Term
| what are the immunologic gut defense mechanisms |
|
Definition
GALT
immunoglobin A
hepatic kupffer cells |
|
|
Term
| how often are ppl bactermic in the gut? |
|
Definition
|
|
Term
| when is enteral the preferred route for nourishment? |
|
Definition
|
|
Term
| how does enteral and parenteral nutriotn differ in infection |
|
Definition
|
|
Term
| enteral nutrition plays what roles to preserve gut barrier function |
|
Definition
| maintian mucosal growth adn development |
|
|
Term
| what is EN less assoc with than PN and why |
|
Definition
gallastones/cholestasis
bc EN stimulates bile flow |
|
|
Term
| EN avoids placement of _ device and so reduces chance for- |
|
Definition
central venous access
infeciton |
|
|
Term
| which is more expensive EN or PN? |
|
Definition
|
|
Term
| contraindiactions for eneteral nutriton-7 |
|
Definition
mechnical onstruction of GI
peritonitis
severe diarrhea
severe GI hemorrhage
intractable vomitting
chronic intestine psuedo-obstriction
severe malabsorption |
|
|
Term
| why do the jejunum an dilleum have to be so long? |
|
Definition
|
|
Term
| if dont have the ileocecal valve what happens? |
|
Definition
|
|
Term
| if colon and ileocecal valve are present, then to get adequate nourishment how long does the small intestine need to be? |
|
Definition
|
|
Term
| what maintains the fluid and electrolytes in eneteral fed pt |
|
Definition
|
|
Term
| hospital pts have reduced GI motility, so to avoid nauasea and vomitting where do you place the enteral feeding tip? |
|
Definition
| beyond the pylorus or even into duodenum |
|
|
Term
| what enteral access is not used in adults |
|
Definition
|
|
Term
| what are the eneter accesses used for subacute (only need a couple of weeks) -5 |
|
Definition
nasogastric
orogastric
nasoduodenal
nasojejunal
esophago |
|
|
Term
| chronic access catheters for eneteral-4 |
|
Definition
gastronomy
PEG
PEJ
jujunostomy |
|
|
Term
| just read the rest of the lecture!!! |
|
Definition
|
|
Term
| what eneteric access do you use for long term and pt has imparied gastric motitlity |
|
Definition
|
|
Term
| what eneteric access do you use for long term and pt has regular gastric motitlity |
|
Definition
|
|
Term
| what eneteric access do you use for short term and pt has imparied gastric motitlity |
|
Definition
|
|
Term
| what eneteric access do you use for short term and pt has regular gastric motitlity |
|
Definition
|
|
Term
| what is the main carb used in eneteral |
|
Definition
|
|
Term
| what is the main protein used in enteral |
|
Definition
|
|
Term
| what is the main fat used in eneteral |
|
Definition
|
|
Term
what 2 amino acids are nromally nonessential?
except during what? |
|
Definition
glutamine
arginine
high physio stress |
|
|
Term
| glutamine usually functions for-2 |
|
Definition
enterocyte fuel
gut mucosa |
|
|
Term
| what is the forumla used for isotonic polymeric feeding formuations |
|
Definition
|
|
Term
what are the features fo jeivty-3
what is another name for this |
|
Definition
isotonic
1-1.2 kcal/mL
may contain fiber
osmolite |
|
|
Term
what do you use promote for what pts
why? |
|
Definition
tramua, burns
need high rpotein |
|
|
Term
| what pts need a hgih calorie eneteral diet-2 |
|
Definition
|
|
Term
| what pts need elemental eneteral feeding |
|
Definition
| ppl that need low fat diet |
|
|
Term
| what is contained in formulas for renal pts-3 |
|
Definition
calroies dense
low electrolytes
low protein |
|
|
Term
| what amino acids are increased in heaptic pt eneteral feeding |
|
Definition
|
|
Term
what is in the pulmonary pt eneteral feeding-2
what other pts need this? |
|
Definition
|
|
Term
| how long are sterile formulas good for |
|
Definition
|
|
Term
| how long as non sterile powders good for |
|
Definition
|
|
Term
| how long are HBM good for |
|
Definition
|
|
Term
| how long are sterile formulas in open system good for |
|
Definition
|
|
Term
| how long are sterile form in closed system good for |
|
Definition
|
|
Term
what is the most comon metabolic complicaiton of eneteral feeding?
why? |
|
Definition
hypernatremia
fixed water and nutrient |
|
|
Term
what is the most common cause of diarrhe in eneteral feeding?
what is #2? why? |
|
Definition
drugs
tube- bc too high osmolaltiy |
|
|
Term
| what is a complicaiton of the eneteral feeding occuring at too fast a rate? |
|
Definition
|
|
Term
| what is a common complicaiton from eneteral formulas with fiber |
|
Definition
|
|
Term
| what are probelms assoicated with tenchincal issues?-3 |
|
Definition
apsiration
tube displacement
occulsions |
|
|
Term
| what complex is insuolble with pH<4.6 |
|
Definition
|
|
Term
| what monitors are needed daily for initation of EN therapy? -7 |
|
Definition
weight
total intake, eneteral tube intake, nasuaea/vomit, stool frequnecy, tube placement, electrolytes |
|
|
Term
| what monitors are needed every 4-6 hours for intiaitno of enteral therapy |
|
Definition
|
|
Term
| in stable eneteral therapy when does weight need to be measured |
|
Definition
|
|
Term
| in stable enteral theray when should GI tolerance and tube feeding intake be measured |
|
Definition
|
|
Term
in stable eneteral therapy when should electrolytes be measured?
what about Ca, Mg or liver enezymes? |
|
Definition
|
|
Term
in initaiton of EN therapy how often should Ca, MG be measured?
liver enzymes? |
|
Definition
|
|
