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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

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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

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3
Q

Oral Nutrition – TEST MEALS

Use to determine GIT bleeding

A

MEAT-FREE TEST

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4
Q

MEAT-FREE TEST
consist of

A

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

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5
Q

Oral Nutrition – TEST MEALS

Use to determine urinary calcium excretion to diagnose hypercalciuria

A

CALCIUM TEST

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6
Q

CALCIUM TEST
consist of

A

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

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7
Q

Oral Nutrition – TEST MEALS

Use to detect calcinoid tumors of the intestinal tract

A

SEROTONIN

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8
Q

SEROTONIN
consist of

A

Food rich serotonin is excluded in the diet

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9
Q

Diet Therapy – NUTRITION

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

A

Enteral feeding

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10
Q

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

A

Enteral feeding

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11
Q

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

A

ENTERAL NUTRITION

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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

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13
Q

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

A

blenderized foods or commercial formula

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14
Q

Enteral Nutrition – FORMULAS/FEEDING TYPES

A

Ready-to-use
Tube

Standard
Blenderized

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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

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16
Q

Enteral Nutrition – ENTERAL FORMULATION
READY-TO-USE

Provides the diff forms of individual nutrients to supplement existing formulas

A

Modular formulation

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17
Q

Enteral Nutrition – ENTERAL FORMULATION
READY-TO-USE

Meets the therapeutic needs

A

Combined formulation

18
Q

Enteral Nutrition – ENTERAL FORMULATION

May be prepared from regular foods

A

TUBEFEEDINGS

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

29
Q

ENTERAL FEEDING ROUTES
Long-term Enteral Access
adv and disadvantage

Esophagostomy

A

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

72 hours after surgery

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

CPU MIDTERMS 6969 (13 decks)

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