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Stress Response
Methods of Feeding
Wound Healing
Burns
COPD
100
Hormonal and inflammatory responses account for the changes in metabolic rate, heart rate, blood pressure, and nutrient metabolism characterizes what?
What is Metabolic Stress (altered body chemistry related to the body’s response to injury or disease)
100
Appropriate nutrition care can help do what in critically ill patients?
What is Reduce the risk of complications
100
What nutrient is needed for protein synthesis and wound healing?
What is Zinc
100
What type of feeding is suggested in burn patients?
What is Immune-modulating EN formula
100
Caloric needs may be what for patients hospitalized with exacerbation of COPD?
What is 140% above RMR
200
What phase typically lasts for 12-25 hours post-injury and is characterized by shock with hypovolemia and diminished tissue oxygenation?
What is Ebb Phase
200
What is the main goal in nutrition therapy?
What is Mitigate the metabolic response to stress, prevent and repair cell damage, and support normal immune system functioning.
200
Explain why protein is important in wound healing.
What is Replaces lean body mass, meets increased needs for tissue repair and resistance to infection, restores blood volume and plasma proteins that are lost from bleeding from wound.
200
Burn, Trauma, and mixed ICU patients may benefit from what form of supplementation during EN feeding?
What is Supplemental Glutamine
200
What medical intervention would be appropriate when a COPD patient is experiencing shortness of breath?
What is Use of Bronchodilators before eating
300
What immune system molecules are responsible for regulating acute-phase proteins and producing changes in other cells that cause systemic symptoms?
What is Cytokines
300
When is it appropriate to start an Enteral Nutrition (EN) feeding?
What is Within 24-28 hours following admission. (Patient is also hemodynamically stable)
300
What is vitamin C responsible for during wound healing?
What is Collagen formation, capillary formation, and tissue synthesis.
300
A patient with burns covering less than 20% of TBSA how is their caloric needs adequately met?
What is An oral high-protein, high-caloric diet
300
Your patient has COPD and complains of dry mouth, how could you promote eating?
What is Suggest adding gravies and sauces to foods, use artificial saliva before eating, and avoid dry and salty foods.
400
If a patient presents with SIRS, sepsis and/or multiple organ failure; what is a major factor in the prediction of their recovery?
What is Prior nutritional status
400
What type of feeding is suggested for an acute respiratory distress or severe acute lung injury patient?
What is EN formula with an anti-inflammatory lipid profile.
400
A patient with a decrease in BLANK would have impaired immune response?
What is ZINC
400
What supplements are recommended for patients with burns covering more than 20% of TBSA?
What is Vitamin C, Vitamin A, and zinc plus a multivitamin
400
Why are many patients hypermetabolic?
What is Increased energy spent on labored breathing
500
What occurs when muscle protein is catabolized to provide amino acids for protein synthesis, immune system proteins, and glucose synthesis?
What is Negative Nitrogen Balance (state that occurs when nitrogen excretion exceeds nitrogen [protein] intake.)
500
What is the percentage that a patient needs to consume to prevent weight loss?
What is 75%
500
A deficiency in Folic Acid could result in what type of anemia?
What is Megaloblastic Anemia
500
Name the supplements that are shown to promote healing and decrease the risk for infections in burn patients?
What is Selenium, zinc, and copper.
500
With patients on mechanical ventilation why is care taken to avoid overfeeding?
What is It increases CO2 production which can complicate ventilation.