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Adult Health Test #3
Nutrition
23
Nursing
Graduate
11/02/2011

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Cards

Term
Elemental formulas
Definition
predigested and can be absorbed after limited digestion
Term
Peristalsis
Definition
limits GI tract colonization
Term
Normal gut microflora
Definition
inhibit and destroy pathogens
Term
production of bile
Definition
detoxifies endotoxins and delivers immunoglobulin A to gut and lymph tissue
Term
mucous lining of intestines
Definition
provides a barrier against bacteria
Term
Where is stomach heard best?
Definition
midline radiating to LUQ
Term
Where is duodenum heard best?
Definition
RUQ
Term
Where is jejunum heard best?
Definition
left flank
Term
Signs and symptoms of aspiration
Definition
restlessness
dyspnea
hypoxia
cough
wheezing
coarse crackles
fever
Term
risk factors for aspiration
Definition
decreased LOC
Decreased cough or gag reflex
ileus
large bore tube
dislodgment of tube
HOB flat
elderly
mechanical ventilation
Term
common reasons for inadequate enteral feedings?
Definition
1. interruptions for procedures
2. Diarrhea
3. Emesis
4. Large Residual Volumes
5. Feeding tube replacements
Term
Indications for TPN
Definition
1, impaired absorption of nutrients
2. inability to achieve or maintain enteral access
3. Motility disorders
4. need for bowel rest
Term
Impaired absorption of nutrients
Definition
short bowel syndorme
small bowel obstruction
Term
inability to achieve or maintain enteral access
Definition
gi bleeding
persistant vomiting
Term
motility disorders
Definition
prolonged ileus
organ myopathy
Term
need for bowel rest
Definition
inflammatory bowel
sever pancreatitis
Term
Signs and symptoms of hypoglycemia
Definition
sweating
hunger
weakness
tremors
irritability
confusion
Term
signs and symptoms of hyperglycemia
Definition
thirst
polyuria
blurred vision
headache
weakness
fatigue
NV
dehydration
Term
avoiding refeeding syndrome
Definition
-correct electrolyte imbalances before feeding
-carefully restore circulatory volume
-monitor intake and output
-start at 50% of nutritional needs and increase slowly
-careful monitoring and replacement of electrolytes until levels are stable
Term
how to avoid hepatic dysfunction
Definition
-avoid overfeeding
-limit CHO to 30-50%
-provide 10-30% of calories as lipids
-mimic normal meal patterns
-avoid complete bowel rest is possible
Term
risk factors for catheter related infection
Definition
advanced age
altered immunocompetence
distant site of infection
neutropenia
jugular or femoral sites
non tunneled
multi lumen
trauma during catheter placement
Term
candidates for obesity surgery
Definition
-morbid obese >5 yrs
-failure to lose weight with other forms of therapy
-no serious endocrine cause for obesity
-absence of severe comorbidity
-psychiatric and social stability
-presence of high risk condition that weight loss would improve
Term
dumping syndrome
Definition
-rapid emptying of gastric contents into the small intestine
-S/S NV, weakness, sweating, faintness, diarrhea
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