Tubes, tubes, tubes
Correct position for a patient with a feeding tube
What is head elevated 30-45 degrees?
When the Body Mass Index (BMI) is greater than 30
What is the definition of obesity?
This is used to determine liver function because it is synthesized in the liver; Included in the nutritional screening to determine the presence of an ample supply of protein over an extended period of time (p. 674)
What is albumin?
This diet is limited to broths, water, teas, coffee or other carbonated beverages and clear juices; provides fluids and carbohydrates only; short-term use only.
What is a clear liquid diet?
This results from the slow progression of digested food through the GI tract; Lack of fluids or fiber causes this condition (p. 675)
What is constipation?
What is a percutaneous endoscopic gastrostomy (PEG) tube?
What is malnutrition?
These laboratory values are used to identify the number and percentage of circulating erythrocytes, their ability to provide oxygen to the cells, and the body's iron store status (p. 675).
What are Hemoglobin and Hematocrit "H&H"?
Type of diet in place before/after surgery, GI bleeding, intestinal blockage, or used for a comatose (unconscious) patient (p. 679).
What is nothing by mouth (NPO)?
Dietary sources of calcium (p. 663) - NAME TWO FOR POINTS
What are milk and milk products, salmon with bones, spinach, kale, fortified whole wheat bread, tofu and orange juice?
Considered the "gold standard" to verify tube placement before the initial feeding (p. 682)
What is radiology (x-ray) verification?
Individuals are classified as THIS if their BMI is greater than 40 or they are more than 50% above their ideal body weight (p. 668)
What is morbidly obese?
These are commonly ordered to evaluate kidney function in people with disease processes known to affect the kidneys; Determines the extent of kidney dysfunction, its progression, and the effectiveness of treatment (p. 674)
What is blood urea nitrogen (BUN) and creatinine?
A diet that restricts potassium, sodium, protein, and phosphorus intake (p. 678).
What is a renal diet?
This is similar to calcium and plays a major role in developing bone and aids in muscle contraction, kidney function, nerve conduction, and maintaining a regular heartbeat. Sufficient intake of milk and meat products is required to keep adequate levels (p. 663).
What is phosphorus?
Identify TWO reasons a patient needs an NG (nasogastric) tube placed (p. 679).
What are short-term nutritional therapy and bowel decompression?
Coughing, incomplete lip closure, poor tongue control, excessive chewing, gagging before swallowing or failure to swallow, holding foods in the cheek, or refusal to eat (p. 679)
What are the signs and symptoms of dysphagia?
These levels measure the amount of protein contained in the internal organs and are valuable for determining RECENT nutritional status (p. 673)
What is Prealbumin?
Low-cholesterol and low-sodium dietary items, minimizing the intake of animal products, soups, and processed foods (p. 678).
What is a cardiac diet?
Dietary sources of THIS include milk, bananas, legumes, green leafy vegetables, orange juice, tomatoes, vegetable juice, avocados, and cantaloupe (p. 663)
What is potassium?
The amount of water that the feeding tube should be flushed with, before and after medication administration, and following any interruption in feedings to ensure that the tube remains patent (p. 689)
What is 30 ml of water?
Identify a nursing intervention for a patient who is at risk of aspiration (p. 674)
What is keeping HOB elevated at all times? Encouraging slow eating patterns, following orders for dietary consistencies and textures, and instructing the patient to avoid eating/drinking 2-3 hours before sleep...(and many more)
People with a low level of THIS should be encouraged to increase their intake of foods that are high in iron (p. 675)
What is hemoglobin?
A diet to control the amount of calories by controlling carbohydrate intake. High-fiber complex carbohydrates are preferred to simple carbohydrates, sugars, and starchy foods (p. 678)
What is a diabetic (ADA) diet?
Fluid intake needs to be monitored closely in patients experiencing these three conditions (p. 661). YOU MUST IDENTIFY 2 of 3 for points.
What is fluid overload, congestive heart failure, and/or renal (kidney) disease?