Anthropometry Screening Tools

Question 1

When do you need to find the adjusted BW (2 possibilities)?

Answer 1

1. BW > 125% IBW

2. BMI > 27

Question 2

How do you calculate a patient’s weight in the case of an amputation?

Answer 2

Establish amount of amputation and subtract that proportion from IBW

Question 3

What weight (adjusted or actual) is used for HB and MSJ?

Answer 3

HB: adjusted
MSJ: actual

Question 4

What are the fluid requirements?

Answer 4

If weight < 125% IBW

• 18-55y = 35 ml/kg
• 56-75y = 30 ml/kg
• > 75y = 25 ml/kg

If weight > 125% IBW
Use ADJUSTED weight

Question 5

TLC values are reduced and elevated in which conditions?

Answer 5

Reduced: viral infection, chemotherapy, radiation, some meds, AIDS, cancer, immunosuppressive drugs
Increased: tissue necrosis and infections

Question 6

What happens to pre-albumin with corticosteroids and CKD?

Answer 6

It increases (while the other acute phase proteins such as albumin decrease)

Question 7

When is ferritin increased?

Answer 7

infection
inflammation
trauma
iron overload
viral hepatitis

Question 8

What do high and low values of transferrin mean?

Answer 8

high: iron deficiency
low: PEM

Question 9

How is calcium found in the body?

Answer 9

60% is bound to protein, mainly albumin

low albumin = low calcium

Question 10

What are the 3 stages of anemia?

Answer 10

first: depletion of iron stores (low ferritin)
second: iron deficiency without anemia (low transferrin saturation and high erythrocyte protoporphyrin
third: iron deficiency anemia (low hemoglobin and low MCV)

Question 11

What are the 2 types of hyponatremia?

Answer 11

1. with edema: fluid restriction + sodium restriction

2. no edema (SIADH): fluid restriction

Question 12

What are the criteria of the NRS2002?

Answer 12

1. BMI < 20.5
2. has the patient lost weight within the last 3 months?
3. has the patient had a reduced dietary intake in the last week?
4. is the patient severely ill?

Mild 1:

• weight loss > 5% in 3 months or food intake below 50-75%
• hip fracture, COPD, cirrhosis

Moderate 2:

• weight loss > 5% in 2 months or BMI 18.5-20.5
• major abdominal surgery, stroke

Severe 3:

• weight loss > 5% in 1 month or > 15% in 3 months or BMI < 18.5
• head injury, bone marrow transplantation (apache >10)

** Add a point if person is >70y

Question 13

What does CBC include?

Answer 13

• the number of RBC, WBC and platelets
• the total amount of hemoglobin in the blood
• the fraction of the blood composed of RBC (hematocrit)
• the size of the RBD (MCV)

Question 14

What are the numbers for TLC?

Answer 14

mild malnutrition: 1.2-1.8
moderate depletion: 0.8-1.199
severe depletion: <0.8

Question 15

What are CD4 cells and what is their relationship with HIV?

Answer 15

They are white blood cells that fight infection

HIV virus uses CD4 cells to propagate

Question 16

What are the cell counts for CD4?

Answer 16

>800 = normal
<500 = initiate antiretroviral pathogens
<200 = prophylaxis for opportunistic pathogens

Question 17

What are the different types of bilirubin?

Answer 17

conjugated/direct: a normal liver will conjugate bilirubin

Unconjugated/indirect: levels increase in liver disease, and can lead to jaundice, which is more toxic

Question 18

What happens when prealbumin values drop? When get increase?

Answer 18

Low: liver disease, sepsis, protein-losing enteropathies, acute catabolic states

High: renal disease, corticosteroids

Question 19

Rate the half life of the following proteins in ascending order: 
prealbumin
ferritin
RBP
transferrin
CRP

Answer 19

RBP (12h)
CRP (19h)
Ferritin
Prealbumin
Transferrin

Question 20

What are the numbers of hemoglobin for anemia (male and female)?

Answer 20

women: 120 g/L
men: 130 g/L