Nutrition in Adults

Question 1

How many steps are there to the MUST score?

Answer 1

5 steps

Question 2

What are the 5 steps to the MUST score?

Answer 2

Step 1: calculate the patient’s BMI

Step 2: work out weight loss score

step 3: Acute diseaes effect score

step 4: add scores together to get overall risk of malnitrion

step 5 : management guidlines

Question 3

If a patient’s height’s cannot be measured what do you use instead?

Answer 3

recently documented or self-reported height.

alternative measurements i.e. ulna to elbow

Question 4

What are some signs of malnutrion?

Answer 4

muscle wasting

Question 5

What does MUAC stand for?

Answer 5

Mid upper arm circumfrence

Question 6

What should you do when a patient is unable to choose what to eat for themselves?

Answer 6

ask relative or carer

Question 7

What are some advantages to using an enteral pump for feeding?

Answer 7

pump delivers food at a constant rate

rate can be titratec according to patient tolerance

easy to monitor amount of food delivered

once pump is programmed it can deliver food automatically over sever hours without staff input

Question 8

what is the main disadvantage to having an enteral pump?

Answer 8

patient may have to be attached for several hours thus reducing mobility.

Question 9

Why is it important to obtain aspirate from the patients when feeding via an enteral pump?

Answer 9

to measure ensure correct placement of the nasogastric tubes.

Question 10

What pH value should you expect from the aspirate of a nasogastrc tube?

Answer 10

between 1 to 5.5

Question 11

How can you ensure correct placement of a nasogastric tube?

Answer 11

remve some aspirate and test the pH, if pH is between 1-5.5 tub is correctly positioned.

Question 12

What are some of the indications to using a nasogstric tube?

Answer 12

Those with an unsafe swallow

Altered level of consciousness

To supplement oral intake.

Question 13

Before introducing any feed fluid or medication into a nasogastric tube what should you ensure?

Answer 13

that the tube is in the correct place

Question 14

How do you workout how far you will need to insert the tube?

Answer 14

First measure from nose to earlobe.

then Measure from th earlobe to two finger-widhs below the xiphisternum

Question 15

How many attempts should you do when inserting the the nasogastric tube

Answer 15

You have 3 attempts after which you must seek help from a senior member of staff

Question 16

During the first 10-14 day of the peg tube what should be used to clean the ara?

Answer 16

a gauze dipped in water or saline.

Question 17

After 10-14 days, It’s important taht you do what to the PEG tube?

Answer 17

Rotate it regularly to prevent the internal fixation device from becoming embedded.

Question 18

Why should you rotate the PEG tub regularly afte to 10-14 days

Answer 18

to prevent the internal fixation device from becoming embedded.