FINAL KAHOOT Flashcards

1
Q

When your CF patient has malabsorption you recommend

A

PERT

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2
Q

Kcal requirements for pts with CF is based on

A

REE, activity, fat absorption, lung function

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3
Q

Patients with COPD are typically on steroids so its important to monitor

A

CHO intake/glucose, fluid intake/lipids, Ca/Vit D for bone health
ALL

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4
Q

Vented patients may benefit from a TF formula low in fat

A

FALSE

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5
Q

Why are low CHO diets/formulas potentially useful for respiratory patients?

A

Promotes lower CO2 production

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6
Q

An example of lower CHO formula TF is

A

Glucerna

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7
Q

The flow phase follows the ebb phase. Flow is noted by

A

Increased catecholamines

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8
Q

Early enteral nutrition post op can increase risk for bacterial translocation

A

false

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9
Q

Oncology patients often complaint that meat tastes like

A

bitter/metallic

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10
Q

Cisplatin may alter an oncology patients serum

A

Mg

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11
Q

Xerostomia is often seen in oncology, renal and other pts as a side effect of meds. It is…

A

Dry mouth

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12
Q

Nutrition assessments in renal pts should use

A

EDW

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13
Q

Nutrition assessment in HIV patients should use

A

Pre illness weight

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14
Q

A milk exchange in DM menu planning is

A

1 cup

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15
Q

A milk exchange in renal diet planning is

A

1/2 cup

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16
Q

A goal of meal planning and prep for HIV pts is to consider timing and side effect of polypharmacy

A

TRUE

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17
Q

It is only legally defensible to stop tube feeding and hydration for a pt who is in a PVS

A

FALSE

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18
Q

The best MNT for terminally ill adults is

A

oral feeding with minimal restrictions

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19
Q

MNT for oxalate kidney stones includes

A

High Ca diet and low oxalate foods

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20
Q

Bacterial hydrolysis of blood from bleeding varices can lead to

A

Increased NH3

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21
Q

NutraHep TF product is

A

high in BCAA

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22
Q

Rapid ingestion/digestion of simple CHO causing increased insulin secretion is

A

Dumping syndrome

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23
Q

Guaiac and Melena are medical terms for

A

Blood in stool

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24
Q

TF in a patient at risk for aspiration should include

A

post-pyloric tube placement

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25
IV lipid emulsions are highly concentrated with high mOsm so they cannot be given via PPN
false
26
What is the 24 hr TF rate of jevity 1.5 to provide your pt 2700 kcals per day?
75 mL / hr
27
Jevity 1.2 has 55.5 g pro/liter. How much protein does 350 ml bolus 4x / day provide?
78 g
28
950 ml of 10% AA PN solution provides how many g pro and kcals?
95 380
29
950 ML OF D12 solution provides how many g CHO and kcals?
114/387
30
The primary ethical principle underlying decisions to forgo nutrition for terminally ill adults
right of self-determination
31
The Hippocratic writings encourage physicians to recognize when medicine has reached its limit of usefulness. So it is ethically defensibe to ... hydration and nutrition support for some patients who
have advanced dementia are in a persistent vegetative state are terminally ill ALLLLLLL THE ANSWERS ARE CORRRECT!!!!
32
In proving nutrition support to terminally ill adults, which method of feeding is preffered?
oral feeding with dietary restrictions eliminated or minimized
32
In proving nutrition support to terminally ill adults, which method of feeding is preffered?
oral feeding with dietary restrictions eliminated or minimized
33
Follow Sylvia's wishes concerning her mother bc she is the health care proxy and is following her mothers wishes.
34
Cancer diagnosis gold standard
PET | 2-3 months after tx
35
General energy requirements for cancer pts
30-35 kcal /kg
36
Cancer cachexia
Progressive wt loss anorexia wasting weakened increased lipolysis Cytokines produced by tumor . Causes proteolysis - amino acids. n excretion Lipid mobilizing factor Inhibits lipase no fat stores Therefore bold goes back to liver and they are broken down into TG
37
Medication for cancer cachexia
Magestrol/ megaCe Used for anorexia cachexia and unplanned wt loss Make sure pt doesn’t have a hx of clotting or on blood thinning
38
When calcium level is high in cancer
We don’t put them on low calcium We treat with hydration Make sure they are not getting calcium supllmentestion and Vit d
39
MNT for chemotherapy side effects | Diarrhea
MAINTAIN HYDRATION STATUS replace electrolytes Low fat low fiber possibly low Bulking agents BRAT diet
40
MNT for nausea in chemotherapy
Nausea medication Finger Small frequent meals Empty stomach not good
41
FOOD AND DEUG INTERACTION cancer Tx
Alimta | Requires b12 and folic acid to avoid anemia
42
MNT FOR CHEMOTHERAPY SIDE EFFECT ORAL CHANGES
Hydration tart foods Bitterness in meat Meat aversions
43
MNT for chemotherapy for oral mucositis
Soft diet and liquids
44
Tamoxifen and a astrodome side effects
Hormonal | Hot flashes
45
Radiation induced enteritis
Supplement b 12 fat soluble and calcium to prevent deficiency
46
If terminal ileum is involved
B12
47
CANCER pancreatic surgery , Whipple procedure MNT
Enzyme replacement, small frequent low fat meals and snacks, avoid simples CHO Enzymes allow them to eat
48
Resection of terminal ileum | MNT
Bile salts losses steatorrhea B12 malabsorption Diet low in fat osmolality lactose and oxalates
49
When can you start using the GI tract cancer
if diarrhea ia less than 500 ml/day
50
Minimal amount of fluid needed to eliminate daily fixed solute load of around 600 mOsm
500 mL
51
Osteodystrophy in kidney disease
High serum phosphorus stimulates PTH o help with resorption of calcium from the blood - a way to help the blood calcium normal
52
GFR calculator kidney disease, uses
serum creatinine, age, race, gender
53
Lab tests renal disease
high BUN excessice body protein catabolism GI bleeding high BUN doesn't always mean renal
54
Biggest risk factor for kidney stone
not drinking enough water
55
nephritic syndrome MNT
restrict sodium to control BP
56
Edema in nephrotic syndrome causes
`Proteinuria- GI permeability lower albumin in blood more oncotic pressure more edema Glomerular injury leads to decrease in GFR then kidney kicks in rening angio tensin - retention of water and sodium
57
Nephrotic syndrome nutrition
.8 PRO 35KCAL/KG/DAY 3G SODIUM low sodium low protein helps control edema
58
high biological value protein
contains all essencial amino acids
59
juice used to treat bacterial infection in kidney - pyelonephritis
cranberry and blueberry
60
Acute kidney disease oliguria amount
< 500 mL per day
61
Kidney transplant medication can cause increase in serum
potassium
62
name of kidney transplant medications
cyclosporine tacrolimus | causes high potassium htn hlp
63
dialysis diet
low K, low sodium, postassium exchanges
64
veggies ad fruites broken broken down in - renal diet
potassium content