Surgical Nutrition Flashcards
pre-albumin severe malnourished
under 100 mg/L
pre-albumin moderately malnourished
100-179 mg/L
Chronic nutrition check
Albumin
Acute nutrition check
Pre-albumin
Good Wound Healing TLC
greater than 1500
Use enteral nutrition when pt has
functioning GI tract, unable to maintain adequate PO intake
Examples of when to use enteral nutrition
neurologic disorders
malignancy
radiation tx
3rd degree burns
Enteral routes
NG tube, any GI-ostomy
Enteral metabolic complications
hypernatremia, hyperglycemia
Prolonged GI obstruction, use
Parenteral
Prolonged ileus use
Parenteral
Opioids use
Parenteral
Parenteral routes
Peripheral vein
Central vein
Peripheral vein limitation
cannot provide full nutrition
short term parenteral
peripheral
long term parenteral
central
need to keep electrolytes low…
Potassium > Hyperkalemia!
CHF
restrict fluids
Renal
restrict salt
Blindness
Vitamin A
Neuropathy
Vitamin B
Bleeding Gums
Vitamin C
Peripheral nerve damage
Vitamin E
Acute Illness Diet
Clear Liquid diet
Renal pts diet..
low Na/K/PO4
Healthy Albumin level
> 3.0 gms