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15 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Regular diet
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Well balanced diet which provides all daily nutrients
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Meet daily requirements
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Puree, chopped mechanical soft
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Regular diet where food texture is altered. Provides same nutritional requirements as regular.
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Meet daily requirements and to make it easier for food to be chewed or digested.
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Calorie controlled
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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.
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Restricted calorie intake, diabetics, wt reduction, or wt gain.
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Low salt
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No added salt to diet, limits food naturally high in salt (bacon, ham, cheese, canned soups, luncheon meats). No salt packets on trays.
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Minimizes fluid retention which hinders circulation. Ordered for residents with HTN, kidney disease, heart disease.
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Clear liquids
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Broth, tea, gelatin, ginger ale.
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1-2 days for residents who have just had surgery, diarrhea, or digestive illness. Not nutritionally adequate.
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Full liquids
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Clear liquids plus ice cream, custards, soft-cooked eggs, sherbet, crackers, milk.
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Digestive disorders or the flu. Not nutritionally adequate. 1-2 days only.
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Bland
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Easily digested foods. No highly seasoned foods or gas forming goods (cabbage, onions, beans).
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Avoids irritation of digestive tract; for ulcers, colitis, or gall bladder disease.
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Gastric Cancer
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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'
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Risk factors
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Gastric Cancer
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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.
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Postop implementation
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Intestinal tumors
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Malignant; complications include bowel perforation with peritonitis, abscess +/- fistula formation, frank hemorrhage, & complete intestinal obstruction.
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Description & complications.
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Intestinal tumors
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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}.
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Assessment, S/S
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Intestinal tumors
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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.
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Implementation, preop, postop.
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Intestinal tumors (colostomy/ileostomy)
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Consult with enterostomal therapist to assist in identifying optimal placement of ostomy.
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Preop implementation
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Intestinal tumors (colostomy/ileostomy)
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Note a pale pink stoma indicates low hgb and hct levels, a purple-black stoma indicates compromised circulation, requiring physician notification.
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Postop colostomy
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Intestinal tumors (colostomy/ileostomy)
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Empty pouch when 1/3 full.
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Postop colostomy (pouch care)
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