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45 Cards in this Set
- Front
- Back
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LIST THE BEFEFITS OF ENTERAL FEEDNGS COMPARED TO PARENTERAL NUTRITION
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A. REDUCES SEPSIS
B. MINIMIZES THE HYPERMETABOLIC RESPONSE C. MAINTAINS INTESTINAL STRUCTURE AND FUNCTION |
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DIFFERENCE BETWEEN ANOREXIA AND BULIMIA
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ANOREXIA:
INTENSE FEAR OF GAINING WEIGHT OR BECOMING FAT ALTHOUGH UNDER WEIGHT REFUSAL TO MAINTAIN BODY WEIGHT ABOVE MINIMAL FOR AGE BULIMIA NERVOSA: - RECURRENT EPISODES OF BINGE EATING - LACK OF CONTROL OVER EATING BEHAVIOR DURING BINGE SELF INDUCED VOMITING, LAXATIES, DIURETICS |
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NURSING INTERVENTIONS FOR ASPIRATION PRECAUTIONS
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ASSESS FOR S/S OF DYSPHAGIA
NOTE IF CLIENT BECOMES TIRED AFTER FINISH INSPECT FOR POCKETS OF FOOD ELEVATE HEAD TO 90 DEGREE ADD THICKENER TO THIN LIQUIDS PLACE 1/2 TO 1 TEASPOON AND ALLOW FORK TO TOUCH MOUTH OR TONGUE COACH PT WHILE FEEDING OBSERVE FOR COUGHING PROVIDE RESTING PERIOD ASK CLIENT TO SIT UPRIGHT FOR AT LEAST 30 MINUTES |
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DIET FOR CHRONIC DIVERCULITIS PATIENTS
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HIGH FIBER
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TYPES OF INFLAMMATORY BOWEL DISEASES
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CROHN'S
IDIOPATHIC ULCERATION |
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INFLAMMATORY BOWEL DISEASE DIET
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HIGH FIBER AND LOW FAT DIET
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PEPTIC UCLER DISEASE DIET
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AVOID FOOD THAT INCREASE STOMACH ACIDITY
CAFFEINE CITRIC ACID JUICES SMOKING NSAIDS |
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FAT SOLUBLE VITAMINS
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ADEK
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LOW SODIUM DIET
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4G (NO ADDED SALT)
2G,1G OR 500MG SODIUM DIET |
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WHICH TUBE IS INSERTED THROUGH THE NOSE?
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NASOGASTRIC (NG) TUBE
NASOINTESTINAL (NI) TUBE |
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WHICH FEEDING TUBE IS INSERTED ENDOSCOPICALLY?
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PEG AND PEJ
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WHICH TUBES ARE INSERTED SURGICALLY?
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GASTROSTOMY AND JEJUNOSTOMY
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WHAT IS THE MOST RELIABLE METHOD OF VERIFICATION OF TUBE PLACEMENT
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X-RAY VERIFICATION
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PUREED DIET
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FULL LIQUID + CLEAR LIQUID + SCRAMBLED EGGS, PUREED MEATS, VEGGIES, FRUITS, MASHED POTATO, GRAVY
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MECHANICAL SOFT DIET
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CLEAR LIQUID + FULL LIQUID + PUREED + BANANA, COTTAGE CHEESE, RICE, POTATOES, PANCAKES, LIGHT BREADS, COOKED VEGGIES, COOKED OR CANNED FRUIT, SOUPS, AND PEANUT BUTTER
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SOFT/LOW RESIDUE DIET
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LOW-FIBER
EASILY DIGESTED FOODS: PASTA, CASSEROLES, MOIST TENDER MEAT, CANNED AND COOKED FRUITS, CANNED AND COOKED VEGGIES DESSERT CAKES COOKIES WITHOUT COCONUT AND NUTS |
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FULL LIQUID
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ALL CLEAR LIQUID WITH ADDITION OF SMOOTH TEXTURED DIARY PRODUCTS, CUSTARDS, REFINED COOKED CEREAL, VEGGIES JUICE, PUREE VEGGIES, AND ALL FRUIT JUICE
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APHASIA
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ALSO KNOWN AS DYSPHASIA
DIFFICULT SPEAKING |
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NG TUBE'S PRIMARY INTENTION
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FOR DECOMPRESSION (CAN BE USED FOR SHORT TERM FEEDING)
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HOW IS NI INSERTED
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WITH A STYLET
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PEG TUBE
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LONG TERM THERAPY
INSERTED THROUGH THE EXTERIOR WALL OF THE STOMACH |
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WHAT MUST A CLIENT HAVE TO HAVE A TUBE FEEDING? WHAT IS THE EVIDENCE FOR THAT
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INTACT/FUNCTIONAL GASTROINTESTINAL SYSTEM
BOWEL SOUNDS |
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TWO THINGS THAT CAN PREVENT ASPIRATION
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KEEP HOB @ LEAST 35-40 DEGREE
MEASURE GASTRIC RESIDUE VOLUME |
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DIABETIC DIET
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RECOMMENDED 1,800 CALORIES
BALANCED INTAKE OF PROTEINS, FATS, CHO, CALORIE ACCOMMODATE TO CLIENTS' METABOLIC DEMANDS |
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CALORIES REQUIRES FOR DIABETIC MALES AND FEMALES
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MALE: 2,000 - 2,400 KCAL/DAY
FEMALE: 1,600 - 1,800 KCAL/DAY |
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LOW CHOLESTEROL DIET
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MAX OF 300MG OF CHOLESTEROL/DAY
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CLEANISING ENEMAS
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PROMOTE THE COMPLETE EVACUATION OF FECES FROM THE COLON
STIMULATES PERISTALSIS THROUGH INFUSING LARGE VOUME OF SOLUTION |
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BARIUM ENEMA
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AN X-RAY EXAM USING AN OPAQUE CONTRAST MEDIUM TO EXAMINE LOWER GI TRACT
NPO + BOWEL PREP Mg+ENEMA LIGHT SEDATION REQUIRED |
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HOW OFTEN SHOULD YOU CHANGE FEEDING BAG?
