Nutrition Exam 3 Flashcards

1
Q

factors influencing nutrition

A

appetite, negative experiences, disease, illness, medications, environmental factors (income, education, physical function level, transportation, availability of foods), developmental needs, alternative food patterns (religion, cultural background, health beliefs, personal preferences)

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2
Q

what is considered in anthropometry

A
size and makeup of body
height & weight 
ideal body weight 
BMI: kg/m^2 OR 703 x lb/in^2
skin fold measures 
fat percentage
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3
Q

what is total protein

A

combination of albumin and globulin constitute

normal: 6.4-8.3 g/dL

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4
Q

albumin

A
makes up 60% of total protein 
better indicator of chronic illnesses 
synthesized in the liver 
half-life 21 days 
normal: 3.5-5 g/dL

if someone has liver problems their albumin may be low

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5
Q

prealbumin

A

preferred for acute conditions
half life 2 days
normal: 15-36 mg/dL

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6
Q

hemoglobin

A

protein responsible for transporting oxygen in the blood
Male: 14-18 g/dL
female: 12-16 g/dL

if low may benefit from eating foods rich in iron

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7
Q

what is a regular diet

A

no restrictions and no signs of intolerances
PT has no comorbidities
regular consistency
aim to provide a well-balanced diet to meet nutritional needs

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8
Q

what is a mechanical soft diet

A

softer, smaller in size
no raw fruits or veggies
no nuts or seeds

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9
Q

what is a pureed diet

A

no chewing at all

smooth like pudding

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10
Q

what is a minced diet

A

food chopped up teeny tiny, 1/8in big

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11
Q

what is a ground diet

A

like rice

1/4 in

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12
Q

what is a chopped diet

A

1/2 in

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13
Q

what is a clear liquid diet

A

leaving little residue or fiber in the GI tract
could be going for medical procedure
may be associated with acute illness

anything liquid that you can see through
-broth

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14
Q

what is a full liquid diet

A

often transition from clear liquid

-everything from clear and then any other measured in mL

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15
Q

what is a fluid restriction

A

limiting number of fluids per day

anyone retaining excessive water

  • heart failure and kidney failure
  • pt. with low serum sodium
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16
Q

what is a consistent carb diet

A

balances carbs, fats, proteins

recommended for diabetics

17
Q

what is a cardiac diet

A

low salt
low saturated fat
low cholesterol

18
Q

what is a low residue

A

limit foods that are easily digested (high fiber foods)
limit dairy

chrons disease will use low residue

reduce hyperactive diet

19
Q

what is a high fiber

A

grains, fruits, veggies, nuts, beans

20
Q

what is a gluten free

A

wheat barley rye oats

21
Q

what is a lactose free

A

not being able to digest sugars and lactose

22
Q

what is a bland diet

A

designed to avoid irritation in GI tract
decrease parastalsis
gastric reflux

23
Q

anorexia

A

lack or loss of appetite

causes

  • pain
  • fatigue
  • effects of medications
24
Q

nursing care to increase appetite

A
treat cause
creative approaches 
environment 
smaller means more frequent meals 
allow for food preferences
seasonings to improve taste 
provide oral hygiene 
ensure patient is comfortable 
medications for appetite simulation
25
Q

dysphagia

A

difficulty swallowing

complications:

  • aspiration pneumonia
  • dehydration
  • malnutrition s/t decreased intake
  • weight loss
26
Q

silent aspiration

A

typically with dysphagia patients

when food goes into airway instead of stomach

27
Q

dont’s for dysphagia patients

A

DON’T feed when altered LOC
DON’T leave unattended
DON’T administer sedatives or hypnotics
DON’T use straw

28
Q

enteral vs parental nutrition

A

enteral - provides nutrients in GI tract, preferred method if patient cannot swallow & gut is functioning

parenteral - form of specialized nutrition support provided intravenously

29
Q

how does enteral nutrition work

A

receive formula through nasogastric tubes, jejunal or gastric tubes
delivered to gastric or jejunum
risk for gastric reflux –> jejunum feedings

ALWAYS CONFORM PLACEMENT

30
Q

why might someone get enteral nutrition

A
prolonged anorexia (pt. will simply not eat)
severe protein-energy malnutrition 
coma
impaired swallowing 
critical illnesses
31
Q

why is enteral better than parenteral

A

reduce sepsis
minimizes the hypermetabolic response to trauma
decreases hospital mortality
maintains intestinal structure and function

32
Q

signs of intolerance for tube feeding

A
high gastric residuals 
nausea
cramping
vomiting
diarrhea
33
Q

complications of tube feeding

A
pulmonary aspiration 
diarrhea
constipation
cramping, nausea, vomiting
tube occlusion or displacement 
delayed gastric emptying 
serum electrolyte imbalance
fluid overload
hyperosmolar dehydration
34
Q

what is the only 100% way of confirming tube is in correct place?

A

X-ray

35
Q

what is gastric residual

A

checking the amount of stuff in the stomach at any point in time

continuous - q 4-6 hours
intermittent - immediately before bolus

> 500 mL hold and notify HCP
250 mL hold for 1 hour and recheck
-always replace what is taken out