Jibady IV

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Author:
dreed
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108494
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Jibady IV
Updated:
2011-10-15 11:02:46
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Jibby
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Jibby
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  1. Rate of energy untilization required for essential activities
    Basal metabolic rate (BMR)
  2. Iron can interfere with
    Some abx
  3. Physical features of assessments scored as
    • 0 normal
    • 1 mild
    • 2 moderate
    • 3 severe
  4. Simple substances, build up to complex
    Anabolism
  5. 3 parental nutrition
    TPN, lipid emulsions, total nutrient admixture
  6. Lab values reveal anemia and dehydration
    CBC
  7. Female creatinine level
    0.5-1.1 mg/dl
  8. Some of all processes by which living things are formed
    Metabolism
  9. Physiological considerations to promote nutrition
    Oral care, increase activity, decrease stress, good environment
  10. Biologic catalysts speed up chemical reactions
    Enzymes
  11. Clear liquid examples
    Room temp, water, tea, broths, clear gelatins
  12. Tube feedings, do what to head of bed
    Elevate
  13. Kozier 4 nutritional status
    Ideal, borderline, malnutrition, over nutrition
  14. Kozier over nutrition
    Obese
  15. Bony tissue covers root of tooth, imbedded in jaw
    Cementum
  16. BUN increases with (5)
    High protein, dehydration, burns, CHF, MI
  17. Urea is formed..
    in liver, end product of protein metabolism
  18. Formed in liver, end product of protein metabolism
    Urea
  19. Normal value BUN
    10-20 mg/dl
  20. Normal serum albumin
    3.5-5.0 g/dl
  21. Causes of decreased BUN (2)
    Malnutriton, liver failure
  22. Why do bedridden pts develop hyperkalemia
    Bone demineralization
  23. How are vitamins absorbed?
    Through intestinal wall directly into bloodstream.
  24. Vitamins are classified as?
    Water or fat soluble
  25. Vegetable fats are
    Unsaturated
  26. What do you offer first, solid or liquid foods?
    Alternate, ask pt what they want next.
  27. How full should the spoon be?
    1/3
  28. TPN, when should you be concerned of thrombosis?
    Pain/swelling at or near catheter or ext that side.
  29. Check 4 before TPN administration.
    • Label w/med order
    • Rate w/med order
    • Inspect for junk
    • Use infusion pump
  30. Stop feeding tube if residual...
    >100
  31. Who should recieve parenteral fat emulsions?
    Those with high calcium needs or cant tolerate glucose.

    Sick infants
  32. Poached egg good for what diet?
    Low residual diet
  33. TPN, changing tube, instruct pt to....
    Valsalva maneuver and clamp so to prevent air embolism
  34. Earliest sign of catheter related sepsis?
    Increased temp
  35. 3 psychosocial fatctors affecting food habits
    Culture, religion, tradition
  36. Vegetarian can eat what for calcium
    Collard greens
  37. 3 phsysiologic factors affecting food habits
    Health, hunger, development
  38. 3 physical factors affecting food habits
    Geography, food tech, income
  39. Water accounts for what % of body weight
    50-60
  40. Can lead to vit B deficiency and peripheral neuropathy
    Alcoholism
  41. Most common cause of hypomagnesium
    Alcoholism
  42. What 2 levels oppose each other?
    Ca and phosphorous
  43. 2/3 body water locate where?
    Inside cells
  44. Feeding tube, best way to check placement?
    X ray
  45. Position pt who is aspiration risk while feeding...
    90 degree, keep that way 45-60 min after meal
  46. TPN, central, % glucose
    up to 35
  47. TPN, vitals every...
    4 hours
  48. Glycogen catablosim back to glucose in liver
    Glycogenolysis
  49. Explain positive nitrogen balance
    Anabolism build up greater than catabolism, nitrogen intake exceeds excretion
  50. TPN, infusion to fast =
    Hyperosmolar diuresis and dehydration
  51. Explain nitrogen negative balance
    Catabolism breakdown greater than anabolism, excretion exceeds intake
  52. What happens to glucose tolerance as people age?
    Decreases
  53. TPN, most common complication
    Infection
  54. TPN, change IV line every
    24 hrs
  55. 95% lipids in diet are
    Triglycerides
  56. Talk to pt while eating?
    Yes, provides pleasent and social environment
  57. Where do you stand when feeding pt?
    Sit, eye level
  58. TPN, peripheral % glucose
    Up to 10%
  59. TPN, monitor weight....
    Daily, after voiding, same time, same scale.
  60. TPN, tachypnea may indicate?
    Increase carbs, increasing CO2
  61. What confirms venous thrombosis?
    Venogram
  62. TPN, monitor blood glucose....
    Q 6 hrs initially, then daily
  63. TPN, pts could also require
    Insulin due to glucose in TPN
  64. TPN, reasonable weight gain goal
    1 lb/wk, no more than 3 lb/wk
  65. Diff b/t complete, incomplete proteins
    • Complete, animal, high quality
    • Incomplete, plants, low quality
    • Based on amino acids
  66. BMR of women
    0.9 cal/kg per hr
  67. BMR of males
    1 cal/kg per hour
  68. Tube feeding, monitor gastric emptying every
    4 hours
  69. Formation of glucose from noncarb molecules
    Gluconeogenesis
  70. Glycogenesis
    Glycogen anabolism from glucose in liver
  71. Storage form of carbs in body
    • Glycogen, in liver.
    • Excess stored as fat
  72. Why fewer calories needed in adulthood
    Decreased BMR
  73. Dyshpagia
    Diff swallowing
  74. Tube feeding, flush every
    4 hours
  75. Typical amount/time of tube feedings
    200-350 ml over 15-30 min
  76. Most common cause aspiration in adults during oral feedings
    Dysphagia
  77. 4 signs of dysphagia
    • Multiple attempts at swallowing
    • Food stuck
    • Poor lip/tounge control
    • Cough/gasps
  78. More diff to swallow, thick or thin fluids
    Thin
  79. TPN rate to slow =
    Little benefit
  80. Animal fats are
    Saturated

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