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EVERY 2 HOURS
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WHAT SHOULD YOU DO WHEN GASTRCI RESIDUAL EXCEEDS 200ML
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HOLD FEEDING
NOTIFY MD MAINTAIN PT IN SEMI FOWLER'S OR AT LEAST 30 DEGREE RECHECK RESIDUAL IN 1 HOUR |
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WHAT SHOULD YOU DO WHEN CLIENT DEVELOP DIARRHEA 3 TIMES OR MORE IN 24 HOURS
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NOTIFY MD
COFER WITH DIETITIAN INSTITUDE SKIN CARE MAY CHANGE ANIBIOTIC IF PT IS RECEVING ANY |
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WHAT SHOULD YOU DO WHEN CLIENT DEVELOP NAUSEA AND VOMITING?
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NOTIFY MD
CHECK PATENCY OF TUBE ASPIRATE FOR RESIDUAL |
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WHAT SHOULD YOU DO WHEN CLIENT VOMITS AND ASPIRATES FORMULA WHEN GASTRIC EMPYTING IS DELAYED OR FORMUA IS ADMINISTERED TOO FAST AND PRODUCES VOMITING
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POSITION PT IN SIDE LYING POSITION
SUCTION AIRWAY NOTIFY MD OBTAIN CHEST XRAY FILM |
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WHAT SHOULD YOU DO WHEN SKIN AROUND GASTROSTOMY/JEJUNSTOMY SITE BREAKS DOWN
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INSTITUTE SKIN CARE PRACTICE
USE PRESSURE RELEIF MEASURE AROUND TUBE PROVIDE WOUND CARE ASCULATE FOR BOWEL SOUND |
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WHAT SHOULD YOU DO WHEN YOU NOTICE THE DRAINAGE FROM ABDMINAL INSERTION SITE?
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NOTIFY MD
DOCUMENT DRAINAGE CULTURE IF PURULENT PLACE DRAIN GAUZE AROUND SITE |
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TOTAL PARENTERAL NUTRTION INITIAL RATE
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40 - 60ML/HR AND THEN GRADUALLY INCREASED UNTIL THE CLIENT COMPLETE INUTRITION NEEDS
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HOW SHOULD TPN BE ADMINISTERED?
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VIA AN INFUSION PUMP
DEDICATE A PORT ON THE CVC IV LINE FOR JUST TPN |
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HIGH FIBER DIET
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FRESH UNCOOKED FRUITS
STEAMED VEGETABLES BRAN OATMEAL DREID FRUITS |
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FOR HOW LONG SHOULD A NASOGASTRIC OR NASOJEJUNAL FEEDING THERAPY LAST?
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LESS THAN 4 MONTHS
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SURGICAL OR ENDOSCOPICALLY PLACED TUBES ARE PREFERRED FOR HOW LONG?
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MORE THAN 4 WEEKS
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S/S OF PNEUMOTHORAX
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DYSPNEA
SUDDEN SHARP CHEST PAIN COUGHING OFTEN OCCUR DURING CVC PLACEMENT |
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WHAT ARE THE S/S OF INTOLERANCE?
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HIGH GASTRIC RESIDUALS
NAUSEA CRAMPING VOMITING DIARRHEA |
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LIST THINGS NEVER DO AND ONLY DO WITH TOTAL PARENTERAL NUTITRION
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ONLY ADMINISTER VIA CENTRAL VENOUS CATHETER (CVC)
NEVER ADMINISTER VIA PERIPHERAL INTRAVENOUS CATHER NERVE VIA FEEDING TUBE |
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SHEAR VS FRICTION
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SHEAR - PULLING OF SKIN WHEN STILL FIXED TO BED
FRICTION - THE FORCE OF 2 SURFACE MOVING ACROSS ONE ANOTHER |
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WATER SOLUBLE VITAMIN
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VITAMIN C AND B COMPLEX
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