ATI Nutrition Remediation Flashcards
TPN - ANS-Prior to initiating TPN evaluate patient for allergies to: soybean, safflower, or eggs
TPN should be discontinued as soon as possible to avoid complications, but not until client's
enteral or oral intake can provide > 60% of estimated caloric requirements
Cancer and immunosuppression complications: diarrhea - ANS-- Ensure adequate fluid intake
to replace loss
- Avoid foods high in roughage that can exacerbate diarrhea
- Consume foods high in pectin to increase bulk of stool
- Limit caffeine, hot or cold foods, and fatty foods
Cancer and immunosuppression complications: mouth ulcers and stomatitis - ANS-- use soft
toothbrush to clean teeth after eating and at bedtime
- avoid mouth washes that contain alcohol
- avoid acidic, spicy, dry or coarse foods
- cut food into small bites
- include cold or room-temp foods in diet
- use straws
- replace meals w/ high calorie/protein drinks
- prepare foods that are cooked until soft and tender
- add gravies, broth, and a variety of mild sauces to moisten foods
GI disorders - ANS-Low fiber diets avoid foods high in residue content (whole grain breads and
cereals, raw fruits and vegetables)
- Diets low in fiber reduce frequency and volume of fecal output and slow transit time of food
through digestive tract
- Low fiber diets used short-term for clients w/ diarrhea or malabsorption
Enteral Nutrition - ANS-Elemental formulas: used for clients who have a partially functioning GI
tract, or those who have an impaired ability to digest and absorb foods (ex: IBD, liver failure,
cystic fibrosis, pancreatic disorders, short-gut syndrome)
Feeding tubes should be flushed w/ 20-50 ml of warm water every 4 hr to maintain patency
Check gastric residual volume every 4-6 hours
Dumping syndrome - ANS-Dumping syndrome interventions
- consume small, frequent meals (consume protein and fat, low fiber and carbs at each meal)
- avoid foods that contain concentrated sugars and restrict lactose intake
- plan to consume liquids 1 hour after meals or between meals (no sooner than 30 min after
eating)
TPN - ANS-Prior to initiating TPN evaluate patient for allergies to: soybean, safflower, or eggs
TPN should be discontinued as soon as possible to avoid complications, but not until client's
enteral or oral intake can provide > 60% of estimated caloric requirements
Cancer and immunosuppression complications: diarrhea - ANS-- Ensure adequate fluid intake
to replace loss
- Avoid foods high in roughage that can exacerbate diarrhea
- Consume foods high in pectin to increase bulk of stool
- Limit caffeine, hot or cold foods, and fatty foods
Cancer and immunosuppression complications: mouth ulcers and stomatitis - ANS-- use soft
toothbrush to clean teeth after eating and at bedtime
- avoid mouth washes that contain alcohol
- avoid acidic, spicy, dry or coarse foods
- cut food into small bites
- include cold or room-temp foods in diet
- use straws
- replace meals w/ high calorie/protein drinks
- prepare foods that are cooked until soft and tender
- add gravies, broth, and a variety of mild sauces to moisten foods
GI disorders - ANS-Low fiber diets avoid foods high in residue content (whole grain breads and
cereals, raw fruits and vegetables)
- Diets low in fiber reduce frequency and volume of fecal output and slow transit time of food
through digestive tract
- Low fiber diets used short-term for clients w/ diarrhea or malabsorption
Enteral Nutrition - ANS-Elemental formulas: used for clients who have a partially functioning GI
tract, or those who have an impaired ability to digest and absorb foods (ex: IBD, liver failure,
cystic fibrosis, pancreatic disorders, short-gut syndrome)
Feeding tubes should be flushed w/ 20-50 ml of warm water every 4 hr to maintain patency
Check gastric residual volume every 4-6 hours
Dumping syndrome - ANS-Dumping syndrome interventions
- consume small, frequent meals (consume protein and fat, low fiber and carbs at each meal)
- avoid foods that contain concentrated sugars and restrict lactose intake
- plan to consume liquids 1 hour after meals or between meals (no sooner than 30 min after
eating)
