Nutrition Flashcards

1
Q

Assessm

A

MUST
Appearance
Wl, BMI
Alb bad marker, long t1/2 and drops in sepsis

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2
Q

Heirarchy

A

Cant eat suffic calories- oral supplems
Cant take enough orally, or cant swallow- NGT
Oes blocked or dysfunc- gastrostomy eg PEG, RIG
Stom inaccessible or outlfow obstruc- jejunostomy
Jej inaccessible or intest failure- perenteral

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3
Q

Enteral

A
Supplems
NG
NJ
PEG, RIG
Jejunostomy
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4
Q

enteral advs

A

Less inavsive
More physiol, keeps bowel working ie healthy muscosa, infec barrier so reduc sepsis
More acceptable

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5
Q

Parenteral IV

A

TPN

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6
Q

TPN complics

A
Aspiration
Re feed syndrome
Pneumo or haemothorax
BV inj
SEPSIS
THROMBOSIS
Fluid overload
Elec imbal
Liver damage
Benef only outweighs risks fater 5d
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7
Q

re feed synd

A
In severely malnourished
HypoP
Cellul dysfunc
Cardiac arrhyth
Prev by close atten to K, PO, Mg
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