Nutrition Flashcards

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1
Q

What is a source of energy and promotes fat metabolism, spare protein, and enhance lower GI function

A

Carbohydrates

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2
Q

What are major food sources of carbs

A
  • Milk
  • Grains
  • Fruits
  • Veggies
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3
Q

Provide concentrated source and a stored form of energy, they protect internal organs and maintain body temperature

A

Fats

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4
Q

What helps build and repair tissues

A

Protein

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5
Q

What Pts are on clear liquid diets and what does it provide for the body ? and what are the feeding intervals ?

A
  • Postop Pt, Acute vomiting or diarrhea,
  • Provides fluid and electrolytes to prevent dehydration
  • Acute illness
  • Infections

Between 1-2 Hour feeding intervals

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6
Q

Used for bowel prep for surgery or tests and post op also clients with fever, vomiting, or diarrhea, used in gastritis

A

Clear liquids

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7
Q

Which liquids are not allowed in a clear liquid diet ?

A
  • Fruit juices with pulp
  • Milk
    ( Must be transparent to light)
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8
Q

What types of liquid/food are considered appropriate for a clear liquid diet ?

A
  • Water
  • Bouillon
  • Clear broth
  • Carbonated beverages
  • Gelatin
  • Hard candy
  • Lemonade
  • Ice pops
  • Regular or Decaf coffee
  • Tea
  • Popsicle
  • Ginger ale
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9
Q

Are dairy products and fruit juices with pulp considered clear liquids ?

A

No

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10
Q

May a client have sugar and salt ?

A

Yes

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11
Q

What is a full liquid diet ? What is it used for ?

A
  • A transition diet after clear liquids post Op
  • Clients who is having difficulty chewing, swallowing, or tolerating solid foods, GI upset, Acute gastritis, infections, febrile disorders
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12
Q

What does a full liquid diet include? think what types of liquid and how often do you give feedings ?

A
  • All clear liquids
  • Ice cream
  • Milk
  • Sherbet
  • Breakfast drinks
  • Milkshakes
  • Custard
  • Soups that are strained
  • Refined cooked cereals
  • Fruit juices
  • Strained juice (Fruit and veggie)
    All clear liquids also
  • Cereal gruels ( like oatmeal)

Feedings are done in intervals 2-4 hours

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13
Q

What is a full liquid diet deficient in ?

A
  • In calories (energy) and many nutrients
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14
Q

What is important to provide to a Pt. on a clear liquid diet ? Think what food is used to repair damaged tissues

A

High protein

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15
Q

What is a mechanical diet and what Pt. would be put on this diet ?

A

Mechanical diet is for Pts who have a difficulty in chewing foods are mechanically altered. But these Pts can tolerate foods with more texture than being on a liquid diet.

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16
Q

What kind of Pts are usually put on mechanical diets?

A
  • Pt with dental problems

- Pt who has had surgery of the head or neck or have dysphagia

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17
Q

What may the client be evaluated for if they still have difficulty chewing ?

A
  • Swallowing evaluation

- May require thick liquids

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18
Q

What kind of texture is mechanical food ?

A
  • Pureed
  • Mashed
  • Ground
  • Chopped
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19
Q

What foods are to be avoided if a Pt is on a mechanical diet ? * Think foods that make your throat feel dry or are hard in texture*

A
  • Nuts
  • Raw fruits
  • Vegetables
  • Fried foods
  • Chocolate candy
  • Tough, smoked, or salted meats
  • Foods coarse in texture
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20
Q

What Pts would be put on a soft diet ?

A
  • Pts who have difficulty in swallowing
  • Ulcerations of the gums and mouth
  • Broken jaws
  • Dysphagia
  • Oral surgery
  • Plastic surgery of the head or neck
  • Stroke
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21
Q

What kind of foods should be given to a Pt if they have mouth sores Think what kind of temperature

A

foods that are cooler in temp

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22
Q

What can be consumed to increase salivary flow ?

