Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CPU MIDTERMS 6969 > part 2 > Flashcards

part 2 Flashcards

1
Q

Oral Nutrition – TEST MEALS

Measures fat globules in the stools to detect fat absorption as in cases like cystic fibrosis

A

FECAL FAT DETERMINATION TEST

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

FECAL FAT DETERMINATION TEST
Consists of

A

100g fat ingested daily for 3days prior to fecal collection
**2 cups whole milk, 1 egg, 8oz lean meat, 10 exchanges of fat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Oral Nutrition – TEST MEALS

Use to determine GIT bleeding

A

MEAT-FREE TEST

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

MEAT-FREE TEST
consist of

A

A 3-day diet excludes ingestion of meat, poultry, and fish

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Oral Nutrition – TEST MEALS

Use to determine urinary calcium excretion to diagnose hypercalciuria

A

CALCIUM TEST

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

CALCIUM TEST
consist of

A

Requires 1,000mg calcium intake – 400mg from food sources and 600mg from oral supplements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Oral Nutrition – TEST MEALS

Use to detect calcinoid tumors of the intestinal tract

A

SEROTONIN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

SEROTONIN
consist of

A

Food rich serotonin is excluded in the diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Diet Therapy – NUTRITION

Intended for patients with a functioning GIT but unable to ingest the required nutrients orally

A

Enteral feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

delivery of food and nutrients either ORALLY or BY TUBE directly into the GIT

A

Enteral feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Diet Therapy
Administered to those who are neuro-muscularly impaired and cannot chew or swallow food

A

ENTERAL NUTRITION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

EN feeding or gavage feeding for an infant:

A

Too weak for sucking
lacks a gag reflex
To conserve energy when attempting to feed but cyanotic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

ENTERAL NUTRITION
Consists of ___ administered by a tube into the stomach or small intestine

A

blenderized foods or commercial formula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Enteral Nutrition – FORMULAS/FEEDING TYPES

A

Ready-to-use
Tube

Standard
Blenderized

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Enteral Nutrition – ENTERAL FORMULATION
READY-TO-USE

Can be used alone & provides the TOTAL needs in a specified volume of formula

A

Complete formulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Enteral Nutrition – ENTERAL FORMULATION
READY-TO-USE

Provides the diff forms of individual nutrients to supplement existing formulas

A

Modular formulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Enteral Nutrition – ENTERAL FORMULATION
READY-TO-USE

Meets the therapeutic needs

A

Combined formulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Enteral Nutrition – ENTERAL FORMULATION

May be prepared from regular foods

A

TUBEFEEDINGS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Enteral Nutrition – ENTERAL FEEDING ROUTES|

SHORT-TERM

A

Nasogastric
Nasointestinal
Nasoduodenal / nasojejunal

20
Q

Enteral Nutrition – ENTERAL FEEDING ROUTES|

LONG-TERM

A

Esophagostomy

Gastrostomy or percutaneous endoscopic gastrotomy 9PEG)

Jejunostomy or percutaneous endoscopic jejunostomy (PEJ)

21
Q

EN feeding or _____ for aninfant too weak for sucking, lacks agag reflex & to conserve energy whenattempting to feed but cyanotic

A

gavage feeding

22
Q

Types of Enteral Formulation

Nutritionally complete formulation can be used
alone and provides the total needs in a
specified volume of formula.

A

Ready-to-use Formulation

23
Q

Types of Enteral Formulation

– This type of feeding may be
prepared from regular foods.

A

2.Tube Feedings –

24
Q

Types of Enteral Formulation

– This type of feeding is
fiber-free and high in cholesterol, fat and sugar. It is
a milk-based formulation with sugar and soft
cooked eggs.

A

Standard Tube Feedings

25
Q

Types of Enteral Formulation

– It consists of soft diet
allowances which can be blenderized easily. Plan for
Blenderized Formula:

A

4.Blenderized Tube Feeding

26
Q

ENTERAL FEEDING ROUTES
1. Short-term Enteral Access
adv and disadvantage

Nasogastric

A

Rapid
placement

Feedings can
be
immediately

easily removed by patients

inadvertently inserted into trachea,

Anomalies in nose and neck

27
Q

ENTERAL FEEDING ROUTES
1. Short-term Enteral Access
adv and disadvantage

Nasointestinal
Tubes

A

Placed by doctor or nurse ONLY WITHguidance of a fluoroscope or endoscope

-
trauma to the jaw, base of skull, or neck, especially in patients who have large esophageal varices

28
Q

ENTERAL FEEDING ROUTES
1. Short-term Enteral Access
adv and disadvantage

Nasoduodenal
or nasojejunal
tubes

A

aspiration
may be reduced.

