Exam (elaborations)
MNT; ENTERAL NUTRITION TEST
- Course
- Institution
MNT; ENTERAL NUTRITION TEST...
[Show more]
Content preview
MNT; ENTERAL NUTRITION TESTNutrition Support - Two Types - ANSWER: Enteral Nutrition is always
recommended!
Parenteral Nutrition (TPN/PPN).
Enteral Nutrition - Goal - ANSWER Goal: offer caloric adequacy to encourage
recovery or repletion during the period of inadequate oral intake.
First Approach: Support by Mouth - Answer Therapeutic diets (other from
Reg)
Modified texture: Thin liquids are more difficult to regulate than thicker liquids,
sometimes requiring enteral nourishment if not suitable for oral consumption.
Preparing for a medical test.
Supplements
Modular items, such as protein powders and calorie additions, can add
significant value in little amounts.
Appetite stimulants.
Second Step: Enteral Nutrition 1. When? - ANSWER Functional
gastrointestinal tract
Nutrient delivery by a tube into the gastrointestinal system
A fistula (with a volume of less than 500cc and a feeding distance of no more
than 40 cm to the mid-jejunum)
Poor qualitative/quantitative intake (insufficient oral intake for 7-14 days)
Altered mental state
Swallow Dysfunction
Hypermetabolic conditions.
Fistula – improper junction between two epithelial surfaces.
Contraindications of Use (6 reasons) - ANSWER Non-functional
gastrointestinal tract
, Diffuse peritonitis is an infection of the peritoneum.
An obstruction or ileus that stops intestinal contents from flowing through the
intestines.
Intractable vomiting or diarrhea not responding to medical treatment
Massive gastrointestinal bleeding and ulcers
Not requested by the sufferer.
Decision to Use Enteral Nutrition: YES
Maintenance of nutrition status.
Nutrients are provided to GI cells to maintain GI integrity.
Decision to Use Enteral Nutrition: NO - ANSWER NO
GI atrophy leads to cell starvation, a breakdown of the mucosal barrier, and
increased risk of sepsis due to bacterial translocation.
Multiple organ failure
Gut-Associated Lymphoid Tissue - ANSWER 25 percent of the gut mucosa has
lymphoid tissue.
The intestine contains 70-80% of all immunologic-secreting cells.
acts as a barrier against pathogens
Food promotes the immune system to maintain the gut lining's barrier function.
Secretory IGA - Answer: 80-90% of immunoglobulins in the gut.
Prevents harmful germs from adhering to all mucosal receptors by attaching to
them and suppressing bacterial colonization.
Food encourages the biliary tract to transport IgA to the intestine's epithelial
surface.
Benefits of Enteral Feeding 1: What is your preferred gut fuel? - ANSWER
Maintain gastrointestinal integrity (avoid bacterial translocation)
Use of glutamine (the preferred intestinal fuel during catabolism)
Supply fiber (supply short chain fatty acids that aid in intestinal and colonic
development).
Early post-operative eating may reduce the catabolic ANSWER .
Cost: Enteral feeding is significantly less expensive (<$100) than TPN ($300-
$400).
IF THE GUT WORKS, USE IT!
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller luzlinkuz. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82215 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now