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21 Cards in this Set
- Front
- Back
Diets are modified how?
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-texture
-calories -specific nutrients -seasonings -consistency |
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NPO
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-nothing by mouth
-before anethesia or after surgery until bowel sounds return -most patients ok with NPO for several days -some patients may require nutrition and fluids per IV |
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Clear Liquid
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-next step after NPO or back to regular
-minimal GI stimulation -clear liquid supply -fluid -It provides electrolytes,fluid, minimal energy in the form of glucose/sucrose -600 Kcal/day short term; about 24-36 hrs It is deficientin: Almost all nutrients |
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Major goals of a liquid diet?
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-relieve thrist
-prevents dehydration -minimize stimulation of GI tract |
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How do we know when a person is ready for the next step after NPO
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-positive bowel sounds
- + flatuence - no NG tube |
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What is included in a liquid water
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-water
-tea -coffee -clear broths -carbonated beverages -strained and clear juices -plain gelatin |
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What would determine length of time of a liquid diet?
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-how your patient tolerates it
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Full liquid diet
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-next step after clear liquid
-milk based -liquids or foods that turn to liquid at body temperature (ex. ice cream) |
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Who is a liquid diet for?
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-Gi problems
-unable to tolerate solid or semisolid foods -post-surgery |
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What is a liquid diet low and high in?
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LOW
-iron -protein -calories HIGH in -cholesterol |
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What are some food examples of a liquid diet?
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-milk & milk drinks
-puddings, custards -ice cream, sherbet, yogurt -vegetable juices -strained cereals -cream, butter, margarine |
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Soft Diet/ soft mechanical diet
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-easily chewed and digested
-for pts who have difficulty chewing and swallowing -for some patients after surgery -low-residue (fiber) diet containing very few uncooked foods -can be modified to pureed diet |
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What are some examples of a soft/mechanical diet?
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-mashed potatoes
-scrambled eggs |
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Regular diet
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-for patients with no special needs
-a balanced diet -2000 kcals |
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List some diets modified for specific diseases
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-Diabetes (ADA)
-heart disease (prudent diet, low sodium -GI alterations-bland diet |
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Prudent diet
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-low cholesterol and sodium
-lower the LDL cholesterol levels and sodium intake -for heart disease, atherosclerosis, hyperlipidemia |
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Sodium restricted diet
(no, mild, moderate, severe) |
-no added salt - 4-5 grams per day allowed
-mild sodium restriction - 1gm/day -severe sodium restriction - 500mg/day (CHF, Liver, or high cholesterol |
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What are some high sodium foods?
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-pickles, olives
-salted nuts -soy sauce -hot dogs, bacon, sausage -processed cheese -canned soups -potatoe chips -canned fish and meats -lucheon meats, ham -mustard and ketchup |
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High fiber foods
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-whole-wheat breads and cereals
-bran -oatmeal -freash fruits and veggies |
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What does TPN provide?
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-higher concentrations of dextrose
-amino acids -vitamins, minerals -lipids (fat emulsions) can be infused with TPN |
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What are labs that are related to nutrition?
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-serum albumin and pre-albumin
-Hbg, Hct (iron status) -serum elctrolytes-Na+, K+, calcium (mineral) -glucose -BUN, creatinine-kidneys -urinary tests-creatinine (muscle mass), urea nitrogen (reflect intake and breakdown of dietary protein) -total lymphocyte count-immune system |