Pain and Nutrition

Question 1

What medication is used to tx delirium?

Answer 1

haloperidol

Question 2

What is a neuromuscular blockade?

Answer 2

chemical paralysis: succinylcholine, antracurium, no sedative or analgesic properties, pt needs to be sedated.

Question 3

What is Naloxone?

Answer 3

reversal of opioid OD, want to do gradually.

Question 4

What is max dose of Tylenol in a day? Caution in pts w?

Answer 4

4 g; hepatic dysfunction

Question 5

What are some good things to know about Propofol?

Answer 5

IV general anesthetic but lower dose: sedative; rapid onset, short duration, needs own line, may cause brady, hypotension

Question 6

What are the normal levels of prealbumin, albumin, protein?

Answer 6

19-38 mg/dl, 3.4-5.4 g/dl, 60-80 g/l

Question 7

what value is best to look for malnutrition?

Answer 7

prealbumin

Question 8

What secretions empty into duodenum? Absorbed?

Answer 8

ones from pancreas and GB (bile); chloride, sulphate, iron, calcium, mg

Question 9

What are absorbed in jejunum?

Answer 9

sugars and water soluble vit

Question 10

What are absorbed in ileum?

Answer 10

amino acids, fat sol. Vit

Question 11

What are absorbed in Colon?

Answer 11

Na, K, Vit K, water, fatty acids, carbs

Question 12

What organ aids in digestion?

Answer 12

pancreas

Question 13

What is Splanchnic circulation?

Answer 13

Blood supply to abdominal organs (33% of CO)

Question 14

What is the preferred source of energy for cells?

Answer 14

Carbs

Question 15

What is protein important for?

Answer 15

structure of organs and skeletal muscles, function of chemical reactions, transportation, immunity, osmotic pressure, blood buffering

Question 16

Fats provides?

Answer 16

stored source of energy

Question 17

what is malnutrition?

Answer 17

not enough protein for peripheral and visceral functioning

Question 18

What is anabolism? Catabolism?

Answer 18

pos. nitrogen balance; protein breakdown (neg. nitrogen balance)

Question 19

What are some s/s of starvation?

Answer 19

weakness, lack of endurance, decreasing muscle mass, decreased renal function and GI motility

Question 20

When to use enteral nutrition?

Answer 20

pt cannot meet nutritional needs orally

Question 21

Is NG or NJ better?

Answer 21

NG closest to normal as possible

Question 22

What is e nutrition first line therapy?

Answer 22

preserve gut mucosa

Question 23

When to use e nutrition?

Answer 23

neuromuscular impairment, poor oral intake, vented pt, hypercatabolic

Question 24

What is Parenteral nutrition?

Answer 24

given through blood stream

Question 25

Why must TPN given CVC?

Answer 25

hypertonicity

Question 26

Who gets parenteral nutrition?

Answer 26

nothing else works for them

Question 27

Why must wean TPN or PPN slowly?

Answer 27

so don’t bottom out sugar

Question 28

Parenteral complications?

Answer 28

line infection, phlebitis, glucose fluctuations