Nutritional Supplements

Question 1

Enteral formulation groups

Polymeric

Answer 1

most like real food

Question 2

Enteral formulation groups

Elemental

Answer 2

easy to digest

Question 3

Enteral formulation groups

Modular

Answer 3

• added to elemental + polymeric
• carbs
• fats
• proteins

Question 4

Enteral formulation groups

Glucerna

Answer 4

for impaired glucose tolerance
(diabetes management)

Question 5

Carbohydrates

Dextrose

Answer 5

• supplies carbs
• via peripheral parenteral (PPN) at 10%
• via central line (TPN) at 30%
• risk of phlebitis in larger concentrations

Question 6

Fats

IV fat emulsions

Answer 6

• supply fatty acids
• source of energy/calories

Question 7

Fats

Intralipid and Liposyn

Answer 7

lipid emulsions
(10%/20%/30%)

Question 8

Nursing Implications

total parenteral nutrition (TPN)

(pancreas)

Answer 8

• while on TPN, the pancreas provides more insulin (d/t lower glucose)

Question 9

Nursing Implications

TPN discontinuation

Answer 9

• rebound hypoglycemia (if abrupt)
• infuse glucose to help pancreas adjust

Question 10

Nursing Implications

Phenytoin

(with tube feedings)

Answer 10

• absorption of phenytoin may be inhibited during tube feedings
• this may cause seziures
• levels should be monitored