A

Suck on hard candy

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23
Q

What foods should Pts avoid while on a mechanical diet ?

A
  • All food seasoning
  • Nuts
  • Raw fruits/ veggies
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24
Q

Low-residue, low fiber, What Pt’s are put on this diet ? think GI

A
  • Used for inflammatory bowel disease
  • Partial obstructions
  • When GI motility is lowed
  • Diarrhea
  • Gastroenteritis
  • GI disorders
  • Lower bowel surgery
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25
Q

What are foods that consist of low in residue think of foods that are not suppose to be eaten when on a diet (carbs and starchy foods)

A
  • White bread
  • Refined cooked cereals
  • Potatoes without skin
  • White rice
  • Refined pasta
  • White processed food
  • Roast lamb
  • Buttered rice
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26
Q

What foods should be avoided when on a low residue diet ? `

A
  • Raw fruits (except bananas)
  • Veggies
  • Nuts
  • Seeds
  • Plant fiber
  • Whole grains
  • Diary products to be limited to 2 servings a day
  • Whole wheat
  • Corn
  • Bran
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27
Q

High residue, High fiber, High Roughage diet, What Pts are put on this diet ?
Think GI difficulties diseases

A
  • Used for constipation
  • Irritable bowel syndrome
  • Alternating constipation and diarrhea
  • Diverticular disease
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28
Q

What does a high residue, high fiber diet provide for the Pt?

A
  • 20- 35 g of dietary fiber daily

- Speeds the movement of bowels

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29
Q

What kind of foods does a high residue high fiber diet have ? What foods are not allowed ?

A

-Fruits
- Vegetable
- Whole grain products
- Cracked wheat bread
- Brussel sprouts
- Apple
Foods not allowed:
- White bread
- Pies
- Cakes from white flour “white”
- Processed food

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30
Q

Increase fiber gradually and provide fluids to reduce side effects such as ?

A
  • Abd cramping
  • Bloating
  • Diarrhea
  • Dehydration
  • Gas- forming foods should be limited
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31
Q

What are water soluble vitamins ?

A
  • Folic Acid
  • Niacin
  • Vit B1 (Thiamine)
  • Vit B2 (Riboflavin)
  • Vit B6 (Pyridoxine)
  • Vit B12 (Cobalamin)
  • Vit C (Ascorbic acid)
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32
Q

B1
Thiamine
Functions and where are its primary sources ?

A
  • For normal growth
  • Carbohydrate metabolism

Primary sources:

  • Legumes
  • Meat (pork)
  • Enriched grains
  • Eggs
  • Fish
  • Cereals
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33
Q

B2
Riboflavin
Functions and where are its primary sources ?

A
  • Used for energy
  • Converts carbohydrates into glucose
  • Energy metabolism

Primary Sources:

  • Milk
  • Milk products
  • Lean meats
  • Fish
  • Legumes
  • Liver
  • Heart
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34
Q

Niacin (Niaspan)

Functions and where are its primary sources ?

A
  • Lower Cholesterol level

Primary sources:

  • Meats
  • Poultry
  • Fish
  • Beans
  • Peanuts
  • Grains
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35
Q

B6
Pyridoxine
Functions and where are its primary sources ?

A
  • Amino acid metabolism

Primary sources:

  • Wheat
  • Corn
  • Meat
  • Liver
  • Kidney
  • Egg yolk
  • Yeast
  • Spy beans
  • Peanuts
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36
Q
Folic Acid (Folacin) 
Functions and where are its primary sources ?
A

RBC formation

Primary sources:

  • Meat
  • Beef
  • Liver
  • Fish
  • Green leafy vegetables
  • Legumes
  • Grapefruit
  • Oranges
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37
Q

Vit B12
Cyanocobalamin
Functions are where are its primary sources ?

