HTHSCI 2F03 Study Guide - Quiz Guide: Short Bowel Syndrome, Osmolyte, Cardiac Arrhythmia

• School: McMaster University
• Department: Health Sciences
• Course: HTHSCI 2F03
• Professor: Bruce Wainman

Document Summary

Consider semi-solid diet if risk of aspiration. Build up feeds gradually to prevent diarrhoea. E. g. branched chain aas in hepatic encephalopathy. Require minimal digestion and used if abnormal. May be total or used to supplement enteral feeding. Combined c h2o to deliver total daily requirements. Delivered centrally as high osmolality is toxic to veins. Sterility is essential: use line only for pn. Wt. , fluid balance and urine glucose daily. Blood glucose, fbc, u+e + po4 3x /wk. Blood glucose, fbc, u+e + po4 daily. Central venous thrombosis pe or svco. Life-threatening metabolic complication of refeeding via any route after a prolonged period of starvation. Carbs catabolic state c insulin, fat and protein catabolism and depletion of intracellular po4. Refeeding insulin in response to carbs and cellular po4 uptake. Identify at-risk pts in advance and liaise c dietician. Visualise airway and use suction if necessary. Opa: no gag reflex (stop tongue swallowing) Maintain in-line cervical support to keep neck stable.