Critical Care
Obese
You see a patient with inactive cancer and non-stressed. What kcal/kg rec would you give?
25-30 kcal/kg
Pernicious anemia common in what two populations?
Vegetarians/Vegans
Conditions where B12 absorption affected: celiac, bariatrics, elderly patients
Those with anxiety should focus on decreasing what dietary component?
Caffeine
True or false: The ketogenic diet is for those with seizures, despite any other treatments effectiveness.
False. Only for those that are uncontrolled by medication (refractory epilepsy)
What factors determine the energy and protein needs of burn victims?
Size and depth of the burn
What is the difference between palliative and hospice care?
Palliative = make comfortable at any stage in treatment
Hospice = end of life care (~6 months)
What deficiency is associated with Wernicke-Korsakoff Syndrome?
Thiamin
Name 3 generalized MNT guidelines for those with psychiatric disorders
SO MANY OPTIONS. LET'S TALK
What phase in critical illness has the following characteristics: hypovolemia, decreased cardiac output, decreased body temperature, decreased insulin
Ebb phase
What is the difference between SIRS and MODS
MODS = complication of SIRS. SIRS is a widespread infection that can eventually lead to organ dysfunction.
Name two MNT recs for a patient that is experiencing ulcers within the mouth
Soft foods, add gravies/sauces, avoid acidic foods, avoid very hot and cold foods
Name 3 MNT interventions for a pt with ALS
Evaluate swallow safety. High protein, high calorie, soft diet with thickened liquids as needed
Increase carotenoids, omega-3s, vitamin E and fiber. Avoid excessive iron and copper. Possible PEG or PEJ placement.
Why are those with alcoholism at risk for more deficiencies?
Altered metabolism, replacing nutrient dense foods with alcohol
Protein need ranges for a standard cancer patient
1.2-1.5g/kg BW
Describe what Preoperative or ERAS protocol is
Use of a carb rich beverage in preop period shown to increase glycemic control, decrease nitrogen loss and decrease loss in LBM and strength.
Name 2 recs from the ACS to assist in preventing cancer
Avoid alcohol, consume 2.5 c fruits and vegetables, whole vs refined grains, breastfeeding, maintain a healthy weight
Brain injury kcal/kg recs
35-45 g/kg BW
Why is there liberal recs for caffeine and desserts for those with substance abuse disorders?
These are cravings that may come up. Working with patient to control is key.
Why is EN preferred over PN?
Preserves gut integrity
What nutrients do you need to account for with exudate present?
Protein, fluid, micronutrients
What is cancer cachexia and name two interventions to improve quality of life
Wasting syndrome of weakness, fatigue, loss of skeletal muscle and fat.
nutrient dense meals/foods, supplementation
What is Levodopa prescribed for? What med/nutrient interactions should you be aware of?
Parkinson's Disease. Space protein throughout where meds aren't taken. Increase B12, folate and vitamin C
Lithium treatment can cause what nutritional s/s? Name 2
weight gain, thirst, nausea/vomiting, diarrhea
Who is your favorite FN4380/5380 professor?
Christina :)