Supplemental Feedings Flashcards

1
Q

Who should not do underwater weighing for assessing body fat percentage?

A

Those with lung disease

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2
Q

What is dual energy x-ray absorptiometry?

A

DXA scan to measure bone density

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3
Q

What are anthropometric methods to determine body composition?

A

SKinfold measurements
US
Height and circumference methods

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4
Q

Which has a better correlation with cardiac disease: waist to hip ratio, or BMI?

A

Waist to hip

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5
Q

Where is the waist measurement?

A

1 in above the umbilicus

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6
Q

Where is the hip measurement?

A

Widest portion of the buttocks and greater trochanters

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7
Q

True or false: the waist to hip ratio is a good indicator of malnutrition

A

False-has no lower limit

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8
Q

BMI loses accuracy in what two populations?

A

The fit and the old

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9
Q

Why are CBC useful in determining nutritional status?

A

RBC sacrificed when nutrition is low

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10
Q

Why is BMP useful when determining nutritional status?

A

Total protein/albumin

Glucose

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11
Q

What is the Nutritional risk screening (NRS) tool?

A

Tool for assessing potential for malnutrition

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12
Q

What is the range of scores for the NRS?

A

0-3, with 3 being severe nutritional impairment

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13
Q

What is the MUST?

A

Hospital screen for malnutrition.

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14
Q

What should you do if a pt has bad teeth?

A

Make food mechanically soft

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15
Q

When should pureed food be used?

A

Bad teeth and tongue

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16
Q

If the pt cannot swallow, what should be used?

A

Tube feeding

17
Q

If the GI tract is not working, what feeding measure should be used?

A

Parenteral

18
Q

What is a soft mechanical diet?

A

Diet containing ground of pureed foods that are easy to chew

19
Q

What is a pureed diet?

A

Pudding like consistency

20
Q

What are thin liquids?

A

Like water/juice

21
Q

What are nectar thickened liquids?

A

Milkshake consistency

22
Q

What are honey thickened liquids?

A

Honey consistency

23
Q

What are pudding thickened?

A

Hold is shaped when spooned

24
Q

What are NG tubes used for?

A

Short term nutritional support

25
What is a G tube? When should it be used?
Gastric tube--tube inserted into the stomach. 6-12 weeks
26
What is a PEG tube?
Percutaneous endoscopic gastrostomy tube
27
What is a J tube?
Tube connected to the jejunum
28
What is the main problem with G tubes?
Regurgitation/reflux
29
What is the harris-benedict equation used for?
Determining calorie requirements for pts with tubes
30
Why do you add dye to formula?
To see if regurgitation is present
31
What is peripheral parenteral nutrition?
Peripheral IV food
32
What is TPN (total parenteral nutrition)?
Central line or PICC placed
33
What is the issue with PN?
Limited by osmolality and volume. Vein able to sustain rate
34
How long is PN used for?
Short term
35
What should you consider with stroke pts, as far as nutritional needs are concerned?
Aspiration pneumonia