Shared Flashcard Set

Details

competecies
Nutrition and Bowel Elimination
28
Nursing
Undergraduate 3
09/13/2012

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Cards

Term
Name 3 reasons why nutrition is important
Definition
- helps fight disease
-helps prevent injury
- gives strength for performing ADL's
Term
it's estimated that ---% of hosiptailized clients suffer from protein / calorie malnutrition (or risk for the same)due to faulty assessment or inadequate nutritional support
Definition
40-55%
Term
What 7 factors affect nutrition
Definition
functional ability
suppressed diet
impaired swallowing
Metabolism
Finances
Cognitive ability
Adherense to alternative food patterns
Term
What is functional ability
Definition
(hands, teeth)- half of 65 and over wear dentures
Term
what is suppressed diet?
Definition
for example respiratory or sinus infections can reduce sense of taste ad smell. Liver disease, GI problems, and cetain medications can also cause anorexia ( loss of appetite)
Term
Impaired swallowing -
Definition
dysphasia. Damage to cranial nerves, such as occurs with patients who have had a stroke (SVA), Parkinsons disease and other neurologic problems are frequently responsible. Swollen passages in the throat ( tonsilitis ) can cause it as well.
Term
Aspiration
Definition
inhaling foreign material into the airways, usually results in pneumonia and increased mobility, mortality and a lengthy stay in the hospital
Term
What are a major danger to patients who have aspiration problems
Definition
thin fluids, and often a thickening agent is needed ; nectar ( medium), honey ( high), or pudding ( highest), they dont alter the taste just the consistancy
Term
Who write prescriptions for aspiration thickness medicaion or dysphagia
Definition
speech langauage pathologists ( SLP's) - the swallowing experts
Term
what should you be alert for in case of dysphagia or aspirations
Definition
wet coughing while the patient is eating, use a penlight to look in their mouth before and after eating to check for pocketing ( unswollowed food in nooks and crannies of the mouth)
Term
many times aspiration is
Definition
silent, paticularly in patients with neurological difficulties. Often they dont cough; even though they have inhaled food of liquid
Term
patients at risk for aspiration should be sitting in --- when eating, and ----- while swallowing
Definition
high fowlers position, flex the head in a chin-down position while swallowing
Term
if the patient is at risk for aspiration and the patient has hemiplegia the food then should be placed
Definition
in the uneffected side of the mouth for chewing
Term
why can metabolism effect nutrition
Definition
some diseases, for example hyperthyroidism, raise the metabolic rate to such a degree that injesting sufficient fuel becomes difficult. Fever increases metabolism by 7% for each degree F
Term
how does adherence to alternative food patterns interfere with nutrition
Definition
an exmple would be vegitarism- vegitarians will not eat the flesh of animal. Protein deficiency is a major concern. It is entirely possible t obtain sufficient protein with a vegitarian diet, but it requires strong knowledge about alternative protein sources
Term
what groups are vegitarians divided into
Definition
ovolactovegitarians
lactovegitarians
vegans
Term
ovolactovegitarians
Definition
will eat eggs and milk/milk products
Term
lactovegitarians
Definition
will eat milk and milk products, but not eggs
Term
vegans
Definition
will eat no animal products
Term
albumin has ahalf life of
Definition
20-24 days
Term
prealbumin has a half life of
Definition
2 days
Term
Normals albumin is
Definition
3.5-5.5 G/Dl
Term
normal prealbumin is
Definition
17-40 mg/Dl
Term
hematocrit (Hct) normally is
Definition
37-49% for Males
36-46% for females
Term
Hemoglobin (Hgb) normally is
Definition
14-17 G/Dl for males
12-15 G/Dl for females
Term
Normal BUN is
Definition
8-23 mg/DI
Term
Normal Creatine is
Definition
.6-1.6 mg/DI
Term
NPO
Definition
Nothing by Mouth
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