2nd Semester

Question 1

3.4 kcal/g

Answer 1

Dextrose for TPN

Question 2

1 can of EN

Answer 2

237 mL/can

Question 3

4.0 kcal/g

Answer 3

Protein

Question 4

Lipid for TPN
10%
20%
30%

Answer 4

1. 1 kcal/mL
2. 0 kcal/mL
3. 9 kcal/mL

Question 5

Nitrogen: Protein

Answer 5

1 gram = 6.25 grams

Question 6

Bolus feeding

Answer 6

6 feedings/day

Question 7

ebb phase

Answer 7

catabolic
“cut-down”

hypovolemic shock

Question 8

flow phase

Answer 8

anabolic

Recovering/rebuilding

Question 9

metabolic response to stress

Answer 9

1) breakdown of lean and skeletal mass
2) negative nitrogen balance
3) muscle wasting

Question 10

zero nitrogen balance

Answer 10

protein IN matches what is needed in the body for:

1) maintenance
2) excretion

Question 11

positive nitrogen balance

Answer 11

Nitrogen IN exceeds Nitrogen OUT

Positive = Good
**utilization for growth and other purposes

Question 12

Measuring Nitrogen Balance

Answer 12

IN - OUT = nitrogen balance

Question 13

Preferred feeding route for critically ill patients

Answer 13

1 if the gut works: USE IT!

1) oral
2) EN
3) PN

Question 14

MNT for critically ill patients

2

Answer 14

25-30 kcal/kg
14-18 kcal/kg (overweight)

Protein: 1.2-2.0 g/kg (300:1)

Question 15

MNT for burn patients

3

Answer 15

1) Ireton-Jones 1992 (BEEx2.0)
2) protein needs: 20-25%
3) vitamin needs: Vitamin A, C; Ca & Zn

Question 16

PN access and duration

Answer 16

1) PPN (short-term: 10-14 days)

2) TPN/CPN (long-term)

Question 17

PN administration

Answer 17

1) continuous infusion (24 hr)

2) cyclic infusion (12 hr)

Question 18

EN access routes/duration

Answer 18

1) NGT: short-term
2) NDT/NJT: short-term
3) NET: short-term

4) PEG/PEJ: long-term
5) bolus feeding: long-term

Question 19

EN administration

Answer 19

1) intermittent drip feedings (4-6 feedings/day)

2) continuous drip feedings (over 1 day)

Question 20

EN complications

Answer 20

1) pulmonary aspiration
2) leakage from PEG/PEJ site
3) diarrhea

Question 21

PN complications

Answer 21

1) access infections
2) refeeding syndrome
3) hypo-/hyper-glycemia
4) hyperlipidemia

Question 22

TPN

Answer 22

DO NOT SUDDENLY STOP!

PN MUST GRADUALLY DECREASE OVER 2-3 DAY PERIOD

Question 23

Refeeding syndrome

Answer 23

Potassium
Phosphorus
Magnesium
High fluid around heart

Question 24

Bolus feeding

Answer 24

6 feedings/day