A
  • Nerve or neurological function
  • RBC formation
Primary resources : 
-  Meat 
- Liver 
(only found in animal meat) 
- Poultry 
- Eggs 
- Sea Veggies
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38
Q

What foods have Vit C (ascorbic acid)

A
  • Citrus fruits
  • Tomatoes
  • Broccoli
  • Cabbage
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39
Q

What are fat are fat soluble Vitamins ?

A
  • Vit A
  • Vit D
  • Vit E
  • Vit K
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40
Q

Vit A
Retinol
What are its functions ? and what are the primary foods sources it could be found in ?

A
  • Antioxidant
  • Visual acuity
  • Adaptation to light and dark
  • Normal bone growth
  • Tooth development
  • Spermatogenesis
  • Thyroxine formation

Primary sources :

  • Beta carotene
  • Carrots
  • Yellow fruits
  • Veggies
  • Butter
  • Cheese
  • Squash
  • Broccoli
  • Milk
  • Egg yolk
  • Liver
  • Fish oils
  • Kidneys
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41
Q

Vit D think bones
Ergocalciferol Cholecalciferol
What are its functions and what foods can it be found in ?

A
  • Calcification of bones
  • Absorption of Ca+
  • Phosphorus
  • Decreased renal excretion of phos

Primary sources:

  • Direct sunlight
  • Cod liver and fish oils
  • Fortified milk/dairy products
  • Tuna
  • Mackerel
  • Salmon
  • Sardine
  • Herring
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42
Q

Vit E
Tocopherol
What are its functions and what primary sources can you find them in ?

A
  • Antioxidant
  • Production of RBCs
  • Muscle and liver integrity

Primary sources:

  • Vegetable
  • Vegetable oil
  • Wheat germ oil
  • Legumes
  • Nuts
  • Fish
  • Milk
  • Egg yolk
  • Muscle meats
  • Broccoli
  • Spinach
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43
Q

Calcium

Primary function/Primary sources/If deficient in Calcium what are the symptoms ?

A

Function:

  • Bone formation
  • Muscle contraction

Primary sources:

  • Milk/Milk products (Cheese, soy milk)
  • Green leafy vegetables
  • Rhubarb (type of plant)
  • Sardines
  • Tofu
  • Yogurt

If Deficient:

  • Rickets (Childhood bone disorder, bones become soft and is prone to fracture)
  • Porous bones (Bones become brittle)
  • Tetany (involuntary contraction of muscles)
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44
Q

Phosphorus

Primary function/Primary sources/If deficient what are symptoms

A

Function:
- Bone formation

Primary Sources:

  • Dairy products (Milk)
  • Eggs
  • Nuts
  • Meat (pork, beef, chicken)
  • Whole- grain breads and cereals

Deficiency/Symptoms:
- Rickets

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45
Q

Fluoride

Primary function/Primary sources/If deficient what are symptoms

A

Functions:
- For dental health

Primary Sources:
- Water supply

Deficiency/Symptoms:
- Dental caries

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46
Q

Iodine

Primary function/Primary sources/If deficient what are the symptoms Think thyroid disease size of a gulf ball

A

Function:
- Thyroid hormone synthesis

Primary Sources

  • Seafood
  • Iodized salt

Deficiency/Symptoms:
- Goiter

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47
Q

Sodium

Primary function/Primary sources/If deficient what are the symptoms ?

A

Primary Function:

  • Osmotic pressure
  • Acid- Base balance

Primary sources:

  • Table salt
  • Vegetables
  • Milk
  • Meat
  • Deficiency/Symptoms:
  • Fluid and electrolyte imbalance
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48
Q

What diseases are included in a cardiac diet ?

A
  • Atherosclerosis
  • Diabetes Mellitus
  • Hyperlipidemia
  • Hypertension
  • Myocardial infarction
  • Nephrotic syndrome
  • Kidney Failure
49
Q

What is restricted when on a cardiac diet ?

