營養照護 團衛技巧 & 灌食評估

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營養照護 團衛技巧 & 灌食評估. 壢新醫院營養科謝佳真 RD. 疾病營養 糖尿病. 關於糖尿病. IFG 空腹血糖障礙 (AC>100,

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  • &RD

  • IFG(AC>100,
  • DMAC126 mg/dl ()

    2hrs75gOGTTBS 200mg/dl

    DM200mg/dl ,,,

    50g100gOGTT

  • : 40 mg/dl :HDL> 50 mg/dl

    AC90-130 mg/dlPC

  • () (....)

  • RDDKA?HHS?HbA1c ()

  • DKAHHS (:)-

    BS > 250-350 mg/dlpH < 7.3HCO3- < 16 meq/LKetoneBUNBS >600 mg/dl pH > 7.3HCO3- >20 meq/L1:2 ()BUN > 320 mOsm/kg [285-295] (7%) (20%)

  • RD

    GIGL

  • 10~15 ----30~45 mg/dl

  • 15~20mins ().

  • 301001+1+ 1100-180111801:......11001+1+ 1100-1801+1180-240112402 :.1.2.:2.23.114.1,180

  • (2~3)
  • NaPK

  • Renal Failure 75

  • 400mlCreatinineBUN

  • Stage IGFR90 ml/min/1.73 m2 0.8g/kgStage II GFR60~89 ml/min/1.73 m2 0.8g/kgStage III GFR30~59 ml/min/1.73 m2 0.8g/kgStage IV GFR15~29 ml/min/1.73 m2 0.6g/kgStag V GFR15 ml/min/1.73 m2 0.6g/kg

  • BUN/Cr.

    Alb/TP

    BS

    Hb/Ht/RBC

    TC/TG

    SGOT/SGPT

    Na/K/P

  • CRF

  • 30~35kcal/kgBW 0.6~0.8g/kgBW

  • ?? /

    2.31.71.31.31.21.21.14.53.2

    35.718.712.41086.19.27.954.528.939.55.4

  • GI bleeding

  • (Blenderized diet)

    (Polymeric formula)

    (Special formula)

    (Monomeric formula)

    (Modular component)

  • DRIs(:kcal/ml protein g/ml kcal/N)//,(:...)

    (),,.(NG.ND.NJ)

  • ?

    ?

    ?

    ?

    ?

  • ?????

  • ()PTT

  • PTT

  • 50%/

  • 50%/

  • 50% /

  • 50% /

  • 50% /

  • 50% /

  • 50% /

  • ~~