MNT: Enteral Nutrition UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Nutrition Support - 2 types - CORRECT ANSWER - Enteral Nutrition - always preferred!
Parenteral Nutrition (TPN/PPN)
Enteral Nutrition - goal - CORRECT ANSWER - Goal: provide caloric sufficiency to
promote recovery or repletion during the phase of inadequate oral intake
First Approach-Support by Mouth - CORRECT ANSWER - Therapeutic diets (other than
Reg)
Modified texture
- Thin liquids are harder to control than thickened liquids; person may not be safe for oral intake,
may need enteral nutrition
Preparing for a medical test
Supplements
Modular products
- protein powders, calorie additives, in small amts can add a lot
Appetite stimulants
Second Step-Enteral Nutrition 1. When? - CORRECT ANSWER - Functional GI tract
Provision of nutrients via a tube into the GI tract
Presence of a fistula (< 500cc output, able to feed 40 cm distal to no further than mid-jejunum)
Poor qualitative/quantitative intake (inadequate oral intake for 7-14 days)
Altered mental status
Swallow Dysfunction
Hypermetabolic conditions
, Fistula - abnormal connection btn 2 epithelial surfaces
Contraindications for Use (6 reasons) - CORRECT ANSWER - Non-functional GI tract
Diffuse peritonitis
- Infection in peritoneum
Obstruction or ileus that prevents intestinal contents from passing through the intestines)
Intractable vomiting or diarrhea not responsive to medical management
Massive GI bleed/ulcerations
Not desired by patient
Decision to Use Enteral Nutrition - YES - CORRECT ANSWER - YES
Maintenance of nutrition status
Provision of nutrients to GI cells
->
Maintenance of GI integrity
Decision to Use Enteral Nutrition - NO - CORRECT ANSWER - NO
Atrophy of GI
Cells starved
->
Breakdown of mucosal barrier
->
Risk of sepsis
(bacterial translocation)
->
Development of sepsis
->
Multi-organ failure
ACTUAL Exam Questions and CORRECT
Answers
Nutrition Support - 2 types - CORRECT ANSWER - Enteral Nutrition - always preferred!
Parenteral Nutrition (TPN/PPN)
Enteral Nutrition - goal - CORRECT ANSWER - Goal: provide caloric sufficiency to
promote recovery or repletion during the phase of inadequate oral intake
First Approach-Support by Mouth - CORRECT ANSWER - Therapeutic diets (other than
Reg)
Modified texture
- Thin liquids are harder to control than thickened liquids; person may not be safe for oral intake,
may need enteral nutrition
Preparing for a medical test
Supplements
Modular products
- protein powders, calorie additives, in small amts can add a lot
Appetite stimulants
Second Step-Enteral Nutrition 1. When? - CORRECT ANSWER - Functional GI tract
Provision of nutrients via a tube into the GI tract
Presence of a fistula (< 500cc output, able to feed 40 cm distal to no further than mid-jejunum)
Poor qualitative/quantitative intake (inadequate oral intake for 7-14 days)
Altered mental status
Swallow Dysfunction
Hypermetabolic conditions
, Fistula - abnormal connection btn 2 epithelial surfaces
Contraindications for Use (6 reasons) - CORRECT ANSWER - Non-functional GI tract
Diffuse peritonitis
- Infection in peritoneum
Obstruction or ileus that prevents intestinal contents from passing through the intestines)
Intractable vomiting or diarrhea not responsive to medical management
Massive GI bleed/ulcerations
Not desired by patient
Decision to Use Enteral Nutrition - YES - CORRECT ANSWER - YES
Maintenance of nutrition status
Provision of nutrients to GI cells
->
Maintenance of GI integrity
Decision to Use Enteral Nutrition - NO - CORRECT ANSWER - NO
Atrophy of GI
Cells starved
->
Breakdown of mucosal barrier
->
Risk of sepsis
(bacterial translocation)
->
Development of sepsis
->
Multi-organ failure
