Starv/Est Needs
For critically ill patients, overfeeding is more often beneficial or harmful?
What is harmful?
The term wasting is used to refer to breakdown of this type of tissue (hint - adipose, lean, or glycogen)
What is lean (muscle) body tissue?
This medication often causes an increase in appetite, elevate blood sugar levels, and can cause fluid retention, making a low sodium diet important.
What is Prednisone?
If a patient is at high risk of aspiration, this is the preferred method of feeding (gastric or jejunal)
What is jejunal feeding?
The tip of the catheter is here when the TPN provided is CENTRAL parenteral nutrition
What is the superior vena cava?
The term used to describe the process of breaking down protein to use amino acids to make glucose to maintain blood sugar levels
What is gluconeogenesis?
This hormone is released during stress and one of the major causes of insulin resistance in critically ill patients
What is cortisol?
For patients on MAOI (Monoamine oxidase inhibitors) it is very important they follow this type of diet
What is low tyramine?
A person that will require nutrition support for several months, but is not at risk for aspiration, would require this type of feeding tube
What is G-tube? (or PEG)
The osmolarity for PPN must be less than this amount
What is 900mOsm/L?
Indirect calorimetry gives us the best estimation of this because it is an indirect measurement, using O2 consumed and CO2 produced
What is REE?
Refeeding syndrome can cause these mineral levels to drop low in the blood, (name one of them)
What is potassium, (or phosphorus) (or magnesium)?
A consistent intake of vitamin K is very important when someone is on this medication
What is Coumadin?
Jevity 1.5 running at 60ml/ hour (x 24 hours) would provide this number of calories
What is 2160 kcals?
The guidelines recommend dextrose be limited to _____mg/kg/min or ____g/kg.
What is 5mg/kg/min or 7g/kg?
Ketones are produced from the breakdown of these
What are fatty acids?
When a patient is in Negative Nitrogen balance, it is important they are receiving an adequate amount of this macronutrient
What is protein?
This is %UBW if someone currently weighs 160 lbs, and states their usual body weight had been 174 lbs for many years
What is 92%?
Jevity 1.5 contains 64grams of protein per liter, if running at 60ml/hour, provides this much protein
What is 92 grams of protein?
500ml of 20% lipid would provide this many kcals
What is 1000 kcals?
This is the range used to estimate protein needs for most people (g/kg), with lowest being RDA and highest for those with trauma/ stress
What is 0.8 - 2.0g/kg?
This scale gives an indication how severe a head injury is (with low number being most severe)
What's Glasgow coma scale?
This serum protein used to be thought of as a good indicator of nutritional status, but is affected by inflammation, and is a better indicator of morbidity and mortality
What is Albumin?
Osmolite 1.2 is 82% free water, and provides this amount of free water when running at 80ml / hour x 24 hours.
What is 1574ml?
A 2L solution of TPN that is 20%dextrose and 3% amino acids provides this much dextrose and protein (in grams)
What is 400grams dextrose and 60 grams protein?