Pain and Nutrition Flashcards
What medication is used to tx delirium?
haloperidol
What is a neuromuscular blockade?
chemical paralysis: succinylcholine, antracurium, no sedative or analgesic properties, pt needs to be sedated.
What is Naloxone?
reversal of opioid OD, want to do gradually.
What is max dose of Tylenol in a day? Caution in pts w?
4 g; hepatic dysfunction
What are some good things to know about Propofol?
IV general anesthetic but lower dose: sedative; rapid onset, short duration, needs own line, may cause brady, hypotension
What are the normal levels of prealbumin, albumin, protein?
19-38 mg/dl, 3.4-5.4 g/dl, 60-80 g/l
what value is best to look for malnutrition?
prealbumin
What secretions empty into duodenum? Absorbed?
ones from pancreas and GB (bile); chloride, sulphate, iron, calcium, mg
What are absorbed in jejunum?
sugars and water soluble vit
What are absorbed in ileum?
amino acids, fat sol. Vit
What are absorbed in Colon?
Na, K, Vit K, water, fatty acids, carbs
What organ aids in digestion?
pancreas
What is Splanchnic circulation?
Blood supply to abdominal organs (33% of CO)
What is the preferred source of energy for cells?
Carbs
What is protein important for?
structure of organs and skeletal muscles, function of chemical reactions, transportation, immunity, osmotic pressure, blood buffering
Fats provides?
stored source of energy
what is malnutrition?
not enough protein for peripheral and visceral functioning
What is anabolism? Catabolism?
pos. nitrogen balance; protein breakdown (neg. nitrogen balance)
What are some s/s of starvation?
weakness, lack of endurance, decreasing muscle mass, decreased renal function and GI motility
When to use enteral nutrition?
pt cannot meet nutritional needs orally
Is NG or NJ better?
NG closest to normal as possible
What is e nutrition first line therapy?
preserve gut mucosa
When to use e nutrition?
neuromuscular impairment, poor oral intake, vented pt, hypercatabolic
What is Parenteral nutrition?
given through blood stream
