Oral Nutrition Supplements Flashcards
Methods for Increasing Nutritional Intake
- _______ the patient and obtain __________
- Provide _________ foods
- Provide ____________ meals
- ___________=> importance of nutritional intake, sources of nutrients, methods to increase nutritional intake, meal & snack ideas, recipes
Interview
food preferences
nutrient dense
small but more frequent
Nutrition education
Methods for Increasing Nutrient Intake
Diet considerations
Is current diet order appropriate? Is it tolerated?
____________ diet restrictions if possible
Commercial oral __________
Liberalize
nutrition supplements
nutrition supplements are provided to individuals who:
1. cannot eat an adequate volume of food to _________=> poor appetite, difficulty chewing/swallowing
2. are _________
3. have a ____________ requiring increased nutrients
are unable to utilize nutrients supplied in the normal diet
maintain weight
malnourished
disease/condition
protein in nutrition supplements are about _____ of total kcal for standard supplements
Protein content varies: ______ of kcal
15%
10-50%
Predominant sources of protein in the supplements:
milk protein concentrate, caseinates
soy protein isolate
pea protein
Considerations for protein sources:
Food allergies
Most supplements are gluten-free, but check product information
Malabsorption
Carbs are usually about ________ of kcal for standard supplements
CHO content varies: ________ of total kcal
60-65%
28 – 87%
Common sources of CHO in supplements:
______
_______
______
_______
Most do not contain _______
Sucrose
Tapioca dextrin, corn maltodextrin
Glucose syrup, corn syrup
Lactose=> most but not all are lactose-free.
dietary fiber
Fat is usually about _________ of kcal for standard supplements
Fat content varies: ________ of total kcal
15-30%
0-55%
Sources of fat in supplements are usually used ? ______
Additional Sources include ________ or have ______ for fat malabsorption.
Vegetable oils
Fish oil=> omega-3 fatty acids
Medium Chain Triglycerides oil (MCT)
Kcal content in supplement is typically ________
Varies from _________ kcal/ml
_______ with vitamins & minerals
Micronutrients included and amount vary by product
1.0-1.5 kcal/ml
0.5 – 2.25
Fortified
Standard supplements include General nutrition requirements
________ macronutrients
Macronutrient composition similar to _____ recommendations
______ kcal/mL
____ water
Examples: Boost Original, Carnation Breakfast Essentials, Ensure Original, Kate Farms Standard 1.0
Intact
DRI
1-1.2
~85%
High Protein Oral Supplements
>_____ of kcal provided from protein
Used for=>____________
Examples: Boost High Protein, Ensure High Protein
15%
?????
Concentrated/High Calorie
Used for=>_______________
______ kcal/mL
_________ water
Examples: Ensure Plus, TwoCal HN, Boost Plus, Boost VHC, Resource 2.0
??????
1.5-2.25
67-78%
Clear Liquid Uses: ___________________
Does not contain ____, ____, or _____
Examples: _____________
Clear liquid diets; fat malabsorption
No fat, no fiber, no lactose
Ensure Clear, Boost Breeze
Disease Specific supplements
Renal=>lower in _____________; variable ______
e.g., ______________
fluid & electrolytes
protein
Suplena; Nepro, Novasource Renal
Disease Specific supplements
Pulmonary=>lower in _____ & higher in ______
e.g., _____________
CHO
fat
Pulmocare, Nutren Pulmonary
Disease Specific supplements
Diabetes=>lower in ____ & higher in ______ than standard formulas; contain _________
e.g., _____________
CHO
fat
soluble fiber
Boost Glucose Control, Glucerna
Disease Specific supplements
Immune-modulating formulas
_____ protein (_____ of total kcal)
Fortified with immune-enhancing nutrients=> _________
Can consider use of immune-modulating formulas for ________ patients
e.g., __________
High
~35%
omega-3 fatty acids, arginine, & nucleotides
surgery & trauma
Impact Advanced Recovery
Hydrolized formulas Use=> ___________
Hydrolyzed protein=> ____________
Use _____ as a fat source or provide minimal fat
Taste is an issue
Examples:
Semi-elemental (partially hydrolyzed): _______
Elemental (fully hydrolyzed): ________
malabsorption
small peptides or free amino acids
MCT oil
Peptamen with Prebio, Vital Peptide 1.5 Cal, Kate Farms Peptide
Vivonex Plus
Modular supplement
Individual nutrient modules=> _____________________
Can be added to food or pre-existing commercial formulas
Protein=> ___________________
Fat=>______
Fiber=> __________
Arginine=> ________
protein, fat, fiber, specific amino acids
ProSource Liquid Protein, Prostat, Beneprotein
MCT oil
Nutrisource Fiber
Arginaid
Tips for Implementing Oral Nutrition Supplements
Consider purpose for supplementation and nutrient composition
Be familiar with available supplements=> ingredients, taste
Consider food allergies
Provide between meals
Interview patient=>Flavor preferences, time to serve
Provide a variety
Tips for Implementing
If patient on a fluid restriction=> ______________
provide appropriate consistency
pudding form or concentrated supplements
If patient has dysphagia=>____________
Follow-up with patient frequently for acceptance & tolerance
how many mL in a fluid oz?
30 mL in an on
