resting in the jejunum -

A

Nasoduodenal

Nasojejunal

27
Q

● Starts in the mouth and ends in the stomach.

A

OROGASTRIC TUBE (OGT)

28
Q

● Starts in the mouth and ends in the intestines.

● If a nasal injury or deformity makes nasal
placement difficult- orogastric or other oral
enteric tube can be placed

A

ORAL ENTERIC TUBE

29
Q

● Feeding tube inserted through a surgical opening in
the neck and passed through the esophagus, with
the tip resting in the stomach.

● Used for head and neck cancer patients.

A

ESOPHAGOSTOMY

30
Q

It is the most common complication of
tube feeding usually caused by protein-energy
malnutrition, medications, motility, infection

A

Diarrhea

31
Q

Also called “standard” or “polymeric” formulas
and contains unaltered molecules of protein,
carbohydrates and fat

A

INTACT FORMULAS

32
Q

● Is placed through the skin of the abdomen straight
to the stomach (subtypes include PEG, and button
tubes).

● Used when a patient cannot or will not eat for longer
than four weeks and has a functional gut

A

GASTROSTOMY TUBE

33
Q

● Placed through the skin of the abdomen straight
into the jejunum intestines (subtypes include PEJ
and PRJ tubes)

A

JEJUNOSTOMY TUBE

34
Q

The most dangerous
complication of enteral feeding and is among the
leading causes of death in tube-fed patients due to
aspiration pneumonia

A

Aspiration

35
Q

● Individually packaged components that may be
combined to meet the nutritional requirement of the
patients.

A

MODULAR FORMULAS

35
Q

● Predigested micronutrients. They are either
elemental or semi-elemental formulas

A

HYDROLYZED FORMULAS

36
Q

Formulas that have been altered in one or more
nutrients in order to optimize nutrition support

A

NUTRIENT MODIFIED & DISEASE-SPECIFIC

37
Q

● The most commonly use; often referred to as a
“kangaroo pump”

● Indicated for patients who are unable to tolerate
high volume feedings, are suering from
malabsorption or patients at increased risk of
aspiration.

A

CONTINUOUS METHOD

38
Q

● Continuous drip method over a period of 8-20 hours
per day using a pump to control delivery

● Usually given at night; allowing independence from
feeding equipment during the day

A

CYCLIC FEEDING

39
Q

Allow for more mobility than continuous drip
feedings because there are breaks in the feedings,
allowing the patient to be free from the tube feeding
apparatus

A

BOLUS FEEDING

40
Q

Uses a similar technique to that of bolus feeding,
but it is used over a longer duration, which may help
improve tolerance

A

INTERMITTENT DELIVERY

41
Q

● Consists of pre-filled container that is spiked with
enteral tubing & attached to enteral access device

A

CLOSED SYSTEM

42
Q

● Also referred to as “total parenteral nutrition”
(TPN), and “central venous nutrition” (CVN) or
intravenous hyperalimentation (IVH

A

TOTAL PARENTERAL NUTRITION

43
Q

Given when the gastrointestinal tract is
nonfunctional due to disruption or impaired
absorption, and administered intravenously,
typically via a central venous catheter into the
superior vena cava.

A

TOTAL PARENTERAL NUTRITION

44
Q

BASIC COMPONENTS OF TPN

A

Protein hydrolysates
free amino acid mixtures
monosaccharides
electrolytes.

45
Q

The general rule of thumb for deciding whether to
use parenteral or enteral feeding is “if the gut
works, use it”

● Always use a working gastrointestinal tract to
prevent atrophy

A

PARENTERAL NUTRITION

46
Q

Results from successful invasion,
establishments and growth of pathogenic
microorganisms in a host

A

Infection

46
Q

CHOOSE CONDITIONS/S THAT NECESSITATES
ENTERAL FEEDING (Y/N)

A

● Inability to gain tube access (NO)
● Swallowing disorder (YES)
● Anorexia nervosa (YES)
● GI obstruction (YES)
● Burned face (YES)
● End stage renal disease; kidney failure (YES)
● Severe depression (YES)
● Diarrhea (NO)
● Severely wasted/severe malnutrition (YES)
● Persistent vomiting (NO)
● Spinal cord defect; whole body paralyzed (YES)
● Muscle dystrophy, whole body (YES)
● Cystic brosis, end stage (YES)
● Cerebral palsy with constant seizure (YES)
● Motor neuron disease (YES)

47
Q

CHOOSE CONDITIONS/S THAT NECESSITATES
PARENTERAL FEEDING (Y/N)

A

● Patients who cannot be fed via GIT for more than a
few days (YES)
● Patients who are severely wasted/malnourished
(YES)
● Non-functional, inaccessible or perforated (leaking)
GIT (YES)
● Persistent GI Hemorrhage (YES)
● Enteral feeding not possible or failed trial (YES)
● Short bowel syndrome (YES)
● Gut failure or malabsorption (YES)
● Chronic ulcerative colitis (YES)
● Colon cancer (YES)

48
Q

Occurs when infection has spread from one
part of the body to other areas via circulatory
system

A

Sepsis

49
Q

1.) Generally develop suddenly and last a short time, often only a few days or weeks.

2.) Develop slowly and may worsen over an
extended period of time—months to years

3.) an infection occurring after cessation of
therapy with a different strain of microorganism or

A

1.) Acute
2.) Chronic
3.) Recurrent

50
Q

To provide adequate nourishment to counteract
patient’s hyper metabolic state & support body’s host
defense system

A

NUTRITION THERAPY

51
Q

● Infection increases BMR thus, energy requirement is
higher.

● Increase of 13% for every 1°C rise in normal body
temperature.

A

CALORIES

52
Q

● As much as 100% additional protein (2 g/kg body
weight) is needed to replace losses in tissue
catabolism

A

PROTEIN