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foundations > parenteral and TF nutrition > Flashcards

parenteral and TF nutrition Flashcards

1
Q

general supplements

A

boost
Carnation instant breakfast
Ensure
MightyShakes
Med Pass

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2
Q

purpose of supplements

A

Contain vitamins and minerals
To help with nutritional deficiencies

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3
Q

enteral nutriton indications

A
  • Impaired swallowing
  • Major nutritional deficits
  • Decreased LOC (level of consciousness)
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3
Q

in order to have enteral nutrition pt MUST…

A

have a working GI tract

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4
Q

which feeding tube has higher aspiration risk

A

gastric

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4
Q

protein supplements

A
  • Glucerna: low carb - - - Beneprotein: high PRO
  • Benefiber: high fiber
  • Juven: aids tissue repair/wound healing
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5
Q

types of feeding tubes

A

NG (nasogastric)
ND (nasoduodenal)
NJ (nasojejunal)
gastrostomy

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6
Q

rare contraindication to NG tube?

A

basilar skull fracture

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6
Q

which is faster gastric or enteric

A

gastric

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7
Q

what type of bolus feeding is commonly used on critically ill pts

A

continuous

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7
Q

methods to check placement

A

gastric pH
air bolus
checking lines on tube

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8
Q

when might you hold TF

A

if amount of residual able to be pulled is high

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9
Q

free water flush

A

set amount of water that pt will get every couple hours

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10
Q

what TF pump works by peristalsis

A

kangaroo pump

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11
Q

universal connector for enteral feeding devises

A

enfit connector

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12
Q

kind of TF that is safe for gluten free and lactose intolerant

A

elemental formulas

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13
Q

types of elemental formulas

A

ensure: high cal and protein
jevity: high protein and fiber
promote: very high protein
osmolite: high protein and cal, low residue
two cal: protein and cal dense

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14
Q

specialty TF formulas

A

glucerna
nutrihep
pulmocare
oxepa
peptamen
suplena
nepro
pivot
vital

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15
Q

glucerna TF

A
  • good for DM
  • high protein/fiber, low CHO and fat
16
Q

nutrihep

A
  • good for hepatic pts
  • high carbs/low protein (because ammonia is bad for liver)
17
Q

pulmocare

A
  • good for pulmonary
  • low CHO –> to get less CO2 buildup
18
Q

oxepa

A
  • good for ICU pts, sepsis, ARDS
  • antioxidants to help modulate infection
19
Q

peptamen

A
  • good for pts with stress (high cortisol), and inflammation
  • contains omega 3 fatty acids
20
Q

suplena

A
  • good for renal disease not on HDY
  • low protein/P/K+/Na+
21
Q

nepro

A
  • good for renal pts on HDY
  • high protein, low P/K+/Na+
22
Q

pivot

A
  • good for trauma and immunosupression pts
  • very high protein, prebiotics
23
Q

vital

A
  • good for GI inflammation or malabsorption
  • vitamins C and E
24
Q

most common TF complication

A

diarrhea

24
Q

daily monitoring for TF

A

residual (Q4H)
fluid volume status I&O
weight
BG (Q6-8H)

25
Q

sources of problems w TF

A

protein too concentrated
bacterial contamination
volume too high
antibiotic therapy
clogged tube
aspiration
refeeding syndrome
dumping syndrome

26
Q

how to prevent aspiration with TF

A
  • keep HOB>30 degrees
  • pause TF when lying flat
  • manage high residual
27
Q

metoclopramide is given to manage high residual why

A

it enhances gastric emptying

28
Q

refeeding syndrome

A

happens when a malnourished individual begins feeding too quickly
- leads to fluid and electrolyte imbalances
- can lead to fatal cardiac arrhythmias

29
Q

dumping syndrome

A

happens when food moves from your stomach to intestines too quickly
- early (10-30 mins): osmotic diarrhea
- late (2-3 hours): hypoglycemia, diaphoresis, hypotension

30
Q

what is hyperalimentation

A

the parenteral administration of nutrients
- bypasses GI tract
- is a last resort

31
Q

indications for hyperalimentation

A

unable to injest, digest, or absorb nutrients
non functional GI tract for more than 7 days
excessive metabolic needs

32
Q

types of PN

A

central total PN (TPN) – more hypertonic
peripheral PN (PPN)– less hypertonic

33
Q

components of TPN

A

amino acids and proteins
dextrose
electrolytes
trace minerals
vitamins
(optional) lipids– gives a white appearance
insulin/medications

34
Q

what may be given separately

A

intralipids

35
Q

2 in 1

A

dextrose and amino acids

36
Q

3 in 1

A

dextrose, amino acids, lipids

37
Q

complications with TF

A
38
Q
A
39
Q
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40
Q
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41
Q
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42
Q
A

foundations (12 decks)

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