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11 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Management of nurtition |
MDT approach - surgeon - dietician - pharmacist - patient |
4 |
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Types of nutrition |
- enteral nutrition - parenteral nutrition |
2 |
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Methods of enteral nutrition |
- NG tube - gastrostomy - jejenostomy |
3 |
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Indications for enteral nutrition |
Swallowing problem - stroke - oesophageal obstruction |
2 |
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Total parenteral nutrition
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Involves delivering a specialised feed directly into the patient's bloodstream via central line (Hickmann line) - toxic to veins due to high osmolality - small cannula into large vein with high blood flow |
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Complications of parenteral feeding |
- pyrexia: bacteraemia - villous atrophy in the gut - electrolyte imbalances: check U&Es daily - hyperglycaemia: may require temporary insulin - deranged LFTs: fatty infiltration of liver causes cholestatic picture |
5 |
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Daily requirements |
- water: 2-3l - energy: 1800 calories given as 2/3 carbohydrates (250g) & 1/3 fats (100g) - nitrogen: 14g/day given via protein (85g) - vitamins: water-soluble vitamins are given in higher doses as they are excreted - minerals - trace elements |
6 |
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Vitamins in TPN |
- sodium - potassium - calcium - magnesium - phosphate |
5 |
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Trace elements in TPN |
- zinc - copper - iron - selenium - iodide |
5 |
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Monitoring nutritional status |
- appearance - weight - albumin: longterm (prealbumin is good for day-to-day monitoring) - LFTs |
4 |
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Reason for red bag in TPN |
Protects from degradation of certain components - vitamin A - vitamin E - vitamin K |
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