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Why is proper nutrition important?
What are definitely the results of poor nutrition?
All living things need food and water to reside in.
All humankind need good food to reside in well.
nutrients required to build, maintain, and
your need every day. Macro-nutrients must exceed
Assist inside the bodys absorption of calcium.
Used for tissue growth and repair.
all essential amino acids.
enough essential amino acids.
Within a few months, every protein molecule in your
body is categorised and replaced.
The more intensely you train, greater protein is
required for repair and growth.
result in a increase in fat cell function.
Provides a resource of body fat.
Protects your organs when you fall or are injured.
catalysts for just a variety of bodily functions.
Building body tissues like bones, skin,
Assisting from the metabolizing of proteins, fats,
Preventing nutritional deficiency diseases.
through diet considering they are not made inside the body.
Your overall person's body is between 70 - 80 water.
water for each and every calories of food we consume.
Breakfast is a vital meal of waking time.
Attempt to consume 4-6 meals each day.
Minimum of 8 portions of water on a daily basis.
Attempt to enjoy carbohydrates, proteins, and
Read labels and understand serving sizes.
Supplements ought to be used as supplements.
Make a life-style change diets often fail.
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The PowerPoint PPT presentation: Basic Nutrition may be the property of their rightful owner.
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Carbs, Proteins, Lipids, Amino Acids
water-soluble thiamine, riboflavin, folic
lipids, proteins, nucleotides
cholesterol, reducing its absorption by the
Steroids, cholesterol
precursor molecules for steroid hormones, vitamin
Triglycerides blood fats, 30-175 mg/dl
HDL Good cholesterol, 35 mg/dl
beans? lysine isoleucine
corn? tryptophan methionine
Organic compounds necessary for the body in small,
essential nutrients has been said to be malnourished.
loss of unwanted fat? leptin levels and? appetite
synthesize by itself called?
Which cells with the body, under normal
circumstances, will need to have energy inside form of
glucose in order to survive?
What is undoubtedly an incomplete protein?
adequate intake of by pregnant mothers.
What carbohydrate are located in a steak?
The PowerPoint PPT presentation: Human Nutrition will be the property of the company's rightful owner.
Introduction to Enteral Nutrition. Enteral Nutrition. Nutrition delivered with the gut Includes oral feedings and tube feedings. Enteral Tube Feeding. Nutritional support via tube placement with the nose, esophagus, stomach, or intestines duodenum or jejunum - PowerPoint PPT Presentation
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Nutritional support via tube placement throughout the nose, esophagus, stomach, or intestines duodenum or jejunum
Р В РІР‚ВIF THE GUT WORKS, USE IT!
Р В РІР‚ВExhaust all oral diet methods first.
Diagram of enteral tube placement.
Р В РІР‚ВImpaired digestion, absorption, metabolism
Modified and adapted from Gorman RC, Morris JB: Minimally invasive usage of the gastrointestinal tract. In Rombeau JL,
Rolandelli RH, editors: Clinical nutrition: enteral and tube feeding, p 174, Philadelphia, 1997, WB Saunders; and Ali A et al:
Nutritional support services, Nutritional Support Algorithms, 87:13, July 1998.
Increased needs that can not be met through oral intake burns, trauma
ASPEN. The science and rehearse of nutrition support. A case-Based Core curriculum. 2001; 143
Inadequate resuscitation or hypotension; hemodynamic instability
ASPEN. The science and exercise of nutrition support. A case-based core curriculum. 2001; 147
ADA EAL, Critical Illness, accessed 8-07
GI, metabolic, and mechanical complicationsР В РІР‚Вtube migration; increased probability of bacterial contamination; tube obstruction; pneumothorax
Labor-intensive assessment, administration, tube patency and site care, monitoring
Physical characteristics of formula osmolality, fiber content, caloric density, viscosity
Protein that is separated from your food casein from milk, albumin from egg
May contain pureed meat, vegetables, fruits, milk, starches with v/m added
Has reduced fat content or significant number of MCT, LCT, structured lipids
Fiber-containing: containing an origin of fiber; reportedly therapeutic for prevention/treatment of altered bowel function in enterally fed patients
Soy polysaccharide may be the most common fiber additive in enteral feedings; effectiveness for treating diarrhea in tubefed patients unproven
ASPEN. The science and rehearse of nutrition support. A case-based core curriculum. 2001; 148
Soluble fiber guar gum, oat fiber, pectin may exert trophic impact on colonic mucosa and also be useful in normalizing bowel function
Calorie density ranges from 1.3 to 2 kcals/ml
Designed for patients with specific disease states.
