CH 12: Food related Issues Flashcards

1
Q

what do dietary guidelines do

A

they are designed to attain or maintain optimal nutritional status

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2
Q

whats quantitative dietary modification

A

mods in numbers of meals served, calories and specific nutrients

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3
Q

whats qualitative dietary modification

A

mods in texture, consistency and nutrients

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4
Q

what’s regular or general diet

A

the basis of modified diets in hospitals

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5
Q

what’s diet as tolerated

A

allows for postoperative diet progression that depends on patient’s tolerance

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6
Q

what mod contributes to hospital malnutrition

A

clear liquid diets

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7
Q

what is a clear liquid diet and how long should it be used

A

a diet of foods that are clear and liquid at room/body temp

used no more than 8 to 24 hours

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8
Q

when should full liquid diets be chosen

A

when patient is having difficulty chewing or swallowing solids

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9
Q

whats a full liquid diet and it’s issues

A

foods that are liquid at room temperature

problem with lactose intolerance and cholesterol and high saturated fat

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10
Q

when should dysphagia diets be chosen

A

when patients have difficulty chewing and swallowing

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11
Q

what are the levels of dysphagia diets

A

lvl 1 = dysphagia pureed
lvl 2 = dysphagia mechanically altered
lvl 3 = dyshpagia advanced
lvl 4 = return to reg diet

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12
Q

what is the soft diet

A

whole foods low in fiber and lightly seasoned

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13
Q

when to chose soft diet

A

for short period like for pre and post op patients or to help get back to reg diet

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14
Q

top causes of food poisoning

A

norovirus
salmonella species
clostridium perfringens
campylobacter species
staphylococcus aureus

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15
Q

what is considered Hospital Associated Infections (HAI)

A

campylobacter species
staphylococcus aureus

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16
Q

what does integrative medicine include

A

dietary or food changes

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17
Q

dietary supplements (DSHEA) defintion

A

products that supplement dietary intake and are considered food and not drugs or additives

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18
Q

purpose of GMO

A

increase food supply
make foods more shelf-stable
improve quality

19
Q

drawback of GMO

A

some people are have allergic reaction

20
Q

what is enteral nutrition

A

when nourishment is given directly to the GI tract

21
Q

when is a nonoral method used

A

when patients can’t eat for more than a 5 days

22
Q

why is enteral nutrition not ideal?

A

it opens up the opportunistic pathogens to affect the area

23
Q

physiological benefits of enteral feeding

A

maintains gut integrity and function

24
Q

what are the special formulas

A

elemental formulas
modular formulas
specialty formulas

25
Q

what to check to select a formula

A

digest and absorb capacities
fluid restrictions
high metabolic requirements

26
Q

what is the specialty formulas

A

formulas that meets specialized nutrient demand for specific disease state

27
Q

what is modular formula

A

single macronutrients added to other foods/enteral

28
Q

what is the elemental formula

A

made of partially or fully hydrolyzed nutrients

29
Q

whats nasogastric

A

tube is passed through nose to stomach

30
Q

whats nasoduodenal

A

tube passed from nose to duodenum

31
Q

what’s nasojejunal

A

tube passed through nose to jejunum

32
Q

what’s esophagostomy

A

tube is surgically inserted into neck and extends to stomach

33
Q

whats gastrostomy

A

tube surgically inserted into stomach

34
Q

whats jejunostomy

A

tube is surgically inserted into small intestine

35
Q

key points of short feeding duration

A

acute
nonsurgical placement

36
Q

key points of long feeding duration

A

chronic
surgical placement

37
Q

methods of enteral nutrition administration

A

continuous
intermittent
bolus

38
Q

tube feeding mechanical complications

A

tube displacement
obstruction
pulmonary aspiration
mucosal damage

39
Q

tube feeding metabolic diffulties

A

hyperosmolar dehydration
overhydration

40
Q

when to stop tube feedings and why

A

1 hour before and after meals to promote appetite

41
Q

oral intake increase

A

decrease tube-feeding volume

42
Q

when do you discontinue tube feeding

A

when oral intake exceeds 2/3 energy requirements

43
Q

when is parenteral nutrition needed

A

short-term nutrition support needed