What class am I?
Malnutrition seen in infants and young children whose diet is deficient in protein and calories.
What is protein-calorie malnutrition?
These three pieces of information from the patient are needed to determine energy needs when using calories per kilogram. (25kcal/kg/day)
What is height, weight and IBW?
A man is admitted to the ICU with pancreatitis and is suffering from malabsorption, and would benefit from this formula, to avoid pancreatic stimulation
What is elemental formulas?
Studies have shown that delaying PN in this ICU population has improved outcomes
What is a well nourished person?
This is a complication associated with enteral feedings, that occurs in about 40% of the ICU population.
What is high gastric residuals?
40-50% of patients admitted here are undernourished or at risk for malnutrition
What is the ICU?
This formula is used to determine IBW for females
What is 100lb for the first 5ft of height, and an additional 5lbs for each inch above?
These patients require formulas that are low in water content, potassium, phosphorous, and magnesium.
WHat is a patient with renal disease (not on CVVH)?
This type of nutrition requires central venous access, where the tip of the catheter lies in/close to the SVC, for infusion of hypertonic solutions
What is TPN?
This side effect is more commonly seen in patients receiving PN than those on enteral diets.
What is hyperglycemia?
This society is responsible for standardizing diagnostic criteria for defining adult malnutrition in the context of the following categories: acute illness/injury, chronic disease, and starvation related malnutrition
What is ASPEN: American Society for Parental and Enteral Nutrition
A man who is 5ft 2inches has this IBW
What is 118?
A patient who is post open heart surgery on IV dilaudid is given one of the following prokinetic agents for what reason: Metoclopramide, erythromycin, or domperidone
What is to aide gastric emptying?
Peripheral PN (for short term use), utilizes peripheral vessels for administration, as the osmolarity of the solution must be less than 800-900mOsm/L to prevent this?
What is thrombophlebitis?
This complication often occurs when excess amounts of insulin are provided in the PN formula.
What is hypoglycemia?
How many of the following characteristics is recommended for the diagnosis of malnutrition: insufficient energy intake, weight loss, loss of muscle mass, loss of subcutaneous fat, localized fluid accumulation, diminished functional status measured by hand grip test.
What is two or more characteristics?
To estimate the needs of the critically ill patient, this is considered the gold standard
What is indirect calorimetry (calculate resting energy expenditure using oxygen consumption and carbon dioxide production)?
A formula with lower amount of carbohydrates and higher fat content are intended for patients with what co-morbidity
What is Diabetes?
Providing less than this number of kcal/kg of PN, is recommended to avoid overfeeding.
WHat is 30kcal/kg?
This complication results from excessive dextrose infusion or rapid infusion of IV fat emulsion
What is hypertriglyceridemia?
(shouldnt exceed 1g/kg/day)
This leads to increased energy expenditure and protein catabolism
What is critical illness?
The Penn State University Equation, or the modified Penn is used to calculate caloric needs of this population
What is patients with obesity?
A man with acute CHF exacerbation is admitted to ICU and is written for what type of enteral feeding
What is calorie dense products?
What is protein?
This complication can lead to glycogen and protein synthesis and quick uptake of glucose and amino acids, resulting in hypokalemia, hypophosphatemia, hypomagnesemia, and symptoms of acute thiamine deficiency.
What is refeeding syndrome?