A

total amounts of fat such as

  • Saturated
  • Trans
  • Polyunsaturated
  • Monounsaturated
  • Cholesterol
  • Sodium
50
Q

Fat- restricted diet, What does it help to reduce ? What disorders would need to be on this diet ?

A
  • Pain in Abd
  • Steatorrhea ( fatty stools)
  • Flatulence
  • Diarrhea
  • Malabsorption disorders such as
  • Pancreatitis
  • Cystic Fibrosis
  • Gallbladder
  • Gastroesophageal Reflux
51
Q

High Calorie High protein diet What Pts are put on this diet ?

A
  • Severe stress
  • Burns
  • Cancer
  • HIV
  • AIDS
  • COPD
  • Respiratory failure
  • Any debilitating disease
52
Q

Nursing considerations for High calorie, High protein diet

A
  • Encourage high nutrient dense high calorie high protein foods such as :
  • Whole milk
  • Milk products
  • Peanut butter
  • Nuts
  • Seeds
  • Beef
  • Chicken
  • Fish
  • Pork
  • Eggs
53
Q

Carb-consistent diet What Pts are on this diet ?

A
  • Diabetes Mellitus
  • Hypoglycemia
  • Hyperglycemia
  • Obesity
54
Q

Sodium-restricted diet What Pts are on this diet ?

A
  • Hypertension
  • HF
  • Kidney disease
  • Liver disease (cirrhosis)
55
Q

How many g of salt can a Na restricted Pt have ? added salt ?

A

4 g and no added salt

56
Q

How many g of salt can a Pt on a sodium restricted diet have ? Added salt ?

A

Fresh, No processed foods such as soup

57
Q

What Pts are on a protein restricted diet ?

A
  • Kidney disease

- Liver disease

58
Q

Renal diet Who is on it ?

A
  • Acute kidney disease
  • Chronic kidney disease
  • Clients who need hemodialysis or peritoneal dialysis (kidneys)
59
Q

What needs to be controlled when on a Renal diet ?

A
  • Protein
  • Sodium
  • Phosphorus
  • Potassium
  • Calcium
  • Fluids
  • Modification in amount of fiber may be prescribed such a fiber, cholesterol, fat based on individual requirements
60
Q

Who is on a low potassium diet ?

A
  • For hyperkalemia
  • Impaired renal function
  • Hypoaldosteronism
  • Addison’s
  • Angiotensin- converting enzyme inhibitor medications
  • Potassium retaining Diuretics
  • Immunosuppressive medications
  • Chronic HyperK
61
Q

Who is on a High potassium diet ?

A
  • Hypokalemia
  • Renal tubule acidosis
  • GI losses (vomiting, diarrhea)
  • Potassium wasting diuretics
  • Antibiotics
  • Mineralocorticoid
  • Glucocorticoid excess caused by secondary aldosteronism
  • Cushing’s syndrome
62
Q

Who is on a low purine diet ?

A
  • Gout
  • Kidney stones
  • Elevated uric acid levels
63
Q

What foods must you restrict that contain purines ?

A
  • Anchovies
  • Herring
  • Mackerel
  • Sardines
  • Scallops
  • Glandular meats
  • Gravies
  • Meat extracts
64
Q

What food are high in iron ?

A
  • Organ meats
  • Egg yolks
  • Whole Wheat products
  • Dark leafy green veggies
  • Dried fruit
  • Legumes
65
Q

What relieves thirst ?

A
  • Chewing gum
  • Sucking on hard candy
  • Freeze fluids
  • Add lemon juice to water
  • Gargle with refrigerated mouthwash
66
Q

Enteral Nutrition, which Pts need this ? what is used to administer it ?

A
  • Provides liquid foods to GI tract via a tube

- Used when GI tract is functional but oral intake is not

67
Q

What Pts are Enteral Nutrition ? Think of complications

A
  • Swallowing problems
  • Burns
  • Major Trauma
  • Liver
  • Organ failure
  • Severe Malnutrition
68
Q

Nursing considerations for Pts on enteral nutrition *Pts complications related to what kind of formula is being given? What can or can not be given to certain Pts? *

A
  • Lactose intolerance Pts ( this causes diarrhea, bloating, cramping)
  • They need to be places on lactose- free formulas
69
Q

Parenteral Nutrition or total parenteral nutrition , which Pts need this ?

