Basics Flashcards
Where is albumin produced and what level do you want it above?
Produced by the liver
Goal >3.5g/dl
<2.7 causes edema
What is prealbumin good for and what is the normal, moderate and severe depletion levels?
Can detect changes in nutritional status quicker than albumin
Normal: 20-50 mg/dl
Moderate depletion: 10-15mg/dl
Severe depletion: <10mg/dl
What does lymphopenia and thrombocytopenia on a CBC indicate for malnutrition?
Lymphopenia: general malnutrition indicator
Thrombocytopenia: Lack of vitmain C and folate
What is the ideal body weight for males and females
Males: 50kg + 2.3kg for each inch over 5ft
Females: 45.5kg +2.3kg for every inch over 5ft
What is the average adult calorie requirements and what factors can increase this?
30-35kcal/kg/d
Stress, fever can increase this
What is the normal daily fluid intake for average adult? Hospitalized patient?
Average: 1-1.5 ml of water/ kcal
Hospitalized 30-35mls/kg/d
What is the recommended daily allowance of protein
0/8/kg/d
What happens to protein needs in hospitalized patients?
Increase and may not be tolerated in renal and liver failure
What is the optimal percent of your diet that should be composed of lipids?
<30%
What percent of the diet should be made of carbs?
45-55%
Why are low carb diets indicated for COPD patients?
Carbohydrate intake increases CO2
When are TF indicated
Inadequate bowel function
Prolonged catabolic state
Prolonged bowel rest
Weight loss
Comorbidities conditions
What time frame should a hospitalized patient be started on TF?
24-48 hrs
Consult dietary
What sort of feeding tube should be given to high aspiration risk patients
Duodenal tube
What are contraindications to tube feedings
Bowel obstruction or ileus
Mesenteric ischemia
Circulatory shock
