Fill Me Up
How high should the HOB be while feeding?
30 degrees
Give two sources of Vitamin C.
Citrus fruits, broccoli
Normal Sodium?
135-145
The most important organ to worry about in potassium imbalance
Heart
The most accurate indicator of fluid status.
Daily Weights
How much of your calories should come from carbs?
Carbs: 45-65%
Protein: 15-25%
Fat: 20-35%
When documenting ice chips, how will you document them under I and O?
Half of the volume
Normal Potassium?
3.5-5
Cerebral Edema
What respiratory pattern causes respiratory alkalosis?
Hyperventilation
BMI of 39 is?
Obese II
What supplement do you take along with calcium?
Vitamin D
Normal Calcium?
9-10.5
The two R's to assess for in magnesium imbalance
Respirations and Reflexes
What lung sounds are expected in fluid volume excess?
Crackles
Fast Feeding, Formula is too concentrated, formula intolerance
The most definitive test to confirm placement of NG Tube.
X-ray
Normal Phosphorus?
2-4.5
Too much vomiting will cause what electrolyte imbalance?
Hyponatremia, Hypochloremia, Hypokalemia
Too much vomiting will cause what imbalance?
Metabolic Alkalosis
Two great ways to assess food intake.
Food diary and 24 hour recall
Every 6 hours
Normal Magnesium?
1.5-2.5
Hyperphosphatemia will cause what imbalance?
Hypocalcemia
What is the water shifting pattern when administering a HYPERtonic solution?
ICF to ECF
What happens if you hold the feeding too fast?
Rebound Hypoglycemia
Every 4 hours with 30 ml of water, before and after meds, and any interruptions in the feeding
Normal Skin turgor Test?
<2 seconds
What kind of medication causes a loss of calcium, sodium, potassium, and magnesium?
What kind of respirations are expected of metabolic acidosis?
Kussmaul's Respirations
In anemia, what happens to the tongue?
Glossitis (Beefy Red Tongue)
What are the conditions of holding the feed when aspirating for gastric contents?
>500 mL One Time
2 consecutive measurements 1 hour apart >250 mL
(Normal is less than 250 mL or half of the amount of the last feed)
Normal Blood pH, HCO3, PCO2, and PaO2?
7.35-7.45, 22-28, 35-45, 80-100
Chvostek's Sign, Trousseau's Sign
What is MUDPILES?
Methanol, Uremia, DKA, Polyethylene Glycol/Paraldehyde, Isoniazid/Iron, Lactic Acidosis, Ethylene Glycol/ETOH, Salicylates/Sepsis