Podcast
Questions and Answers
Which of the following is an indication for parenteral nutrition?
Which of the following is an indication for parenteral nutrition?
Which complication is most commonly associated with enteral nutrition?
Which complication is most commonly associated with enteral nutrition?
What is a contraindication for peripheral parenteral nutrition (PPN)?
What is a contraindication for peripheral parenteral nutrition (PPN)?
What is the primary advantage of enteral nutrition over parenteral nutrition?
What is the primary advantage of enteral nutrition over parenteral nutrition?
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Which of the following is a hallmark complication of parenteral nutrition?
Which of the following is a hallmark complication of parenteral nutrition?
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Which enteral feeding method is most appropriate for a critically ill patient with poor glycemic control?
Which enteral feeding method is most appropriate for a critically ill patient with poor glycemic control?
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What is the preferred feeding route for a patient requiring enteral nutrition for 4-6 weeks?
What is the preferred feeding route for a patient requiring enteral nutrition for 4-6 weeks?
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What is a characteristic of total parenteral nutrition (TPN)?
What is a characteristic of total parenteral nutrition (TPN)?
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A patient with esophageal cancer undergoing surgery needs enteral nutrition. Which feeding tube is most appropriate?
A patient with esophageal cancer undergoing surgery needs enteral nutrition. Which feeding tube is most appropriate?
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Which hospital diet is appropriate for a patient recovering from a bowel resection and starting oral intake?
Which hospital diet is appropriate for a patient recovering from a bowel resection and starting oral intake?
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What is the hallmark electrolyte abnormality in refeeding syndrome?
What is the hallmark electrolyte abnormality in refeeding syndrome?
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Which patient is at the highest risk for refeeding syndrome?
Which patient is at the highest risk for refeeding syndrome?
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What is a critical first step before initiating nutrition in a malnourished patient?
What is a critical first step before initiating nutrition in a malnourished patient?
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What dietary modification minimizes refeeding syndrome risk in enteral feeding?
What dietary modification minimizes refeeding syndrome risk in enteral feeding?
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Which clinical feature is associated with refeeding syndrome?
Which clinical feature is associated with refeeding syndrome?
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Which condition warrants a referral to a speech therapist?
Which condition warrants a referral to a speech therapist?
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A patient with cirrhosis and severe malnutrition requires nutritional support. Who should be consulted?
A patient with cirrhosis and severe malnutrition requires nutritional support. Who should be consulted?
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What is the main dietary intervention for a patient with dysphagia?
What is the main dietary intervention for a patient with dysphagia?
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Which condition commonly requires a registered dietitian's intervention?
Which condition commonly requires a registered dietitian's intervention?
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What is a clinical indicator for a speech therapy referral in stroke patients?
What is a clinical indicator for a speech therapy referral in stroke patients?
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Which hospital diet is indicated for patients with dysphagia?
Which hospital diet is indicated for patients with dysphagia?
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What is the most appropriate feeding method for a patient with a GI fistula?
What is the most appropriate feeding method for a patient with a GI fistula?
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Which feeding route is most appropriate for a patient with severe gastroparesis?
Which feeding route is most appropriate for a patient with severe gastroparesis?
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Which electrolyte abnormality requires correction before initiating TPN in a malnourished patient?
Which electrolyte abnormality requires correction before initiating TPN in a malnourished patient?
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What is the best diet for a patient with acute diverticulitis?
What is the best diet for a patient with acute diverticulitis?
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Study Notes
Parenteral and Enteral Nutrition
- Parenteral nutrition (PN): Used for non-functional GI tracts, such as short bowel syndrome.
- Enteral nutrition: Preferred when the GI tract is functional.
- Complications of enteral nutrition: Tube site infections are common.
- Contraindications for peripheral parenteral nutrition (PPN): Severe malnutrition. PPN cannot meet high caloric/nutritional needs of severely malnourished patients.
- Advantage of enteral nutrition over parenteral nutrition: Maintains gut integrity.
- Hallmark complication of parenteral nutrition: Hyperglycemia.
- Preferred feeding route for 4-6 weeks: Nasojejunal tube.
- Total parenteral nutrition (TPN): Administered via central venous access due to high osmolarity.
- Feeding tube for esophageal cancer: J-tube.
- Post-bowel resection diet: Clear liquid diet.
- Appropriate feeding method for GI fistula: Total parenteral nutrition (TPN).
- Appropriate feeding for severe gastroparesis: Nasojejunal tube (NJ tube).
Refeeding Syndrome
- Hallmark electrolyte abnormality: Hypophosphatemia.
- High risk patients: Patients with eating disorders.
- Critical first step before nutrition: Correcting electrolyte abnormalities (e.g., phosphorus, potassium, magnesium).
- Minimizing refeeding syndrome risk in enteral feeding: Slow advancement of feeding rate.
- Clinical feature associated with refeeding syndrome: Fluid retention.
Dysphagia
- Dietary intervention: Pureed food and thickened liquids.
Speech Therapy Referral
- Indicator for referral: Aphasia (communication deficit).
Specific Diets
- Acute diverticulitis diet: Clear liquid diet initially, advancing to low-fiber diets as tolerated.
- Severe gastroparesis: Nasojejunal tube (NJ tube).
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Description
This quiz covers the principles of parenteral and enteral nutrition, emphasizing their applications, advantages, and potential complications. Learn about feeding methods for various conditions like esophageal cancer and GI fistula management. Test your knowledge on when to use total parenteral nutrition versus enteral nutrition.
