NCP
Malnutrition
Nutrition Support
EN Recommendations
Critical Patients and PN
100

The 3 components of a PES

what is problem, etiology, and signs/symptoms

100

percentage of hospitalized adult patients that are malnourished

what is 20-50%

100

the movement of bacteria from GI tract into lymph or vascular system

What is bacterial translocation?

100

EN should be initiated within _________

What is 24-48 hours?

100

The electrolytes that must be monitored for refeeding syndrome

What is potassium, phosphorous and magnesium?

200

NCP step that has clearly defined markers that can be observed and measured 

What is assessment?

200

Hospitalized malnourished patients are _____more likely to die in the hospital than non-malnourished patients

what is 5 times?

200

3 Benefits of enteral vs. parenteral nutrition

What is: GI barrier function, maintain gut pH, preserved GALT activity, maintain GI mucosa, decreased rate of infection, decreased LOS, cheaper

200

The recommended time to start EN after PEG placement

What is 4 hours or less?

200

For the critically ill obese patient, when BMI >30, EN should not exceed _________kcal/kg ABW

What is 11-14?

300

The 3 areas of nutritional diagnosis

what is intake, clinical, and behavioral/environmental

300

The "marker" used to distinguish between starvation related malnutrition vs. disease related malnutrition

what is inflammation?

300

Use EN when someone with normal nutrition status has suboptimal intake for previous _________days

What is 7-10?

300

HOB should be elevated at least ________ to limit risks of aspiration

What is 30 degrees

300
Permissive underfeeding, with adequate ___________, allows for adequate wound healing and recovery

What is protein?

400

2 of the 4 areas of nutrition intervention

what is food/nutrient delivery, nutrition education, nutrition counseling, coordination of care

400

The length of time that distinguishes acute malnutrition from chronic malnutrition

what is 3 months?

400

Use EN when someone with protein-calorie malnutrition has suboptimal intake for previous _______days

What is five?

400

The minimum amount of water that should be used for irrigation of feeding tubes

What is 30 ml?

400
The minimum amount of lipids that must be provided weekly to avoid essential fatty acid deficiency

What is 100 grams?

500

Linda's favorite musical artist

Who is Donny Osmond

500

The amount of weight loss that is linked with severe chronic related malnutrition

what is >5% in 1 month, or >7.5% in 3 months, or >10% in 6 months

500

2 reasons that gastric EN may be preferable to small bowel feeding

what is: mimics normal GI function, allows for intermittent or bolus feedings, HCL helps nutrient absorption, large bore tubes have less clogging

500

 Do not stop delivery of EN unless gastric residuals are ___________

what is greater than 500 ml?
500

A reason to not provide PN lipids to patients 

What is triglyceride induced pancreatitis or triglyceride level >400 mg/dL?

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