Nutrition in Surgery

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Questions and Answers

What is the primary goal of preoperative nutrition?

  • To reduce the risk of complications and mortality
  • To ensure adequate nutrition to support wound healing and recovery (correct)
  • To optimize immune function and reduce infection risk
  • To reduce the length of stay

Which of the following is a component of parenteral nutrition?

  • Antibiotics
  • Antihistamines
  • Pain medication
  • Electrolytes, vitamins, and minerals (correct)

What is the primary indication for parenteral nutrition?

  • Inability to tolerate enteral nutrition (correct)
  • Severe malnutrition or cachexia
  • Dehydration
  • Electrolyte imbalance

What is the goal of postoperative nutrition?

<p>To support protein synthesis and muscle function (C)</p> Signup and view all the answers

What is the name of the administration method used for long-term parenteral nutrition therapy?

<p>Home parenteral nutrition (D)</p> Signup and view all the answers

What is the benefit of optimal nutrition status prior to surgery?

<p>Reduces the risk of complications and mortality (B)</p> Signup and view all the answers

Which enteral nutrition route involves inserting a tube directly into the stomach through the abdomen?

<p>Gastrostomy tube (A)</p> Signup and view all the answers

What is a benefit of enteral nutrition in terms of malnutrition prevention?

<p>Maintaining muscle mass and strength (C)</p> Signup and view all the answers

Which of the following is a way enteral nutrition supports gastrointestinal health?

<p>Supporting the growth of beneficial gut flora (D)</p> Signup and view all the answers

What is the primary difference between enteral and parenteral nutrition?

<p>Route of administration (D)</p> Signup and view all the answers

Which of the following is a route of administration for parenteral nutrition?

<p>Central vein (D)</p> Signup and view all the answers

What is a potential complication that enteral nutrition can help reduce the risk of?

<p>Diarrhea (D)</p> Signup and view all the answers

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Study Notes

Preoperative Nutrition

  • Importance:
    • Optimal nutrition status prior to surgery improves postoperative outcomes
    • Reduces risk of complications, length of stay, and mortality
  • Goals:
    • Ensure adequate nutrition to support wound healing and recovery
    • Optimize immune function and reduce infection risk
  • Interventions:
    • Nutritional screening and assessment
    • Individualized nutrition plans
    • Oral nutrition supplements (ONS) and immunonutrition

Postoperative Nutrition

  • Importance:
    • Adequate nutrition essential for wound healing, tissue repair, and recovery
    • Reduces risk of complications, readmissions, and mortality
  • Goals:
    • Support protein synthesis and muscle function
    • Meet increased energy and protein needs
  • Interventions:
    • Early enteral nutrition (EN) or parenteral nutrition (PN) initiation
    • ONS and immunonutrition
    • Monitoring of nutrition status and adjustment of nutrition plans

Parenteral Nutrition (PN)

  • Definition:
    • Intravenous administration of nutrients, including protein, carbohydrates, fats, vitamins, and minerals
  • Indications:
    • Inability to tolerate enteral nutrition (EN)
    • Intestinal failure or obstruction
    • Severe malnutrition or cachexia
  • Components:
    • Amino acids (protein)
    • Dextrose (carbohydrates)
    • Lipids (fats)
    • Electrolytes, vitamins, and minerals
  • Administration:
    • Central venous access devices (CVADs)
    • Peripheral parenteral nutrition (PPN)
    • Home parenteral nutrition (HPN) for long-term therapy

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