A
  • Pts with severe dysfunctional or nonfunctioning GI tracts
  • Unable to process nutrients
  • Pt does not take enough food by mouth to meet their nutrient needs
  • Multiple GI surgeries
  • GI trauma
  • Intolerance to Enteral feedings
  • Intestinal obstructions
  • Needing to rest the bowel for healing
  • Pts on Chemo
  • Cancer
  • AIDS
  • Burn injuries
70
Q

How can parenteral nutrition be administered ?

A
  • Central vein when larger amounts of carbohydrates are needed
  • Subclavian or internal jugular vein is used when PN is used short- term ( <4 weeks)
    If Pt needs PN > 4 weeks more permanent cath is used via peripherally inserted central line (PICC)
71
Q

Can a PN be administered through a peripheral vein (arm) ?

A

Yes, through a intravenous catheter or a midline catheter that is placed on upper arm vein (brachial or cephalic)

72
Q

Delivery of hypertonic solutions into a peripheral vein can cause what ?

A
  • Sclerosis
  • Phlebitis
  • Swelling
73
Q

Air embolism when receiving parenteral nutrition ? possible cause and signs/symptoms ?

A
  • Cath system is open
  • IV disconnected
  • Air entering on IV tubing changes
    S/SX:
    Apprehension
    Chest pain
    Dyspnea
    Hypotension
    Loud churning sound over pericardium
    Rapid weak pulse
    Respiratory distress
74
Q

How to arrange food for visually impaired Pt.

A
  • Placement of various food on plate goes on counter clock wise order
  • Ask what Pt prefers to eat first (gives Pt. sense of control)
75
Q

What do you offer to visually impaired Pt if they have a difficulty in swallowing ?

A
  • Offer liquids carefully with spoon or feeding syringe (this helps prevent aspiration)
  • Pureed or soft food (custard, gelatin) may be easier to swallow than liquid
76
Q

Visually impaired Pt without difficulty in swallowing what can you offer to them ?

A

Straw to reduce spills

77
Q

What is important to do during feeding ?

A
  • Pause whenever Pt wants to rest
78
Q

What is the purpose of a sodium restricted diet ?

A
  • Lower body water

- Promote excretion

79
Q

What are meal samples for a sodium restricted diet ? What foods are not allowed in this diet ?

A
  • Cold baked chicken
  • lettuce
  • Sliced tomatoes
  • Apple sauce
    Foods not allowed :
  • Cheese
  • Fried foods
  • Milk products
  • Canned foods
  • Added salts
80
Q

What is an example of a renal diet meal ?

A
  • Unsalted veggies
  • White rice
  • Canned fruits
  • Sweets
81
Q

What is the purpose of a renal diet ? *What are you levels are you trying to keep low ?

A
  • Protein
  • Potassium
  • Sodium
82
Q

What foods are not allowed in a renal diet ?

A
  • Bran
  • Cereals
  • Citrus fruits
83
Q

Low phenylalanine diet, Who is on this diet ?

A

PKU

84
Q

Sample meals for PKU ?

A
  • Low PKU milk
  • Jams
  • Fats
  • Fruits
85
Q

What is the purpose of a low PKU diet ?

A
  • Low protein diet to prevent brain damage from imbalance of amino acids
86
Q

What foods are not allowed for a low PKU diet ?

A
  • Meat
  • Eggs
  • Beans
  • Bread
87
Q

Vit K

What are its functions and what are primary sources ?

