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Flashcards in Enternal & Parental Feeding Deck (18)
1

Specific amount for Enternal Bolus feeding example

250 ml q 6 hrs

2

How do you introduce a feeding

start feeding at 1/4 strength and gradually increase concentration as tolerated to full strength. volume may be increased to obtain caloric requiremets

3

If you need to put the head of bed down for longer than 30 mins when should you stop tube feeding?

20-30 minutes prior

4

Refeeding syndrome

occurs after starvation & feeding is resumed, causes a sudden shift from fat to CHO metabolism & a secretion of insulin. leads to cellular uptake of K+, phosphate, & mg

5

what IV solutions should you use to prevent malnutrition when pt is NPO?

D5 with NS

6

What can cause ketoacidosis

large amts of glucose, diuresis, dehydration

7

Phosphorus function

controls oxygen binding to hemoglobin, helps regulate buffering system

8

Pottasium depletes with what and increases with what

depletes with starvation, increases with insulin

9

Magnesium function

needed for ATP production, DNA, RNA structure, linked with potassium-neuromuscular /cardiac dysfunction

10

What is thymine needed for?

CHO metabolism

11

vitamin deficiencies s/s

ataxia, confusional state, hypothermia

12

rapid intake of CHO leads to what?

rapid excretion of sodium and water

13

If tube becomes clogged, what do you do

use 60ml sringe & attempt to aspirate, pancreatic enzymes (if ordered) & baking soda mixed with water, sterile or purified water

14

Parental nutrition is given by which access

PICC or central lines

15

How long can you have NG tube in for?

2 weeks

16

what is special about TPN

only can hang for 24 hrs then you need to get a new bag, new tubing every time, filter, & strict asepsis

17

how often should you be monitoring glucose levels when on TPN

q 6 hrs

18

why are lipids given with TPN

to help metabolize the CHO that are given with TPN