Medications
Constipation
Obesity BMI starts at the following number. Bonus: give all three obese ranges.
What is 30?
Class I: 30-34.9
Class II: 35-39.9
Class: >40
These two labs levels, usually reviewed together, are found on the comprehensive metabolic profile. Elevated levels can suggest kidney issues or dehydration.
Creatine and BUN (blood urea nitrogen)
This is the protein recommendations for older adults
1.0-1.2 gm/kg
Substracting actual BW from usual body weight and then dividing the outcome bu usual body weight. Then multiplying that answer by 100 provides this information.
Percent weight change
This steroid often results in hyperglycemia and secondary osteoporosis which can be addressed with carbohydrate controlled diet and calcium/ Vitamin D supplementation.
Prednisone
This is the difference in lbs between men and women per inch after 60 in. And the difference in lbs between men and women for the initial 60 in.
1 lb (6lbs per inch versus 5 lbs per inch); 6 lbs (106 lbs versus 100 lbs)
These laboratory values when elevated are most often associated with hepatitis or liver inflammation, but will also be elevated with trauma, infection, and pancreatitis.
alanine aminotransferase (ALT) and aspartate amino transferase (AST)
This is the weight based equation to estimate energy needs for both the adult critically ill and the healthy standard BMI.
25-30 kcal/kg
Mifflin St Jeor should be used for this population.
All populations except the critically ill
A potassium sparing alternative to Hydrochlorothiazide, this medication is utilized to address fluid retention due to cirrhosis or HF, or alternatively to address severe HTN
Spironolactone
The are the only two instances where adjusted body weight may be used. Bonus for the equation.
in renal and obese fluid calculations. (ABW - IBW x 0.25) + IBW
This acute phase protein with a 17-21 day half life is a poor marker for nutrition status as it will be depressed with any inflammation infection or trauma. It will be elecvated in dehydration.
albumin
The Academy of Nutrition and Dietetics recommends this equation for estimating energy needs in all healthy and acutely ill patients. Bonus if you know the factor for usually associated with obese patients.
For fluid recommendations in EN by age group, this is recommendation for <55 years of age, and this amount is recommended for 56-75 years of age.
35 ml/kg; 30 ml/kg
This newer generation anticoagulant does not interact with Vitamin K but can have its effects enhanced by grapefruit juice. (brand name)
Eliquis
This is the weight in kg for 1 extra liter of fluid on the body. Bonus for answer in lbs.
1 kg (2.2 lbs)
This serum level is depressed with refeeding syndrome and often elevated with chronic kidney disease.
Serum Phosphorus
This is the range recommendations for protein needs for wounds up to stage IV.
1.0-1.5 gm/kg
This pharmacologic category of drug which includes omeprazole and lansoprazole is desgined to suppresses gastric acid secretion by inhibiting the parietal cell H+/K+ ATP pump, and may result in B12 deficiencies.
Protein Pump Inhibitors
This selective inhibitor of beta1-adrenergic receptors reduces the effects of catecholamines (such as adrenaline and noradrenaline) on cardiac function. It is used as an antihypertensive, in HF, angina, and for MI.
Metoprolol
A single below the knee amputation accounts for this esimtated body weight loss.
5.9-7.1% weight loss
This measurement of free metabolically active calcium shows implies adequate calcium homeostasis when within normal limits and should be used in critical illness or when there are other factors that change total calcium levels such as abnormal blood levels of albumin or immunoglobulins.
Ionized Calcium
This is the weight based rquation recommendations for patients with malnutrition.
30-40 kcal/kg
This lab correlated with total body storage of iron, but will often be elevated in critical illness due to ferroptosis and upregulation of production which is important host defense mechanism that deprives bacterial growth of iron and protects immune cell function.
Ferritin