Nutrition support Flashcards
1
Q
prevalece on malnutrition
A
30-50%
2
Q
what are basic nutritional requirements
A
- carb fat protein
- vitmains and minerals
40 essential nutrients
3
Q
3 levels of nutrient deficiency
A
- mild self selection (food avoidances)
- nutrient deficiency (malnutrition)
- dehydration/starvation
4
Q
4 consquences of malnutrition
A
- wieght loss
- dehydration
- vit/mineral def
- decrease immune response/wound healing
5
Q
what are ABCD of assessment
A
- anthropomorphics - BMI, speed of loss
- Biochem tests
- clinical Hx/exam
- Diet history - 24 recall, typical day
6
Q
2 evaluations of body weight
A
- % ideal BW
2. % usual BW
7
Q
6 areas to examine on physical exam
A
- skin
- nails
- hair
- eyes
- teeth
- tongue
8
Q
what is goal of oral intake
A
> 75% of estimated requirements and minimum CFG requirements
9
Q
key to biochem tests
A
look for trends over time
10
Q
what is best way to determine energy requirments
A
cal/kg
11
Q
avg requirement
A
30 cal/kg
12
Q
2 overall types of feeds
A
- enteral
2. paraenteral
13
Q
4 enteral feed sites
A
- oral
- NG
- gastric
- jejunum
14
Q
5 things that need to be monitored in enteral nutrirtion
A
- weight trend
- physical assessment
- output (stool)
- lab data
- GI function changes
15
Q
contraindications to enteral feeds
A
- mechanical obstruction
- major vomit.diarrhea
- severe short bowel
- paralytic illeau
- hig output fisutla
- severe GI bleed or malabsorption
- expected need ober 5-7 days
