Nutrition

Question 1

What is the rule of thumb for a healthy weight

Answer 1

Women:
100 pounds at 5ft + 5 pounds per inch

Men:
106 pounds at 5 ft + 6 pounds per inch

Question 2

What is a persons BMR

Answer 2

1 calorie per kilogram per hour, slightly less for women due to lower muscle mass

Question 3

What increases/decreases BMR

Answer 3

Increase: growth, infections, fever, emotional tension, extreme temperatures, elevated hormones

Decrease: aging, prolonging fasting, sleep

Question 4

Interventions for dysphagia

Answer 4

Suction set up
HOB at 45 and 90 when eating and 30 minutes after
Provide assistance

Question 5

What are some easy to swallow foods

Answer 5

Thickened liquids, puréed food, cooked veggies, ground meat, soup and iced fruit

Question 6

What does lavage mean

Answer 6

Removal of stomach content

Question 7

What does decompression mean

Answer 7

Suctioning stomach content

Question 8

What position should people be for placing NG tube

Answer 8

Fowler position

Question 9

What is a dobbhoff/corpack tube

Answer 9

Smaller tube only used for feeding

Question 10

What is the benefit of a J tube

Answer 10

Bypassing the stomach, aspiration is prevented

Question 11

When is a gastric residual volume a concern

Answer 11

Greater than 200 ml

Question 12

What is TPN or hyperalimentation

Answer 12

Infusion of nutrition through central line
-used when pt needs complete bowel rest
-Moniter lab values closely (BUN, Liver, urine, glucose, electrolytes)

Question 13

What labs to monitor for tube feeding

Answer 13

Electrolyte and glucose