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15 Cards in this Set

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Regular diet
Well balanced diet which provides all daily nutrients
Meet daily requirements
Puree, chopped mechanical soft
Regular diet where food texture is altered. Provides same nutritional requirements as regular.
Meet daily requirements and to make it easier for food to be chewed or digested.
Calorie controlled
Calories are controlled. Balance between carbs, fats, and proteins. Few or no foods containing sugar. No regular sugar on trays of lo-cal or diabetic diets.
Restricted calorie intake, diabetics, wt reduction, or wt gain.
Low salt
No added salt to diet, limits food naturally high in salt (bacon, ham, cheese, canned soups, luncheon meats). No salt packets on trays.
Minimizes fluid retention which hinders circulation. Ordered for residents with HTN, kidney disease, heart disease.
Clear liquids
Broth, tea, gelatin, ginger ale.
1-2 days for residents who have just had surgery, diarrhea, or digestive illness. Not nutritionally adequate.
Full liquids
Clear liquids plus ice cream, custards, soft-cooked eggs, sherbet, crackers, milk.
Digestive disorders or the flu. Not nutritionally adequate. 1-2 days only.
Bland
Easily digested foods. No highly seasoned foods or gas forming goods (cabbage, onions, beans).
Avoids irritation of digestive tract; for ulcers, colitis, or gall bladder disease.
Gastric Cancer
Risk factors: diet high in complex carbs, grains, salt, and low in fresh green leafy veggies, fresh fruit; smoking, alcohol, use of nitrates (bacon, hot dogs, preserved foods, pickles); hx of gastric ulcers; 'nervous stomach'
Risk factors
Gastric Cancer
Do not irrigate or remove NG tube; Advance diet from NPO to sips of clear water to six small bland meals a day as prescribed; often use ice chips first. Monitor for complications of hemorrhage, dumping syndrome, diarrhea, hypoglycemia, & Vit. B12 deficiency r/t intrinsic factor.
Postop implementation
Intestinal tumors
Malignant; complications include bowel perforation with peritonitis, abscess +/- fistula formation, frank hemorrhage, & complete intestinal obstruction.
Description & complications.
Intestinal tumors
Blood in stools, anorexia, vomiting & wt loss, change in bowel habit, malaise, anemia, abnormal stools [ascending colon: diarrhea; descending colon: constipation or some diarrhea or flat stool; rectal tumor: alternates w/diarrhea & constipation]. Guarding/abd distention, abd mass [late sign], cachexia (wasting, wt loss) [late sign}.
Assessment, S/S
Intestinal tumors
Monitor for signs of intestinal obstruction, which may include vomiting (may be fecal contents), pain, constipation, abd distention [also seen w/NGT]. Prepare for radiation preop to shrink site so surgical resection can be facilitated, and postop to decrease risk of recurrence or reduce pain, hemorrhage, bowel obstruction, or metastasis.
Implementation, preop, postop.
Intestinal tumors (colostomy/ileostomy)
Consult with enterostomal therapist to assist in identifying optimal placement of ostomy.
Preop implementation
Intestinal tumors (colostomy/ileostomy)
Note a pale pink stoma indicates low hgb and hct levels, a purple-black stoma indicates compromised circulation, requiring physician notification.
Postop colostomy
Intestinal tumors (colostomy/ileostomy)
Empty pouch when 1/3 full.
Postop colostomy (pouch care)