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Enternal and Parenteral NutritionMedical-Surgical Nursing-7th edition

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Question Answer
A client on aspiration precautions should remain upright for _______ after eating.
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30 minutes
_______ is the use of specific nutritional therapies to treat illness, injury or medical condition.
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Medical Nutrition Therapy (MNT)
Compleat B, Formula 2 and Vitaneed are examples of _______ preparations.
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Blenderized
A critically ill patient may require _______ to _______ calories per day.
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3,000 to 5,000
_______ are prescribed for the critically ill or for those who receive feedings into the small intestine. Given by an infusion pump over 24 hours. 50-125 mL/hr.
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Continuous Feeding
The _______ is a form of continuous feeding that is infused 8-16 hours daily. Daytime = restless or at risk for aspiration patients. Night = ambulatory patients.
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Cyclic Method
Ensure, Isocal, and Osmolite are examples of _______ solutions.
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Polymeric
_______ solutions are useful for partial GI tract dysfunction.
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Monomeric Solutions
Lipids are a fat emulsion solution and are usually indicated when IV therapy is longer than _______ days.
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5
When _______% of a client's needs are being met by reliable dietary intake, PN is usually discontinued.
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75%
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A malnourished client's receiving TPN. She begins experiencing cardiac dysrhythmias, CHF, respiratory distress, convulsions, and coma. This is...
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Refeeding Syndrome
Clients on TPN need exogenous vitamin _______.
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K
How is catheter sepsis prevented?
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Change TPN tubing every 24 hours. Don't hang lipids over 12 hours. Use sterile mask and gloves during changes. Clean injection port each time it's used. In-line 0.22 um filter.
A client on TPN has chills, fever, and glucose tolerance. You suspect they have...
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catheter sepsis
How can an air embolus be prevented during insertion of a TPN catheter?
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Have them lay on left lateral decubitus position and perform Valsalva maneuver.
A client on PN has diaphoresis, shakiness, confusion, and decreased LOC. They most likely have...
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Hypoglycemia. Taper TPN to 10% of infusion rate 1-2 hours before stopping. Administer 50% dextrose or glucagon.
What are possible complications of PN therapy?
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Metabolic alterations, pneumothorax (right after placement), air embolus from insertion or changing tubing, and catheter sepsis.
Continuous tube feedings are began at the prescribed rate. It is increased every _______ hours, usually by _______mL.
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8-12 hours by 30-60 mL
Intermittent feedings should begin with _______mL at a time. It should be increased in _______mL increments over 4-6 feedings.
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150-250; increased 50 mL
Bolus tube feedings should be infused over _______ minutes.
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20-30 minutes
Isometric tube feedings whether intermittent or continuous should be started at _______.
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Full strength (300-400 mOsm)
  
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