NSG 219: Exam 2
-lack of sufficient nutrients: either not available
What is malnutrition? or the body can not use due to digestive
disorders or other conditions
can someone be obese and malnourished? Yes- poor choice of food and vitamins
-NPO for >3 days
-dental/oral conditions
-stress/illness
what are some risk factors for malnutrition?
-restricted activity
-need to be fed/feeder
-medications
, -Physical: disease, meds, oral, taste, constipation
-decreased LES pressure, decreased intestinal
what are some nutritional considerations for
motility, decreased acidity in stomach
elderly?
*can they live independently and feed/cook
independently
-family history
-acute/chronic illness
-current meds
what are some examples of subjective data in -cognitive status
relation to malnutrition? -usual eating patterns
-changes in appetite
-culture/ethnicity/religion diet--african americans
-who prepares the food
-appearance: low body weight, prominent
bones, thin arms/legs, stunted growth
what are some examples of objective data -dental condition
related to malnutrition? -BMI, weight
- functional state- ADLs, physical mobility
- weight loss >5% in last month
how do you calculate BMI? weight (kg) / height (m^2)
what is the BMI for obesity? over 30
-inspection, height, weight, ability to chew
what does a nutritional assessment include? and swallow, recent changes in appetite and
food intake, family history
T/F: the joint commission patient care
standards require a nutrition screening within TRUE
24 hours of admission
, -CBC-H & H
-electrolytes -do not take in pregnant or breast
feeding
-bupropion opioid antagonist and antidepressant
what does naltrexone do? -do not take if pt is on bupropion or pt is withdrawing from drugs or
alcohol
what are some criteria for bariatric surgery? -BMI >40 or >35 with additional risk factors
, -sleep apnea
what does bariatric surgery "cure"? -diabetes mellitus
-hypertension
what is a potential complication of bariatric anastomotic leak: pain, restlessness, oliguria,
surgery? tachycardia
-if NG places- do not reposition
-monitor for anastomotic leak, DVT, respiratory
what are some postoperative tasks to know with dehiscence
bariatric surgery? -dumping syndrome: food (mostly high in sugar
foods) moves from stomach into small bowel too
quickly after eating
-lack of sufficient nutrients: either not available
What is malnutrition? or the body can not use due to digestive
disorders or other conditions
can someone be obese and malnourished? Yes- poor choice of food and vitamins
-NPO for >3 days
-dental/oral conditions
-stress/illness
what are some risk factors for malnutrition?
-restricted activity
-need to be fed/feeder
-medications
, -Physical: disease, meds, oral, taste, constipation
-decreased LES pressure, decreased intestinal
what are some nutritional considerations for
motility, decreased acidity in stomach
elderly?
*can they live independently and feed/cook
independently
-family history
-acute/chronic illness
-current meds
what are some examples of subjective data in -cognitive status
relation to malnutrition? -usual eating patterns
-changes in appetite
-culture/ethnicity/religion diet--african americans
-who prepares the food
-appearance: low body weight, prominent
bones, thin arms/legs, stunted growth
what are some examples of objective data -dental condition
related to malnutrition? -BMI, weight
- functional state- ADLs, physical mobility
- weight loss >5% in last month
how do you calculate BMI? weight (kg) / height (m^2)
what is the BMI for obesity? over 30
-inspection, height, weight, ability to chew
what does a nutritional assessment include? and swallow, recent changes in appetite and
food intake, family history
T/F: the joint commission patient care
standards require a nutrition screening within TRUE
24 hours of admission
, -CBC-H & H
-electrolytes -do not take in pregnant or breast
feeding
-bupropion opioid antagonist and antidepressant
what does naltrexone do? -do not take if pt is on bupropion or pt is withdrawing from drugs or
alcohol
what are some criteria for bariatric surgery? -BMI >40 or >35 with additional risk factors
, -sleep apnea
what does bariatric surgery "cure"? -diabetes mellitus
-hypertension
what is a potential complication of bariatric anastomotic leak: pain, restlessness, oliguria,
surgery? tachycardia
-if NG places- do not reposition
-monitor for anastomotic leak, DVT, respiratory
what are some postoperative tasks to know with dehiscence
bariatric surgery? -dumping syndrome: food (mostly high in sugar
foods) moves from stomach into small bowel too
quickly after eating
