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Nutrition Review

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Question
Answer
metabolic disorder   A condition characterized by the body’s inability to synthesize or process food into forms the body can use for energy, growth, and development  
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hiatus hernia   A condition in which the upper part of the stomach, which is joined to the esophagus or feeding tube, moves up into the chest through a hole in the diaphragm  
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Bard button   A feeding device placed permanently in the stomach to facilitate supplemental feedings  
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gastrostomy tube (G-tube)   A feeding tube inserted though an incision in the abdomen into the stomach  
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percutaneous endoscopic gastrostomy tube (PEG tube)   A feeding tube inserted via endoscopy into the stomach or jejunum  
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jejunostomy tube (J-tube)   A feeding tube placed through the abdominal wall into the small bowel  
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nasogastric tube (N-G tube, Levine tube)   A feeding tube put through the nose into the stomach  
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fluid retention   An accumulation of fluid in body tissues or body cavities  
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dysphagia   Difficulty swallowing  
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enteral feed   Feeding by tube directly into the gastrointestinal system  
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gastric suction   Gentle suction applied to a tube placed in the stomach to remove excessive secretions (saliva and gastric juices) that tend to accumulate in the stomach after surgery/trauma because the intestine is sluggish, this can prevent/relieve nausea and vomiting  
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metabolic rate   The amount of energy expended in a given period, or the physical changes that occur in the body that result in heat production. Also, determined by gender, environment, lifestyle and genetics  
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bowel sounds present (BSP)   The audible return of gastrointestinal movement or function, also called peristalsis; often charted as BS x 4, meaning it sounds audible in all four abdominal quadrants  
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metabolism   The physiological and biochemical processes that promote growth and sustain life  
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cardiac diet   with or have pre-existing heart disease - low in fat and cholesterol and may restrict sodium and calories  
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diabetic diet   inability to properly use glucose - individually prepared, number of calories, fats, carbohydrates and proteins  
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gluten-free diet   celiac disease - complete elimination of gluten  
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high-calorie diet   excessive weight loss from illness or can't maintain a healthy weight - butter, cream, fried foods  
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high-protein diet   need to gain weight, recovering from surgery - meat, fish,milk, eggs, legumes and nuts  
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no added salt/Na restricted diet   fluid retention or congestive heart failure - no processed cheeses, cured or smoked meats, sport drinks or chemically prepared products  
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progressive diet   after major surgery or illness of the gastrointestinal tract - introduce as pt. can tolerate from sips, clear fluid, full fluid, soft to regular diet  
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pureed diet   cannot chew or dysphagia - all foods ground to a soft, silky texture  
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Why would a TPN feed be ordered?   severely malnourished, coma, anorexia, before or after major surgery, radiation or chemotherapy, severe burns or multiple fractures  
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What does NPO mean? When would you post an NPO sign?   nothing by mouth, post before tests or surgery  
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activity   more activity = more calories. Inactive = fewer calories.  
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age   2yrs to adolescence need more calories, older adults need less calories.  
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gender   men need more than women, hormones play a role  
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genetics   our predetermined body structure affects our basal metabolic rate and so does thyroid gland function  
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illness   need extra calories and sometimes extra protein to promote tissue repair and recovery  
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pregnancy   must adjust their calorie intake with diet high in protein and appropriate calories, esp. breast feeding  
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How many grain products should an adult eat in a day?   6-8  
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How many food groups are there?   4  
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What is the “other” food group?   oils and fats  
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BRAT   banana, rice, applesauce, toast  
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BSP   bowel sounds present  
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CDA   Canadian Diabetes Association  
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CF   clear fluids  
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CF-DAT   start with clear fluids and progress to diet as tolerated  
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DAT   diet as tolerated (regular diet)  
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dc, d/c   discontinue  
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DD   diabetic diet  
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EF   enteral feeds  
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FF   full fluids  
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FF-DAT   start with full fluids and progress to diet as tolerated  
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Fr.   French  
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GF   gluten-free diet  
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G-TUBE   gastrostomy tube  
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HF   high fibre  
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HP   high protein  
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LR   low residue  
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MN   minced  
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NAS   no added salt  
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N-G TUBE   nasogastric tube  
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NPO   nothing by mouth  
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PAR   Parenteral feeds  
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PE   puree  
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REG   regular diet  
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SS   surgical soft  
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T & A   tonsillectomy & adenoidectomy diet  
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