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21 Cards in this Set

  • Front
  • Back
indications for enteral nutrition
malnutrition risk
decreased oral intake
enough functioning SI (3-4 feet)
short term
benefits of enteral nutrition
maintains normal GI (by using system)
maintains mucosal barrier-GALT
more efficient use of nuts
placement options for enteral nutrition
formulae for enteral nutrition
1.0 Kcal/ml
(higher concentration if fluid restriction)
best assessment of nutrition statud during enteral/parenteral nutrition
(also use N balance)
weekly clinical assessment of nutrition status
Nitrogen balance
Serum elects, BUN, creat (2-3 x week)
weight (3 x week)
serum glucose, Ca, Mg, P
daily monitoring of nutrition status
sign & sx of edema or dehydration
fluid intake/output
gastric residuals (every 4 hrs)
stool output & consistency
equation for nitrogen balance
protein intake/6.25 - (urinary N + 4)
increase in prealbumin indicates
positive nitrogen balance
nutrition via subclavian
central access
nutrition via vein in arm to subclavian to SVC
nutrition via catheter into sm vein in arm
peripheral access
factors for equation for parenteral nutrition
protein & lipid
complete with carbs
(include total volume)
caloric requirement
30 Kcal/Kg
protein requirement
1.5 g/kg (or 1.5)
lipid requirement
30% of total calories
glucose requirement
subtract lipid & prot requirement from total
guidelines for parenteral nutrition
start slowly
start at 1/2 to 3/4 of est
increase when glucose below 200 mg/dl
monitoring parenteral nutrition
elecs (Ca, Mg, P)
BUN, creatinine
hematologic parameters (CBC, WBC, PT)
liver function (enz's, alk phos, ammonia)
serum prot (albumin, pre)
N balance
cardiac & resp failure after feed post starvation
refeeding syndrome
causes of refeeding syndrome
increased workload for damaged organs (b/c reintroduce insulin)
cardiac & resp failure
redistribution of PO3, Mg, & K (into extracellular fluid- intracelular low)