Term
| How much bowel is left in short bowel syndrome |
|
Definition
|
|
Term
| What can cause short bowel syndrome in neonates |
|
Definition
| necrotising enterocolitis |
|
|
Term
| Who is most at risk of necrotising enterocolitis |
|
Definition
|
|
Term
| What is secreted in the the duodenum |
|
Definition
|
|
Term
| what is absorbed in the duodenum |
|
Definition
calcium
magnesium
folate
iron |
|
|
Term
|
Definition
|
|
Term
| What is absorbed in the jejunum |
|
Definition
amino acids
fat
thiamine
vitamin C |
|
|
Term
|
Definition
|
|
Term
| What is reabsorbed in the ileum |
|
Definition
|
|
Term
| what is absorbed in the ileum |
|
Definition
bile acids
conjugated bile salts
it B12, A, D, E, K
Phosphorus
Zinc |
|
|
Term
| What is secreted in the ileum |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What does the iloceacal valve do |
|
Definition
| prevents bacterial reflux |
|
|
Term
| Name 2 types of naso-gastric tube |
|
Definition
|
|
Term
| What are the features of the fine bore feeding tube |
|
Definition
radio-opaque
one hole at the end |
|
|
Term
| What are the features of a ryles tube |
|
Definition
metal tip only
four holes at the end |
|
|
Term
| Which type of naso-gastric tube is used for feeding |
|
Definition
|
|
Term
| which type of naso-gastric tube is ONLY used for aspiration |
|
Definition
|
|
Term
| What are the indications for PEG feeding |
|
Definition
Stroke
Chronic Neuro problems
Head and neck malignancy |
|
|
Term
| What are the major complications of PEG feeding |
|
Definition
Aspiration
Haemorrhage
Peritonitis
Death |
|
|
Term
| What are absolute contra-indications to PEG feeding |
|
Definition
inability to trans-illuminate
OGD contraindicated |
|
|
Term
| What are relative contra-indications to PEG feeding |
|
Definition
unlikely to survive >30 days
coagulopathy, Gastric varices, morbid obesity, ascites |
|
|
Term
| What are indications for parenteral feeding |
|
Definition
intestinal failure
post-surgery (abdominal)
swallowing difficulties
IBD |
|
|
Term
| What is the fluid requirement for parenteral feeding |
|
Definition
|
|
Term
| What must be corrected before commencing TPN |
|
Definition
|
|
Term
| Where is a P.I.C.C line inserted |
|
Definition
|
|
Term
| What is the main hallmark of refeeding syndrome |
|
Definition
|
|
Term
| What are risk factors for refeeding syndrome |
|
Definition
Anorexia/chronic malnutrition
chronic alcoholism
oncology patients
uncontrolled DM
elderly |
|
|
Term
| Which transporter is involved in refeeding syndrome |
|
Definition
|
|
Term
| Where does the water go in refeeding syndrome |
|
Definition
|
|
Term
| what 3 ions are affected most in refeeding syndrome |
|
Definition
|
|
Term
| What is the most important vitamin in refeeding and why? |
|
Definition
| Thiamine - essential co-enzyme in carb metabolism |
|
|
Term
| what does thiamine deficiency lead to |
|
Definition
Wernickes Encephalopathy
Korsakoff syndrome |
|
|
Term
| What electrolytes must be checked prior to refeeding |
|
Definition
|
|
