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
dysphagia
difficulty swallowing complications: - aspiration pneumonia - dehydration - malnutrition s/t decreased intake - weight loss
26
silent aspiration
typically with dysphagia patients | when food goes into airway instead of stomach
27
dont's for dysphagia patients
DON'T feed when altered LOC DON'T leave unattended DON'T administer sedatives or hypnotics DON'T use straw
28
enteral vs parental nutrition
enteral - provides nutrients in GI tract, preferred method if patient cannot swallow & gut is functioning parenteral - form of specialized nutrition support provided intravenously
29
how does enteral nutrition work
receive formula through nasogastric tubes, jejunal or gastric tubes delivered to gastric or jejunum risk for gastric reflux --> jejunum feedings ALWAYS CONFORM PLACEMENT
30
why might someone get enteral nutrition
``` prolonged anorexia (pt. will simply not eat) severe protein-energy malnutrition coma impaired swallowing critical illnesses ```
31
why is enteral better than parenteral
reduce sepsis minimizes the hypermetabolic response to trauma decreases hospital mortality maintains intestinal structure and function
32
signs of intolerance for tube feeding
``` high gastric residuals nausea cramping vomiting diarrhea ```
33
complications of tube feeding
``` pulmonary aspiration diarrhea constipation cramping, nausea, vomiting tube occlusion or displacement delayed gastric emptying serum electrolyte imbalance fluid overload hyperosmolar dehydration ```
34
what is the only 100% way of confirming tube is in correct place?
X-ray
35
what is gastric residual
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