Nutrition Flashcards
1
Q
Assessm
A
MUST
Appearance
Wl, BMI
Alb bad marker, long t1/2 and drops in sepsis
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
3
Q
Enteral
A
Supplems NG NJ PEG, RIG Jejunostomy
4
Q
enteral advs
A
Less inavsive
More physiol, keeps bowel working ie healthy muscosa, infec barrier so reduc sepsis
More acceptable
5
Q
Parenteral IV
A
TPN
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
7
Q
re feed synd
A
In severely malnourished HypoP Cellul dysfunc Cardiac arrhyth Prev by close atten to K, PO, Mg