Dislodgment by
coughing or
vomiting = aspiration

29
Q

ENTERAL FEEDING ROUTES
Long-term Enteral Access
adv and disadvantage

Esophagostomy

A

head and
neck cance

performed underlocal
anesthesia.
Feeding can begin
immediately
-
requires surgery andformationof a stoma

72 hours after surgery

excessive granulation

accidental dislodgement

30
Q

Complication of Enteral Feeding \
Mechanical

Nasopharyngeal irritation

A
  • ice chips, topical anesthetic, and decongestant
31
Q

Complication of Enteral Feeding \
Mechanical

Luminal obstruction

A

– flush; replace
tube

32
Q

Complication of Enteral Feeding \
Mechanical

Mucosal erosions

A

– reposition tube; ice
water lavage; remove tube

33
Q

Complication of Enteral Feeding \
Mechanical

Tube displacement –

A

replace tube

34
Q

Complication of Enteral Feeding \
Mechanical

Aspiration

A

– discontinue tube feeding

35
Q

Complication of Enteral Feeding
Gastrointestinal

Cramping / Distention

A

– change
formula;reduce infusion rate

36
Q

Complication of Enteral Feeding
Gastrointestinal

Vomiting / Diarrhea

A

– dilute formula;
reduce infusion rate; anti-diarrhea
agents

37
Q

Complication of Enteral Feeding
Gastrointestinal

Constipation –

A

– promotesufficientfluidsand fibers; encourage patient activity

38
Q

Complication of Enteral
Metabolic

Hypertonic dehydration

A

–increasefreewater

39
Q

Complication of Enteral
Metabolic

Glucose intolerance

A

– reduceinfusionrate; give restriction

40
Q

Complication of Enteral
Metabolic

Cardiac failure

A

– reducesodiumcontent; fluid restriction

41
Q

Complication of Enteral
Metabolic

Renal failure

A

– decreasephosphate, magnesium, potassium, protein restriction, essential amino acid solution

42
Q

Complication of Enteral
Metabolic

Hepatic encephalopathy

A

–decreaseamount of protein

43
Q

Nasoduodenal
or nasojejunal
tubes

A

Nasoduodenal:
Tube extends from nose through the plylorus into
the duodenum;

peristalsis or videoflouroscopy

Nasojejunal:
nose
through pylorus
into the jejunum
and is usually
placed by
videoflouroscopy

Mostly for infants
and children at
risk for aspiration
and regurgitation

44
Q

Gastrostomy or
Percutaneous
Endoscopic
Gastrotomy (PEG)

A

PEG: Tube is
percutaneously
placed in the
stomach under
endoscopic
guidance, secured
by robber “bumpers” or
inflated ballon
catheter

Gastrostomy: Tube
is passed through
incision in
abdominal wall into
the stomach.

45
Q

Gastrostomy or
Percutaneous
Endoscopic
Gastrotomy (PEG)

Adv and Disadv

A

maximal
opportunity for
absorption;

natural delivery of
nutrients into the
stomach;

Eliminates nasal or
esophageal irritation

Tube is unobtrusive;

PEG feeding can be
started after approx.. 24 hours.

-

46
Q

Jejunnostomy or
Pecutaneous
Endoscopic
Jejunostomy (PEJ)

A

Types include needle
catheter placement, direct tube placement, and creation of jejuna
stoma that is
catheterized
intermittentl

PEJ: weighted feeding
tube passes
endoscopically through
as trostomy tube
(from PEG insertion) into
the duodenum;
Peristaltic action
advances tube into the
jejunum.

47
Q

Jejunnostomy or
Pecutaneous
Endoscopic
Jejunostomy (PEJ)

Adv and Disadv

A

Permit feeding in patients
with upper GI tract
obstruction, esophageal
reflex, ulcerated or
neoplastic disease of
stomach, impaired gastric
emptying;

early
postoperative feeding
possible (jejunum rapidly
resumes its function within
12-24 hours)

Surgical procedure is required. Ambulatory patients may findjejunal
feeding restrictive because of theneedforcontinuous infusion of formula.

CPU MIDTERMS 6969 (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions