Failure to Thrive (FTT)
FTT is diagnosed when a child’s weight falls below this specific percentile.
What is the 5th percentile?
This is the specific number of small meals a GERD patient should eat daily to minimize symptoms.
What is 4 to 6 small meals?
Calculation of this metric is the first step in a nutrition assessment to determine if a patient is overweight.
What is Body Mass Index (BMI)?
This is considered the single most reliable indicator of a client’s fluid status.
What are Trends in weight?
When caring for an older adult with dementia, this is the most important "sensory" intervention during meals.
What is ensuring they have their glasses and hearing aids in?
This is the primary "Rule" for caloric intake when treating a child with FTT to ensure catch-up growth.
What is 2 to 3 times the average rate of weight gain?
A patient with GERD should be taught to avoid eating for at least this many hours before bedtime.
What is 3 hours?
This is the minimum degree of elevation for the head of the bed during a tube feeding.
What is 30 degrees?
If a patient has a long history of PUD, the nurse must report this finding immediately as it indicates a GI bleed.
What is Melena (black, tarry stools)?
This is a behavioral indicator of FTT where the child avoids looking at the caregiver.
What is Avoidance of eye contact?
This term describes the "sunken eye, wasted appearance" seen in severe FTT cases.
What is Cachexia?
This is the priority action for a nurse if a patient with PUD reports sudden, severe epigastric pain.
What is Report immediately to the provider
This type of access is used for long-term enteral feedings rather than a temporary NG tube.
What is an Enterostomal tube
These are the three main counter-regulatory hormones that increase blood glucose during surgical stress.
What are Glucagon, Epinephrine, and Cortisol?
In FTT, formula is often concentrated to this specific number of calories per ounce.
What is 24 cal/oz?
This is the diagnostic method used for FTT if no "organic" (medical) cause is initially discovered.
What is Diagnosis by Response (providing nutrition and nurturing to see if they recover)?
Patients with GERD should avoid these specific types of substances give at least 2
What are chocolate, caffeine, tomatoes, alcohol, peppermint, smoking
This is the primary reason why a nurse must never use soda to clear a clogged feeding tube.
What is "it is not an evidence-based practice and can cause further clogging/harm"
This lab value is used to screen for gestational diabetes between 24 and 28 weeks of pregnancy.
What is a Glucose Challenge Test (GCT)?
This is the "Intense" behavioral indicator where an FTT child is hyper-aware of their surroundings.
What is Intense Watchfulness?
in nonorganic FTT, the child often lacks this normal developmental social anxiety usually seen in toddlers.
What is Stranger Anxiety?
This class of blood pressure medication (CCBs) can actually worsen GERD by lowering LES pressure.
What are Calcium Channel Blockers?
Total Enteral Nutrition (TEN) is delivered through the GI tract, while TPN is delivered via this route.
What is Intravenous (or Peripheral/Central venous access)?
A patient with Metabolic Syndrome is diagnosed if they meet a cluster of 3 or more of these 5 conditions.
What are Abdominal Obesity, Hyperglycemia, Hypertension, High Triglycerides, and Low HDL?
This is the specific goal for the growth rate of a child recovering from FTT compared to the average rate.
What is 2-3 times the average rate?