Name that diet
What does DAT mean?
Diet as tolerated
I've just had a bowel surgery and I am able to transition to DAT. What type of diet modification do you think I need?
Low-residue / low-fiber diet
Why does the consumption of Vitamin C aid in wound healing?
Helps stabilize collagen, and support the tensile strength of the wound tissues.
I provide glucose for cellular activity. You can find me in bread, oats, rice, potatoes..etc.
Carbohydrates
Where can I administer TPN?
Peripheral vein (short-term) and Central vein (long-term)
What kind of diet would you find orange juice with pulp?
Full fluid diet
I've got kidney and liver disease. What kind of diet should I consider?
Protein-controlled diet to maintain nutritional status but avoid buildup of waste products from protein metabolism. I should consume 40-60g of protein every day.
What role does vitamin K provide?
Blood clotting factors. This is required for blood coagulation and can contribute to bone health.
I am important when you're bleeding. You can find me in liver and green leafy vegetables.
Vitamin K
What type of patients may require TPN?
Patient's with GI disorders, usually of the small bowel (Crohn's, adhesions, post-op ileus), necrotizing pancreatitis, pediatric patients with congenital anomalies, burn patients, trauma patients, anorexic patients or patients that cannot tolerate enteral feeds temporarily.
Soft Diet
I am suffering from gout. What do I need to decrease in my diet?
Which dietary components are required in the hemostasis stage of wound healing?
Energy, protein and vitamin K
I am an important energy source. I help with cell membrane components, formation of inflammatory mediators and clotting components.
Fat
Which assessments should I consider prior to administration fo TPN?
Obtain health history, allergies. Head to toe assessment. Assess for need for TPN (inadequate oral intake, GI disease, increased metabolic needs). Draw necessary labs prior (CBC, electrolytes, lipid profile, serum iron levels, total protein/albumin levels)
Pureed penne pasta with meat sauce and blended vegetables. Who am I?
Soft Diet/Pureed Diet
You're teaching your client to follow a low-fat diet. What kind of foods would you have her avoid?
whole milk, fried foods, eggs, red meat, avocado, cheese, chocolate, nuts, peanut butter, creamed soups and condiments
Which vitamin helps form red blood cells and maintain brain function. This vitamin also plays an important role in the proteins that are part of many chemical reactions in the body.
Vitamin B6
I help with tissue synthesis and repair. You can find me in meat, eggs, cheese, milk...etc.
Protein
What is TPN made up of?
The patient receives her lunch tray:
Coffee with sugar, Jell-O cup and chicken broth. What kind of diet is the patient receiving?
Clear fluid diet
I need to consume 40-60g of protein every day. What kind of food should I consume?
Beef, Quinoa, Chicken, Pork, Fish, Dairy products and Eggs.
Your patient has a poor-healing stage III pressure ulcer to the coccyx. As the nurse, what diet modifications would you suggest to the MD?
High Protein diet, unless there are contraindications.
I help deliver oxygen to tissues. I generate energy from cells, transferrin, a blood protein and transfer iron to the tissues of the bed.
Iron
Your client was just started on TPN. What should you monitor for?
Vital Signs, signs of infection, solution has been dated and counter-signed, monitor blood glucose levels, monitor for signs of overload, monitor input/output, daily weights and labs, infusion rate is accurate on pump.