NASPGHAN - Enteral Nutrtion: A Comprehensive Review - Slide Set
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Posttest Questions
Decreased appetite may be a result of which of the following:
a) Disease, e.g. uremia
b) Drugs
c) Micronutrient deficiencies
d) Diminished gastrointestinal motility
e) All of the above
f) Only a) & c)
Which of the following statements are true?
a) Children who eat less than 80% of their of needs by mouth require EN
b) EN is the provision of nutrients via the gastrointestinal tract
c) EN can be used as exclusive or partial support
d) Children who require an extended period of time to eat require EN
e) EN maintains the integrity of the gastrointestinal tract
f) All of the above
Which of the following statements is false?
a) Orogastric/nasogastric feeding tubes are indicated for short-term (6-8 weeks) use
b) Dislodgement and aspiration are potential complications associated with a G-tube
c) A bolus feeding technique can be used via any site
d) Continuous feeding encourages intestinal adaptation by constant mucosal stimulation
Which of the following is
not
a cause for decreased appetite?
a) Disease, e.g. uremia
b) Electrolyte limitations
c) Increased gastrointestinal motility
d) Micronutrient deficiencies
e) Medications
Core EN components include which of the following:
a) Protein, carbohydrates
b) Protein, carbohydrates, fat
c) Protein, carbohydrates, fat, minerals
d) Protein, carbohydrates, fat, minerals, vitamins
e) Protein, carbohydrates, fat, minerals, vitamins, pre & probiotics
The route of and duration (bolus vs. continuous) of enteral administration depends on:
a) Indication for EN, the duration of nee
b) Anatomical integrity of the GI tract
c) Functional integrity of the GI tract
d) Risk of aspiration
e) Only a) & d)
f) All of the above
Please indicate which of the following statements is false:
a) Semi elemental formulas contain partially hydrolysed protein
b) Elemental formulas are broken down into free amino acids
c) Patients with fat malabsorption should be given a formula without DHA, ARA
d) Patients with volume intolerance should be given a concentrated, whole protein formula
Which of the following is not a correct risk factor for refeeding syndrome?
a) Severe malnutrition
b) Body weight less than 90% of ideal
c) Anorexia nervosa
d) Significant weight loss, including massive weight loss in obese patients
e) Undernutrition due to prolonged intravenous (IV) therapy/fasting
In patients with short bowel syndrome which of the following statements is false?
a) EN is the most important stimulus for bowel adaptation
b) Is essential for survival, but may contribute to the mortality of this condition
c) EN is key to intestinal adaptation and reduction of dependence on PN
d) Continuous EN results in more nutrient absorption
Which of the following is
not
a benefit of EN in an ICU setting?
a) Reduced gut atrophy
b) Reduced infections
c) Reduced gut immune function
d) Avoid PN
e) Less likely to overfeed
f) Cost effective
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Please rate the following:
The program was relevant to my work.
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Content matched stated objectives.
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How well did the educational activity give a balanced view of therapeutic options, including the use of generic names?
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If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree,' please explain:
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Objective 1: Discuss the history, indications, delivery modes, components, monitoring, and safety related to EN for pediatric patients
By meeting the above objective, my professional competence will increase, because I have acquired new strategies to use in my practice.
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By meeting the above objective, my professional performance will improve, because I should be able to implement the new strategies.
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By meeting the above objective, my patient outcomes should improve, due to the implementation of newly learned strategies.
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Objective 2: Explain the role and implementation of EN in specialized pediatric populations including preterm infant, IBD, SBS, CF, CP, critically ill, and FTT patients
By meeting the above objective, my professional competence will increase, because I have acquired new strategies to use in my practice.
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By meeting the above objective, my professional performance will improve, because I should be able to implement the new strategies.
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By meeting the above objective, my patient outcomes should improve, due to the implementation of newly learned strategies.
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Please answer the following:
Do you believe this activity was appropriate for the scope of your professional practice?
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Was the educational content scientifically sound?
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Was the educational content free from commercial bias?
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Was the mode of education effective for learning?
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If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?
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If you answered 'No' to any of the above questions, please explain:
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What did you learn during this activity that you intend to integrate into your practice?
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What questions have arisen in your practice for which you need answers/strategies that you can implement?
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What patient problems or patient challenges do you feel you are not able to address appropriately or to your satisfaction?
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What problems are your patients communicating to you that need attention or follow-up?
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Are you interested in basic, intermediate or advanced level trainings?
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