Podcast
Questions and Answers
Which statement about nutrition support is false?
Which statement about nutrition support is false?
- Enteral nutrition is more cost-effective than parenteral nutrition.
- Enteral nutrition is safer than parenteral nutrition. (correct)
- Parenteral nutrition is less physiologic than enteral nutrition.
- Prophylactic insertion of a parenteral nutrition tube in clients with head and neck cancer is standard procedure.
Which group of patients is most likely to have increased electrolyte requirements?
Which group of patients is most likely to have increased electrolyte requirements?
- Patients with congestive heart failure.
- Patients with liver disease.
- Malnourished patients with refeeding syndrome. (correct)
- Patients with diabetes mellitus.
What is a potential complication of nasoenteric tube feeding?
What is a potential complication of nasoenteric tube feeding?
- Myocardial infarction. (correct)
- Epistaxis.
- Ileal perforation.
- Otitis media.
What is commonly cited as a primary cause of diarrhea in ICU patients receiving tube feeding?
What is commonly cited as a primary cause of diarrhea in ICU patients receiving tube feeding?
What issue arises from traditional protocols for initiating enteral nutrition support in ICU clients?
What issue arises from traditional protocols for initiating enteral nutrition support in ICU clients?
Which method is typically used for delivering parenteral nutrition?
Which method is typically used for delivering parenteral nutrition?
Which condition is least likely to necessitate the use of enteral nutrition?
Which condition is least likely to necessitate the use of enteral nutrition?
What is a known advantage of the enteral route over the parenteral route in nutrition support?
What is a known advantage of the enteral route over the parenteral route in nutrition support?
What is the most likely reason Mrs. M.C. was given Lasix?
What is the most likely reason Mrs. M.C. was given Lasix?
What does a drop in Mrs. M.C.'s serum transthyretin concentration indicate?
What does a drop in Mrs. M.C.'s serum transthyretin concentration indicate?
What is the significance of Mrs. M.C. weighing 185 lb at admission compared to her usual weight?
What is the significance of Mrs. M.C. weighing 185 lb at admission compared to her usual weight?
Why might Mrs. M.C. be experiencing partial airway obstruction?
Why might Mrs. M.C. be experiencing partial airway obstruction?
Which factor is least likely to contribute to Mrs. M.C.'s regurgitation during enteral feeding?
Which factor is least likely to contribute to Mrs. M.C.'s regurgitation during enteral feeding?
What does a rapid weight gain from 155 lb to 185 lb indicate about Mrs. M.C.'s health?
What does a rapid weight gain from 155 lb to 185 lb indicate about Mrs. M.C.'s health?
What might be contributing to Mrs. M.C.'s fever and congested chest?
What might be contributing to Mrs. M.C.'s fever and congested chest?
Which adjustment would most accurately reflect Mrs. M.C.'s adjusted body weight given her height?
Which adjustment would most accurately reflect Mrs. M.C.'s adjusted body weight given her height?
Flashcards
Enteral nutrition vs Parenteral nutrition
Enteral nutrition vs Parenteral nutrition
Enteral nutrition uses the GI tract for feeding, while parenteral nutrition delivers nutrients intravenously. Enteral is generally safer and more cost-effective.
Parenteral nutrition use in malnourished clients
Parenteral nutrition use in malnourished clients
Parenteral nutrition is used when starvation risk outweighs the risks associated with the procedure
PICC line advantages
PICC line advantages
A PICC line is a type of central venous access catheter. Advantages compared to other PN routes include longer-term use, less frequent insertion, and lower risk of infection.
Electrolyte requirements in TPN patients
Electrolyte requirements in TPN patients
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ICU enteral nutrition protocols' downfall
ICU enteral nutrition protocols' downfall
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ICU patient diarrhea cause
ICU patient diarrhea cause
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Nasogastric feeding complications
Nasogastric feeding complications
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Patient Mrs. M.C. Summary
Patient Mrs. M.C. Summary
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Mrs. M.C.'s weight gain
Mrs. M.C.'s weight gain
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Mrs. M.C.'s fluid therapy
Mrs. M.C.'s fluid therapy
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Mrs. M.C.'s serum transthyretin
Mrs. M.C.'s serum transthyretin
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Possible reasons for Mrs. M.C.'s fever
Possible reasons for Mrs. M.C.'s fever
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Intravenous fluids (D5/0.45 saline with 20 KCl)
Intravenous fluids (D5/0.45 saline with 20 KCl)
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Mrs. M.C.'s current nutritional status
Mrs. M.C.'s current nutritional status
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Lasix use in Mrs. M.C.
Lasix use in Mrs. M.C.
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Usual body weight interpretation
Usual body weight interpretation
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Study Notes
Nutrition Support
- Enteral nutrition is generally considered safer than parenteral nutrition.
- Prophylactic insertion of a parenteral nutrition tube for head and neck cancer clients is not standard procedure.
- Enteral nutrition is often more cost-effective than parenteral nutrition.
- Parenteral nutrition is used when starvation risk outweighs the risks of administration.
- Parenteral nutrition is less physiological than enteral nutrition.
Defining the PICC Route
- PICC (Peripherally Inserted Central Catheter) is a type of central venous access.
- Advantages: Less invasive than other routes, and can be peripherally inserted (compared to other central lines).
TPN (Total Parenteral Nutrition) Electrolyte Requirements
- Malnourished patients with refeeding syndrome have increased electrolyte needs.
- Patients with renal failure also have increased electrolyte needs.
- Patients with liver disease have increased electrolyte needs.
- Patients with congestive heart failure and diabetes mellitus may need adjusted electrolyte requirements.
Enteral Nutrition Support Criticisms
- Protocols for initiating enteral nutrition in ICU clients can have criticisms.
Diarrhea in ICU Patients
- The most common cause of diarrhea in ICU patients is altered gut flora from antibiotic use.
- High osmolarity tube feeds can also be a cause.
Nasoenteric Tube Feeding Complications
- Potential complications from nasoenteric feeding include otitis media, myocardial infarction, ileal perforation, empyema, and epistaxis
Case Study: Mrs. M.C.
- 65-year-old Chinese woman with severe dysphagia (difficulty swallowing) after cerebrovascular accidents (CVA)
- Fed exclusively by enteral nutrition for 3 years.
- Presented with fever, agitation, difficulty breathing, and accumulation of fluids post-regurgitation of formula.
- Experienced a significant drop in serum transthyretin concentration from 16 mg/dL to 11 mg/dL.
- Regurgitation, fever, and congested chest are primary concerns.
- Patient's medical history includes hypercholesterolemia, hypertriglyceridemia, and hypothyroidism
- Patient has a history of heavy drinking and smoking.
- Weight change, nutritional status, energy needs, and protein needs should be reassessed.
- Evaluation of appropriate nutritional support methods is necessary.
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