Oral Nutrition Supplements

Question 1

Methods for Increasing Nutritional Intake

1. _______ the patient and obtain __________
2. Provide _________ foods
3. Provide ____________ meals
4. ___________=> importance of nutritional intake, sources of nutrients, methods to increase nutritional intake, meal & snack ideas, recipes

Answer 1

Interview
food preferences

nutrient dense

small but more frequent

Nutrition education

Question 2

Methods for Increasing Nutrient Intake

Diet considerations
Is current diet order appropriate? Is it tolerated?
____________ diet restrictions if possible
Commercial oral __________

Answer 2

Liberalize
nutrition supplements

Question 3

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

Answer 3

maintain weight
malnourished
disease/condition

Question 4

protein in nutrition supplements are about _____ of total kcal for standard supplements

Protein content varies: ______ of kcal

Answer 4

15%
10-50%

Question 5

Predominant sources of protein in the supplements:

Answer 5

milk protein concentrate, caseinates
soy protein isolate
pea protein

Question 6

Considerations for protein sources:

Answer 6

Food allergies
Most supplements are gluten-free, but check product information
Malabsorption

Question 7

Carbs are usually about ________ of kcal for standard supplements
CHO content varies: ________ of total kcal

Answer 7

60-65%
28 – 87%

Question 8

Common sources of CHO in supplements:
______
_______
______
_______

Most do not contain _______

Answer 8

Sucrose
Tapioca dextrin, corn maltodextrin
Glucose syrup, corn syrup
Lactose=> most but not all are lactose-free.

dietary fiber

Question 9

Fat is usually about _________ of kcal for standard supplements
Fat content varies: ________ of total kcal

Answer 9

15-30%
0-55%

Question 10

Sources of fat in supplements are usually used ? ______

Additional Sources include ________ or have ______ for fat malabsorption.

Answer 10

Vegetable oils

Fish oil=> omega-3 fatty acids
Medium Chain Triglycerides oil (MCT)

Question 11

Kcal content in supplement is typically ________
Varies from _________ kcal/ml

_______ with vitamins & minerals
Micronutrients included and amount vary by product

Answer 11

1.0-1.5 kcal/ml
0.5 – 2.25

Fortified

Question 12

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

Answer 12

Intact
DRI
1-1.2
~85%

Question 13

High Protein Oral Supplements
>_____ of kcal provided from protein

Used for=>____________

Examples: Boost High Protein, Ensure High Protein

Answer 13

15%
?????

Question 14

Concentrated/High Calorie

Used for=>_______________

______ kcal/mL
_________ water

Examples: Ensure Plus, TwoCal HN, Boost Plus, Boost VHC, Resource 2.0

Answer 14

??????

1.5-2.25
67-78%

Question 15

Clear Liquid Uses: ___________________

Does not contain ____, ____, or _____

Examples: _____________

Answer 15

Clear liquid diets; fat malabsorption

No fat, no fiber, no lactose

Ensure Clear, Boost Breeze

Question 16

Disease Specific supplements

Renal=>lower in _____________; variable ______
e.g., ______________

Answer 16

fluid & electrolytes
protein

Suplena; Nepro, Novasource Renal

Question 17

Disease Specific supplements

Pulmonary=>lower in _____ & higher in ______
e.g., _____________

Answer 17

CHO
fat

Pulmocare, Nutren Pulmonary

Question 18

Disease Specific supplements

Diabetes=>lower in ____ & higher in ______ than standard formulas; contain _________

e.g., _____________

Answer 18

CHO
fat
soluble fiber

Boost Glucose Control, Glucerna

Question 19

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., __________

Answer 19

High
~35%

omega-3 fatty acids, arginine, & nucleotides
surgery & trauma

Impact Advanced Recovery

Question 20

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): ________

Answer 20

malabsorption
small peptides or free amino acids
MCT oil

Peptamen with Prebio, Vital Peptide 1.5 Cal, Kate Farms Peptide
Vivonex Plus

Question 21

Modular supplement
Individual nutrient modules=> _____________________
Can be added to food or pre-existing commercial formulas
Protein=> ___________________
Fat=>______
Fiber=> __________
Arginine=> ________

Answer 21

protein, fat, fiber, specific amino acids

ProSource Liquid Protein, Prostat, Beneprotein

MCT oil
Nutrisource Fiber
Arginaid

Question 22

Tips for Implementing Oral Nutrition Supplements

Answer 22

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

Question 23

Tips for Implementing

If patient on a fluid restriction=> ______________

provide appropriate consistency

Answer 23

pudding form or concentrated supplements
If patient has dysphagia=>____________
Follow-up with patient frequently for acceptance & tolerance

Question 24

how many mL in a fluid oz?

Answer 24

30 mL in an on