A
  • Catalyst (increasing rate of reaction) for production of prothrombin and blood clotting
  • Clotting factors VII, IX, X by the liver

Primary sources:

  • Spinach
  • Cabbage
  • Broccoli
  • Pork
  • Liver
  • Egg yolk
  • Cheese synthesized by intestinal bacteria
88
Q

Clinical manifestations (or if deficient in Vit A)

A
  • Night blindness
  • Skin Infection
  • Xeropthalmia (Abnormal dryness of the conjunctiva and cornea of the eye)
  • Corneal ulceration
  • Impaired bone formation
  • Defective tooth enamel
  • CNS Changes (lethargy, headache)
  • GI (Portal Hypertension), Veins coming from the stomach, spleen, and pancreas
  • Jaundice
  • Excess pigmentation: color returns in 2-6 weeks
89
Q

Clinical manifestation in Vit D

A
  • Ricketts (soft bone, poor bone growth, deformity of bones, bow legged)
  • Delayed closing of fontanels
  • Delayed calcification of teeth
  • Hypercalcemia
  • Renal Calculi
  • Osteoporosis of the long bones
  • Rickets, Decrease in phosphorus
  • Osteomalacia, decrease phosphorus in adults
90
Q

Clinical manifestations of Vit E

A
  • Protection of Vit A (think because of skin)
  • Breakdown of RBC (hemolytic anemia)
  • Less toxic than other fat soluble vitamins
91
Q

Clinical manifestations of Vit K

A
  • Bleeding
  • Bruises
  • Anemia
  • Liver/Renal damage
  • intestinal bacteria
92
Q

for Vit B1 Thiamine

A
  • Beriberi ( effects many systems of the body such as the heart, nerves, and digestive symptoms such as shortness of breath, swelling of legs, numbess)
  • Wernicke- Korsakoff syndrome (Brain disorder)
  • Shock
93
Q

B2 Riboflavin clinical manifestations

A
  • AriBOFLAVINOSIS (deficient in B2)
  • Tissue inflammation
  • Pruritus
  • Parasthesias
94
Q

Niacin clinical manifestations
*Think 4 Ds that have to do with Skin, Bowels, When elderly forget everything completely and if excess of these symptoms will do without any treatment)

A
  • Pellagra (causes dermatitis, diarrhea, dementia, and death)
  • Vasodilation
  • Flushing
95
Q

Pyridoxine (B6) clinical manifestations think low blood and how you feel when you are low blood

A
  • Anemia
  • CNS changes (seizures)
  • Peripheral neuropathy
  • Peripheral nervous toxicity
  • Numbness (related to both above)
96
Q

Folic acid (Folacin) clinical manifestations think low blood

A
  • Anemia

- Rare but cause insomnia and irritability

97
Q

Cyanocobalamin B12 clinical manifestations Think brain development what is it when deficient in B12 and low blood deficit specifically related to B12 deficiency

A
  • Pernicious Anemia
  • Delayed brain growth
  • Excess is rare
98
Q

Potassium
Primary function/Primary Sources
Deficiency symptoms
Think about heart rhythm

A

Primary Function:

  • Osmotic pressure
  • Acid - Base balance

Primary Sources:

  • Table salt
  • Vegetables
  • Meat
  • Milk

Deficiency/Symptoms:

  • Arrhythmias
  • Fluid and electrolyte imbalance
99
Q

Iron

Primary function/Primary sources/Deficiency symptoms

A

Primary Functions:
- Hemoglobin synthesis

Primary Sources:

  • Liver
  • Oysters
  • Leafy greens
  • Apricots

Deficiency/Symptoms:

  • Anemia
  • Lethargy
100
Q

What are conditions that require enteral feedings ? What are the causes for each ?

A

Condition(s):
- Pre-op need for nutritional support

Cause(s):
- Inadequate intake Pre-op results in poor nutritional state

101
Q

Enteral feedings with GI problems what are the causes ? why are they on feedings

A
  • Fistulas (Abnormal connections between two parts of the body ex: Bowel and vagina)
  • Small Bowel syndrome (Parts of small intestine removed and without it you are not getting enough nutrients and water from food you eat can cause diarrhea)
  • Chron’s (Inflammation, Abd pain, diarrhea)
  • Malabsorption
102
Q

Enteral feedings for oncology therapy Pts. What is the cause ? Why do they need these feedings ?

