Term
|
Definition
| predigested and can be absorbed after limited digestion |
|
|
Term
|
Definition
| limits GI tract colonization |
|
|
Term
|
Definition
| inhibit and destroy pathogens |
|
|
Term
|
Definition
| detoxifies endotoxins and delivers immunoglobulin A to gut and lymph tissue |
|
|
Term
| mucous lining of intestines |
|
Definition
| provides a barrier against bacteria |
|
|
Term
| Where is stomach heard best? |
|
Definition
|
|
Term
| Where is duodenum heard best? |
|
Definition
|
|
Term
| Where is jejunum heard best? |
|
Definition
|
|
Term
| Signs and symptoms of aspiration |
|
Definition
restlessness
dyspnea
hypoxia
cough
wheezing
coarse crackles
fever |
|
|
Term
| risk factors for aspiration |
|
Definition
decreased LOC
Decreased cough or gag reflex
ileus
large bore tube
dislodgment of tube
HOB flat
elderly
mechanical ventilation |
|
|
Term
| common reasons for inadequate enteral feedings? |
|
Definition
1. interruptions for procedures
2. Diarrhea
3. Emesis
4. Large Residual Volumes
5. Feeding tube replacements |
|
|
Term
|
Definition
1, impaired absorption of nutrients
2. inability to achieve or maintain enteral access
3. Motility disorders
4. need for bowel rest |
|
|
Term
| Impaired absorption of nutrients |
|
Definition
short bowel syndorme
small bowel obstruction |
|
|
Term
| inability to achieve or maintain enteral access |
|
Definition
gi bleeding
persistant vomiting |
|
|
Term
|
Definition
prolonged ileus
organ myopathy |
|
|
Term
|
Definition
inflammatory bowel
sever pancreatitis |
|
|
Term
| Signs and symptoms of hypoglycemia |
|
Definition
sweating
hunger
weakness
tremors
irritability
confusion |
|
|
Term
| signs and symptoms of hyperglycemia |
|
Definition
thirst
polyuria
blurred vision
headache
weakness
fatigue
NV
dehydration |
|
|
Term
| avoiding refeeding syndrome |
|
Definition
-correct electrolyte imbalances before feeding
-carefully restore circulatory volume
-monitor intake and output
-start at 50% of nutritional needs and increase slowly
-careful monitoring and replacement of electrolytes until levels are stable |
|
|
Term
| how to avoid hepatic dysfunction |
|
Definition
-avoid overfeeding
-limit CHO to 30-50%
-provide 10-30% of calories as lipids
-mimic normal meal patterns
-avoid complete bowel rest is possible |
|
|
Term
| risk factors for catheter related infection |
|
Definition
advanced age
altered immunocompetence
distant site of infection
neutropenia
jugular or femoral sites
non tunneled
multi lumen
trauma during catheter placement |
|
|
Term
| candidates for obesity surgery |
|
Definition
-morbid obese >5 yrs
-failure to lose weight with other forms of therapy
-no serious endocrine cause for obesity
-absence of severe comorbidity
-psychiatric and social stability
-presence of high risk condition that weight loss would improve |
|
|
Term
|
Definition
-rapid emptying of gastric contents into the small intestine
-S/S NV, weakness, sweating, faintness, diarrhea |
|
|
