Nutrition

Question 1

Enteral Nutrition
-route?
-least____ and ____
-Includes:

Answer 1

GI tract
Least expensive/invasive
Feeding tubes

Question 2

List 4 indications for enteral nutrition

Answer 2

Abnormal esophageal or stomach peristalsis

Altered anatomy secondary to surgery

Depressed consciousness

Impaired digestive capacity

Question 3

Enteral feeing may ___ (phenytoin)or ____ (tetracyclines) some medications

Stop feeds __ hours before /after admin

OR____

Answer 3

Delay or inactivate

2 hours

Or change to IV form

Question 4

Enteral feeding may cause increased absorption of ___, ___, ___

Answer 4

Corticosteroids
vitamin A
vitamin D

Question 5

List 3 AEs of enteral nutrition

Answer 5

Diarrhea
Dumping Syndrome (lyte/BG imbalances)
Aspiration Pneumonia

Question 6

How is aspiration pneumonia avoided during enteral nutrition?

Answer 6

Elevate HOB!

Question 7

Peripheral TPN
-____ term
-Replaces ?
-Dextrose ____%
-Risk of?

Answer 7

Short-term, <2 weeks
Replaces nutrients less than the present oral intake

Dextrose < or = 10%

Risk of phlebitis and fluid overload

Question 8

Central TPN
___-term
-Dextrose ___%
-Risk of?

Answer 8

Long-term
Dextrose usually 25-35%
Risk: infection, trauma from placement (pneumothorax), metabolic alterations (hyperglycemia)

Question 9

List Central TPN indications

Answer 9

Increased nutritional requirements

Need for nutritional support for great than 7-10 days

Unable to tolerate large fluid loads/hypervolemic

Question 10

List the baseline labs to monitor for nutrition status

Answer 10

Protein, albumin
BUN, creatinine
RBC, WBC
Cholesterol

Question 11

Give _____ dextrose IVF if TPN is stopped to prevent ____

Answer 11

5-10% dextrose

prevents hypoglycemia