Available for patients with respiratory disease, ARDS, diabetes, renal failure, hepatic failure, and immune compromise.
Many on the trials happen to be done with formula Р В РІР‚Вcocktails, Р†turning it into difficult to identify the operative variable
Pharmaceutical effects are claimed for several specialty enteral formulas reduced LOS, reduced infections, reduced time about the ventilator
Enteral formulas are classed as medical foods, not drugs and so are regulated differently
Were the endpoints clinically significant a biochemical marker only or important clinical outcome including wound healing?
Has the task been replicated?
Blood glucose control in acute care can often be affected by illness, infection, other issues
Typically are calorie dense 2.0 kcal/cc products with relatively low protein levels and modified electrolytes
Have added Р В РІР‚Вimmune-enhancingР†nutrients arginine, glutamine, omega-3 essential fatty acids, nucleotides
R.3 Immune-enhancing EN just isn't recommended for routine easy use in critically ill patients within the ICU.
Immune-enhancing EN will not be associated with reduced infectious complications, LOS, inexpensive of health care bills, days on mechanical ventilation or mortality in moderately to less severely ill ICU patients.
Their use may be related to increased mortality in severely ill ICU patients, although adequately-powered trials evaluating this weren't conducted.
Strength: Fair; imperative
For the trauma patient, it isn't recommended to routinely use immune-enhancing EN, since its use is just not associated with reduced mortality, reduced LOS, reduced infectious complications or fewer days on mechanical ventilation.
Source: ADA EAL Evidence-Based Guidelines, accessed 8/07
However, total calories has more affect respiratory function than formula composition
Rehydration: for patients requiring optimal ratio of carbohydrate to electrolytes to facilitate fluid and electrolyte absorption, rehydration
Modular: provides protein, fat, or carbohydrate as single nutrients or modular mixtures to allow for adjustment of macronutrient mix. May also bring about renal solute load, osmolality
Typically some mix of hydrolyzed cornstarch, maltodextrins, corn syrup solids, sucrose
FOS: fructooligosaccharides; poorly absorbed inside the small intestine, fermented inside large intestine; may promote development of healthy bacteria
Fiber: soy polysaccharide most typical guar gum, oat fiber, pectin
Fat provides isotonic, concentrated energy source
Also safflower, canola, fish oil
May include MCTs; easier digested and absorbed
Whole protein, hydrolyzed protein, free amino acids
Casein, soy protein, lactalbumin, whey, egg white albumin
Arginine: conditionally essential amino acid with immune-enhancing properties. Research suggests some benefit in wound healing rat studies and biochemical changes. Recent research suggests might be harmful in septic patients
Glutamine: may enhance small intestine growth and repair; however, available research completed with parenteral glutamine; enteral delivery not well studied
Identify types of formulas that fill a necessity, like standard 1 kcal/cc formula; standard 1 kcal/cc high protein formula; calorie dense formula 1.5 or 2.0 calories/cc; fiber-containing, monomeric, etc.
Where several formulas fit, choose dependant on cost, service, available packaging closed vs open system
Hang time 8 hours for decanted formula; 4 hours for formula mixtures
In a survey of nurses at MetroHealth, only 28% were aware in the 8 hour hang time for open system formulas written into nursing policy
55% recommended adding new formula to old, in violation of existing nursing protocol
Luther H, Barco K, Chima CS, Yowler CJ. Comparative study of two systems of delivering supplemental protein with standardized tube feedings. J Burn Care Rehabil 2003;24:167-172.
Luther H, Barco K, Chima CS, Yowler CJ. J Burn Care Rehabil 2003;24:167-172.
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