What type of formula is Isosource HN? One of the residents taking care of Mr. Seyer asks about a formula with a higher concentration of omega-3-fatty acids, antioxidants, arginine, and glutamine that could promote healing after surgery
What does the evidence indicate regarding nutritional needs for cancer patients and, in particular, nutrients to promote postoperative wound healing? What formulas may meet this profile? List them and discuss why you chose them.
• Isosource HN is a high-protein formula.
• Both cancer patients and those undergoing wound healing have increased energy and protein needs.
• Supplementation with arginine and glutamine may be important during times of metabolic stress when their synthesis rate cannot meet the increased needs.
- Supplementation with arginine may assist with inhibiting the immunosuppression and improve nitrogen balance.
- Supplementation with glutamine may decrease the infection rate and prevent translocation of bacteria from the GI tract.
• EPA (omega-3-fatty acid) supplementation has been shown to support weight mainenance and preservation of lean body mass in cancer patients experiencing weight loss
• Juven (modular to be added to tube feeding or other beverage) contains supplemental HMB, arginine and glutamine.
• Impact Glutamine contains arginine and omega-3-fatty acids and is marketed as immunonutrition for surgical patients.
• Impact Peptide 1.5 provides arginine, glutamine, nucleotides, and EPA and DHA for immunonutrition.
• Pivot 1.5 Cal contains arginine, glutamine, and omega-3 fatty acids.
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Tamara and Martin are expecting their first child, a girl, in a few months. Tamara has a family history of type 2 diabetes and her mother had gestational diabetes when she was pregnant with her. Tamara has been overweight for most of her adult life, but began exercising and improved her diet before becoming pregnant. Tamara has recently been tested for gestational diabetes and the test result
showed that she has elevated blood glucose levels. Martin has had type 1 diabetes since age 4. He monitors his blood glucose level several times a day and takes insulin to manage his blood sugar. Martin has always been a healthy weight, but does not exercise regularly. His dietary habits also need to be improved to help improve nutrient content and manage blood glucose levels. Tamara and Martin are concerned for their family's health and want to do all they can to reduce the risk of diabetes and associated health problems. Which of the following breakfast meals would be a good choice for Tamara and Martin to consume to help regulate blood sugar in the morning? A) White bread and homemade strawberry jam B) Oatmeal with low-fat milk and a banana C) Black coffee and a plain bagel D) French toast and syrup
Milk, cereals, cheese, egg yolks, and liver contain
A) carotenids. B) water-soluble vitamin A. C) provitamin A. D) preformed vitamin A.
Consequences of _____ infection may include pneumonia, septicemia, urethritis, meningitis, and spontaneous abortion
a. Salmonella b. Listeria monocytogenes c. Yersinia entrocolitica d. Shigella