Flashcards in Intestinal Failure, Malnutrition & Malabsorption Deck (20)
What is intestinal failure?
Inability to maintain adequate nutrition + fluid demand via the intestines
What are some causes of intestinal failure?
What is the time frame for acute intestinal failure?
Up to 2 weeks
Give examples of some complications of parenteral nutrition
What is the treatment of choice for type III (chronic) intestinal failure?
Home parenteral nutrition
Less than 300 cm of small bowel is classed as short bowel syndrome. True/False?
Less than 200 cm is classed as short bowel syndrome
Albumin is a reliable, often diagnostic marker of malnutrition. True/False?
Low albumin can suggest malnutrition but can be low in other things
Which vitamins and minerals are significantly lower in high risk patients suffering from malnutrition?
Vitamin A, C, D, E
What are the 4 stages of nutritional support?
Food (feeding normally)
What is enteral tube feeding?
Delivery of nutrition into the stomach, duodenum or jejunum via a tube
What are the 5 main methods of enteral tube feeding?
Percutaneous endoscopic gastrostomy
Percutaneous endoscopic jejunostomy
Name some contraindications for ET feeding
Lower GI obstruction
Name some complications of ET feeding
Rupture, perforation, bleeding
What is parenteral feeding?
Administration of nutrition intravenously
When would PE feeding be used over ET feeding?
Non-functioning GI tract
Short bowel syndrome
IBD with severe malabsorption
What is refeeding syndrome?
Fatal shift in fluid and electrolyte imbalance caused by sudden feeding following long period of undernutrition
Defective mucosal absorption due to poor luminal digestion or structural disease
Which deficiency/-ies might cause easy bruising?
Vitamin K or Vitamin C deficiency
Which deficiency/-ies are known to cause glossitis?
Vitamin B12 deficiency