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21 Cards in this Set

  • Front
  • Back
Diets are modified how?
-texture
-calories
-specific nutrients
-seasonings
-consistency
NPO
-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
Clear Liquid
-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
Major goals of a liquid diet?
-relieve thrist
-prevents dehydration
-minimize stimulation of GI tract
How do we know when a person is ready for the next step after NPO
-positive bowel sounds
- + flatuence
- no NG tube
What is included in a liquid water
-water
-tea
-coffee
-clear broths
-carbonated beverages
-strained and clear juices
-plain gelatin
What would determine length of time of a liquid diet?
-how your patient tolerates it
Full liquid diet
-next step after clear liquid
-milk based
-liquids or foods that turn to liquid at body temperature (ex. ice cream)
Who is a liquid diet for?
-Gi problems
-unable to tolerate solid or semisolid foods
-post-surgery
What is a liquid diet low and high in?
LOW
-iron
-protein
-calories
HIGH in
-cholesterol
What are some food examples of a liquid diet?
-milk & milk drinks
-puddings, custards
-ice cream, sherbet, yogurt
-vegetable juices
-strained cereals
-cream, butter, margarine
Soft Diet/ soft mechanical diet
-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
What are some examples of a soft/mechanical diet?
-mashed potatoes
-scrambled eggs
Regular diet
-for patients with no special needs
-a balanced diet
-2000 kcals
List some diets modified for specific diseases
-Diabetes (ADA)
-heart disease (prudent diet, low sodium
-GI alterations-bland diet
Prudent diet
-low cholesterol and sodium
-lower the LDL cholesterol levels and sodium intake
-for heart disease, atherosclerosis, hyperlipidemia
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
What are some high sodium foods?
-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
High fiber foods
-whole-wheat breads and cereals
-bran
-oatmeal
-freash fruits and veggies
What does TPN provide?
-higher concentrations of dextrose
-amino acids
-vitamins, minerals
-lipids (fat emulsions) can be infused with TPN
What are labs that are related to nutrition?
-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