Card Set Information
Rate of energy untilization required for essential activities
Basal metabolic rate (BMR)
Iron can interfere with
Physical features of assessments scored as
Simple substances, build up to complex
3 parental nutrition
TPN, lipid emulsions, total nutrient admixture
Lab values reveal anemia and dehydration
Female creatinine level
Some of all processes by which living things are formed
Physiological considerations to promote nutrition
Oral care, increase activity, decrease stress, good environment
Biologic catalysts speed up chemical reactions
Clear liquid examples
Room temp, water, tea, broths, clear gelatins
Tube feedings, do what to head of bed
Kozier 4 nutritional status
Ideal, borderline, malnutrition, over nutrition
Kozier over nutrition
Bony tissue covers root of tooth, imbedded in jaw
BUN increases with (5)
High protein, dehydration, burns, CHF, MI
Urea is formed..
in liver, end product of protein metabolism
Formed in liver, end product of protein metabolism
Normal value BUN
Normal serum albumin
Causes of decreased BUN (2)
Malnutriton, liver failure
Why do bedridden pts develop hyperkalemia
How are vitamins absorbed?
Through intestinal wall directly into bloodstream.
Vitamins are classified as?
Water or fat soluble
Vegetable fats are
What do you offer first, solid or liquid foods?
Alternate, ask pt what they want next.
How full should the spoon be?
TPN, when should you be concerned of thrombosis?
Pain/swelling at or near catheter or ext that side.
Check 4 before TPN administration.
Label w/med order
Rate w/med order
Inspect for junk
Use infusion pump
Stop feeding tube if residual...
Who should recieve parenteral fat emulsions?
Those with high calcium needs or cant tolerate glucose.
Poached egg good for what diet?
Low residual diet
TPN, changing tube, instruct pt to....
Valsalva maneuver and clamp so to prevent air embolism
Earliest sign of catheter related sepsis?
3 psychosocial fatctors affecting food habits
Culture, religion, tradition
Vegetarian can eat what for calcium
3 phsysiologic factors affecting food habits
Health, hunger, development
3 physical factors affecting food habits
Geography, food tech, income
Water accounts for what % of body weight
Can lead to vit B deficiency and peripheral neuropathy
Most common cause of hypomagnesium
What 2 levels oppose each other?
Ca and phosphorous
2/3 body water locate where?
Feeding tube, best way to check placement?
Position pt who is aspiration risk while feeding...
90 degree, keep that way 45-60 min after meal
TPN, central, % glucose
up to 35
TPN, vitals every...
Glycogen catablosim back to glucose in liver
Explain positive nitrogen balance
Anabolism build up greater than catabolism, nitrogen intake exceeds excretion
TPN, infusion to fast =
Hyperosmolar diuresis and dehydration
Explain nitrogen negative balance
Catabolism breakdown greater than anabolism, excretion exceeds intake
What happens to glucose tolerance as people age?
TPN, most common complication
TPN, change IV line every
95% lipids in diet are
Talk to pt while eating?
Yes, provides pleasent and social environment
Where do you stand when feeding pt?
Sit, eye level
TPN, peripheral % glucose
Up to 10%
TPN, monitor weight....
Daily, after voiding, same time, same scale.
TPN, tachypnea may indicate?
Increase carbs, increasing CO2
What confirms venous thrombosis?
TPN, monitor blood glucose....
Q 6 hrs initially, then daily
TPN, pts could also require
Insulin due to glucose in TPN
TPN, reasonable weight gain goal
1 lb/wk, no more than 3 lb/wk
Diff b/t complete, incomplete proteins
Complete, animal, high quality
Incomplete, plants, low quality
Based on amino acids
BMR of women
0.9 cal/kg per hr
BMR of males
1 cal/kg per hour
Tube feeding, monitor gastric emptying every
Formation of glucose from noncarb molecules
Glycogen anabolism from glucose in liver
Storage form of carbs in body
Glycogen, in liver.
Excess stored as fat
Why fewer calories needed in adulthood
Tube feeding, flush every
Typical amount/time of tube feedings
200-350 ml over 15-30 min
Most common cause aspiration in adults during oral feedings
4 signs of dysphagia
Multiple attempts at swallowing
Poor lip/tounge control
More diff to swallow, thick or thin fluids
TPN rate to slow =
Animal fats are