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nutrition(noo-trish'on, nu-) [L. nutritio, feeding]
exclusion enteral nutritionAbbreviation: EEN
nutrition: less than body requirements, imbalanced
nutrition: more than body requirements, imbalanced
partial enteral nutrition
partial parenteral nutritionAbbreviation: PPN
nutrition: risk for more than body requirements, imbalanced
total enteral nutritionEnteral tube feeding.
total parenteral nutritionAbbreviation: TPN
Patients requiring 7 to 10 days of nutritional support may benefit from the administration of parenteral nutrition through a peripheral venous catheter. This method limits the caloric intensity of TPN to about 2300 kcal/day (ca. 900 mOsm/kg) because more concentrated formulas cause peripheral vein inflammation. With central TPN, patients have been occasionally supported for several months with limited overt complications. The superior vena cava tolerates feedings of up to 1900 mOsm/kg. Typically, central TPN includes individually tailored amounts of dextrose, amino acids, lipids, vitamins, trace elements, heparin, insulin, and other substances. In patients with specific diseases, some nutrients may be limited, for example, sodium (in congestive heart failure), protein content (in liver failure), and potassium (in renal failure).
The procedure is explained to the patient, and a nutritional assessment is obtained. Intake and output are monitored and recorded. The nurse assists with catheter insertion and observes for adverse effects, documents procedure and initial fluid administration, and continues to monitor fluid intake. The catheter insertion site is inspected and redressed every 24 to 48 hr according to agency protocol; a strict aseptic technique is used for this procedure. The condition of the site and position of the catheter are documented, and the catheter is evaluated for leakage; if present, this should be reported to the physician. Electrolytes are monitored. Vitamin supplements are administered as prescribed. The patient is observed for edema and dehydration. If diarrhea or nausea occurs, the infusion rate is slowed. Urine sugar and acetone tests are performed every 6 hr, and blood sugar levels are monitored as prescribed. Daily weights are obtained. The solution should never be discontinued abruptly but tapered off with isotonic glucose administered for several hours. In the event of catheter blockage or accidental removal, the physician should be notified immediately. Patients should be encouraged to ambulate. Some patients recuperating from long illnesses are released from the hospital with self-administered TPN until they are able to resume eating. These patients need to be taught how to use TPN in the home.
CAUTION!Although TPN is often necessary, in most instances the best way to nourish a patient is by mouth or enterally (by intestinal tube). Oral and enteral feedings preserve the integrity of the intestinal mucosa, maintain a normal pH in the stomach, prevent the entry of bacteria into the body through the walls of the gastrointestinal tract, and are less expensive than parenteral nutrition. Chronic liver failure is the most common, potentially life-threatening complication in patients who need to be maintained on TPN for more than a year.
Patient discussion about nutritional
Q. How do I now if my nutrition is correct? I guess it's not... and Id like to fix it but dont really know what should I change...
Eat a healthy diet with a lot of vegetables, fruits, and whole grains and a limited amount of red meat. Get at least five servings of fruits and vegetables every day. More is even better. Tips for achieving this goal include: Make fruits and vegetables part of every meal. Frozen or canned can be used when fresh isn't convenient. Put fruit on your cereal. Eat vegetables as snacks. Have a bowl of fruit out all the time for kids to take snacks from.
Cut down on bad fats (trans fatty acids and saturated fats) and consume good fats (polyunsaturated and monounsaturated fat like olive oil and canola oil). Tips for achieving this goal include: Choose chicken, fish, or beans instead of red meat and ch
Q. Will it be good and what is its nutritional value? I wish to take oats as my breakfast with milk or juice. Will it be good and what is its nutritional value?
Q. What is the nutritional value of oats? I am having oats for my morning breakfast from last week, as I know it is good to have them. But what is the nutritional value of oats?
here's a link to a nutritional value list of oats:
and here's a link to some recipes!:
bread - http://momsrecipesandmore.blogspot.com/2008/12/toasted-oatmeal-bread.html
Biscuits - http://www.vegan-food.net/recipe/927/Oatmeal-Raisin-Cookies/