A
  • Radiation

- Chemotherapy

103
Q

Enteral feedings for Alcoholism, chronic depression, and eating disorders. What is the cause ? Why do they need feedings ?

A
  • Chronic illness

- Psych or neuro disorder

104
Q

Enteral feedings for Head, neck, or surgery. What is the cause? Why do they need feedings ?

A
  • Disease

- Trauma

105
Q

Complication with enteral feedings in:
- Mechanical tube displacement
What should the nurse do ?

A

Replace the tube

106
Q

Complication with enteral feedings in:
- Aspirations
What should the nurse do ?

A
  • Elevate HOB

- Check residuals before feeding

107
Q
Complications with enteral feedings in: 
- GI cramping
- Vomiting 
- Diarrhea 
What should the nurse do for the Pt
A
  • Decrease feeding rate
  • Change formula
  • Administer at room temp
108
Q

Complications with enteral feedings in:

  • Metabolic
  • Hyperosmolar nonketotic coma, glucose intolerance
A
  • Monitor glucose
  • Serum osmolality
  • Give insulin if needed
  • Reduce infusion rate
109
Q

What should the nurse do with a Pt who has sepsis on TPN ?

A
  • Maintain closed IV line with filter
  • NO MEDS or BLOOD DRAWN while on TPN line
  • Dry sterile occlusive dressing applied to site
110
Q

What should the nurse do if the Pt has a pneumothorax ( Abnormal collection of air in the pleural space between the lung and chest wall) due to line placement think x ray

A

TPN to be started ONLY after chest X-ray shows the correct placement

111
Q

What should the nurse do if the Pt has Hyperosmolar coma and is on TPN ? Think Diabetes what are you checking for?

A
  • Monitor blood glucose level
  • Serum osmolality
  • Monitor urine fractional for glucose and acetone
112
Q

Soft Diet

What Pt’s are on this diet ?

A
  • Between full and light or regular diet
  • Acute illness and convalescence
  • Acute infections
  • Chewing difficulties
  • GI disorders 3 meals with or without food inbetween meals
113
Q

What kind of meals should Pts on a soft diet be on ? Think texture of food and another word for absorbing food

A
  • Normal diet
  • No roughage
  • Liquids and semisolid food
  • Easily digested
114
Q

What are foods that are allowed in a soft diet ?

A
  • All liquids
  • Fine and strained cereals
  • Cooked tender or pureed veggies
  • cooked fruits without skin and seeds
  • Ripe bananas
  • Ground of minced meat, fish, poultry
  • Eggs
  • Mild cheeses
  • Plain cake and puddings
  • Moderately seasoned foods
115
Q

What Pts are on a regular house diet ?

A
  • Ambulatory

- Immobilized people not requiring therapeutic diets

116
Q

What do you do before giving a TPN ?

A
  • Solution
  • Equipment
  • Pt ALL READY
  • Remove solution from fridge
  • Wait at least 1hr before administration to avoid pain, hypothermia, venous spasm, venous constriction
  • Check solution against doctor’s orders such as
    • Correct Pt name
    • Expiration date
    • Formula components
    • Observe container for cracks and cloudiness in solution, turbidity, or particles
117
Q

How long should you wait before giving a TPN and what are you avoiding by waiting at least an hour before administration ?

A
  • Must wait at least 1 hr before administering TPN
  • 1 hr to avoid Pt reactions such as:
    Venous spasm
    Venous constriction
    Hypothermia
    Pain
118
Q

When ready to administer what will you do ? think Pt teaching

A
  • Explain procedure
  • Check name on solution and wristband
  • Wear gloves and mask per hospital policy
  • Use strict aseptic technique