T2 - Nutrition and Skin Intergrity Flashcards

(55 cards)

1
Q

Which nutrient relates to improved would healing or pressure injuries?

A

Macronutrient - protein

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2
Q

What supplement would you give to hemoglobin deficient and blood loss?

A

Micronutrient - Iron

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3
Q
  • Avoid liver, steak, shellfish, eggs
  • Minimal or no added salts
  • Increase beans, chicken, and salmon
A

Low-cholesterol (cardiac) Diet

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4
Q
  • Contain reduced or artificial sugar
  • Protein, whole grains, and non-starchy veggies
  • Avoid food that are high on carbs
A

Diabetic (consistent carbs) Diet

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5
Q
  • Prevent dehydration and supplies some simple carbs to help meet energy needs
  • Jello, black coffee, water, juices w/o pulps, broth
A

Clears Diet

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6
Q
  • abbreviation for Nothing By Mouth
  • no more than 3 days, schedule procedures early
  • ice chips, hard candy, gum, sips of water — only if ordered
A

NPO

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7
Q
  • 1g = 4kcal
  • Primary energy source
  • Increase insulin secretion
  • Increase satiety
A

Carbohydrates

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8
Q

Simple carbohydrate

A

Sugars

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9
Q

Complex carbohydrate

A

Polysaccharides

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10
Q
  • 1g = 4kcal
  • Secondary source of energy
  • Tissue building
  • Nitrogen, fluid, acid-base balance
  • Made oof amino acids
A

Proteins

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11
Q

Supplied by diet, body doesn’t make this

A

Essential amino acids

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12
Q

Synthesized, body is able to make

A

Nonessential amino acids

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13
Q

Hall all essential amino acids (12) needed for protein synthesis

A

Complete protein

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14
Q

Don’t provide all amino acids, but eating two of these gets all

A

Incomplete protein

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15
Q
  • 1g = 9kcal
  • Key component of lipoprotein
  • Back-up energy source
  • Organ insulation, protection, cholesterol
A

Fats (lipids)

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16
Q

Solid at room temperature

A

Fats

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17
Q

Liquid at room temperature

A

Oil

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18
Q

Nurse’s responsibility

A

The only ones who can interpret and evaluate data

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19
Q
  • Assess for dehydration
  • Avoid salty foods
  • Avoid strong odors or perfumes
  • Pt sit upright for 30 mins after eating
  • Treat underlying issue
A

Nursing interventions for Nausea

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20
Q
  • Speech therapy consult for swallow study
  • Dysphagia diet: chopped food, thickened liquids, no straws
  • Sit upright after meals
  • Look for pocketing of food in mouth
  • Monitor for coughing
A

Nursing interventions for Aspiration

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21
Q

What’s the use for folic acid?

A

Given to women during pregnancy and childbearing age

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22
Q

What is the use for iron?

A

Wound healing

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23
Q

Why do we check albumin and prealbumin?

A

They both look at protein levels in the body

24
Q

Prealbumin

A

Most helpful test to help protein, changes daily

25
Albumin
- 60% body protein - Formed in liver - Long half-life
26
How to assess, use, and flush NG tubes or PEG tubes?
- Check placement with X-ray - Check residual, make sure it isn’t high or a lot - Flush 15-30mL before and after use
27
- Tube feeding through the stomach - Associated risks: aspiration, infection s/t high glucose in feed formula, diarrhea, nausea, absorption
Enteral feeding
28
- IV nutrition - Delivered through: central line or PICC line
Parenteral nutrition (PN)
29
Calculating BMR
Female: 0.9 kcal/kg Male: 1 kcal/kg 1 kg = 2.2 lbs
30
How do wounds heal?
Primary intention, Secondary intention, and Tertiary intention
31
- Wound heals with surgically help - Clean surgical incision/edges approximated - Clean incision > early suture > hairline scar
Primary intention
32
- Wound left open and heals naturally - Wound edges not approximated, from from inside out - Gaping irregular wound > granulation > epithelium grows over scar
Secondary intention
33
- Leave wound open and later suture the wound close - Primary + secondary
Tertiary intention
34
What are our priority concerns for patients with wounds?
Keep them from Infection
35
Wound drainage clear/straw colored, thin
Serous exudate
36
Wound drainage is red/bloody, thin
Sanguineous
37
Wound drainage is pink tinged (mixed wit bloody and straw colored fluid)
Serosanguineous
38
Yellowish, dead skin tissue
Slough
39
Black, dead skin tissue
Eschar
40
Yellow, green, white, contains pus - means there’s an infection
Purulent
41
Intrinsic (internal) risk factors for pressure injuries
Immobility, impaired sensation, poor nutrition, dehydration, aging, fever, infection, edema
42
Extrinsic (external) risk factors for pressure injuries
Friction, pressure, shearing, moisture
43
Non-blanchable, intact skin, redness
Stage I
44
Partial thickness skin loss with exposed dermis
Stage II
45
Full thickness skin loss, no slough or necrosis - may see fat
Stage III
46
Full thickness and tissue loss - wound is through the skin and into muscle, tendon, bone, or cartilage
Stage IV
47
Eschar in the wound bed, can’t assess depth
Unstageable
48
Involves only epidermis layer
Superficial wounds
49
Goes through epidermis and dermis layer
Partial-thickness wound
50
All the way into subcutaneous fat, muscle, or bone
Full-thickness wound
51
- Reposition pt every 2hrs - Keep them dry - Pad bony areas - Give protein intake
Nursing intervention for pressure injuries
52
Occurs from decreased blood flow or bad circulation to an area of the body
Pressure injuries
53
- Meticulous skin care and moisture control - Adequate nutrition - Frequent repositioning - Therapeutic mattresses - Client/family teaching
Nursing interventions for pressure injuries
54
Components of Braden Scale
- Sensory perception - Moisture - Activity - Mobility - Nutrition - Friction or shear
55
Total score is less than 18 on the Braden Scale
Pt is high risk of pressure injury