MNT Study Guide 3 Flashcards
(25 cards)
EN contras
no functioning gut
-fisulas, motility, obstructions
-pancreatitis
-GI surgery/bowel rest
<4 weeks EN
-fx gut w no complications
Nasogastric
<6 weeks
-delayed gastric emptying, reflux
Nasoduodenal
<6 weeks
-upper GI issues, unconscious px on back
Nasojejunal
swap feeding nostrils/replace tubes
Every 4-6 weeks
> 6 weeks
fully fx gut
-swallowing, trauma, burns, chemo, dementia
PEG
> 6 weeks
-coma, reflux, SBS, obstructions
PEJ
often first feeding style used
-low rate, more tolerated
-better than intermittent
continuous feeding
EN defs
sod, pot, mag, phos, iron, livers, fats, B’s
PN defs
K, iron, zinc, copper
Immune mediated (IgE) food sens
food allergy
-immediate onset with small amounts
Delayed T-cell response or non-IgE food sens
food intolerance
-up to 48 hours onset
food allergy fruits
apple, strawberry, pawapaw, cherries, tomato
food intolerance sxs
confusion, memory loss, poor concentration
food intolerance triggers
salicytes
amines
sulphies
sulfphur
MSG
Lactose
Paleo concerns
-cal/D def
-high sat fat + protein=kidney/heart disease
Ramadan fasting
-check BGL regularly
-treat hypo (under 4 mm)
-pre dawn largest meal
-complex carbs and protein
-3 dates break fast
-avoid excess exercise
-reduce insulin levels
Vegan concerns
Protein, B12, Iron, Cal, D, Zin, Omega 3
BCAA’s
Leucine
Isoleucine
Valine
conditional AA’s
body can make them, just not during stress or illness
HIV reccs
10-15% more cals (400/300)
50-100% more protein (85/72)
-A, B6, 12, iron, zinc (immune/fight infections)
Osteoporosis, moods, thin hair/skin, edema, cal, zinc, phos def
Steroid use s/e
1 hour
how long it takes liver to process one drink, backs up
Liver dx progression
fatty liver->alc hep->cirrhosis
