Endonutrición

Question 1

Give 2 examples of drug nutrient interactions:

Answer 1

• Antiepileptics (valproic acid) + vit D ,
• Coffee + analgesics

Question 2

Metabolic response to stress is associated to:

Answer 2

Ketogenesis, catabolism, insulin resistance

Question 3

73 years old female arrives to the ER with somnolence. Her labs are: Albumin 2.2 gr/dl, cholesterol 90 mg/ dl. K, 2.5 mg, 1.6 PO4,2, Na 125, Glucose 80, BUN 12, Creatinine 0, 5, prealbumin 10
What is her nutritional diagnosis?

Answer 3

Severe undernutrition

Question 4

Albumin levels that can indicate mild, moderate and severe undernutrition:

Answer 4

• severe: <2.5
• moderate: 2.5-2.99
• mild: 3-3.5

Question 5

True or false: During fasting, basal metabolic rate is increased

Answer 5

False

Question 6

________ And has lost ______ % of this weight to the past 3 months or _______ in any period of time

Answer 6

22, 5%, 10%

Question 7

Undernutrition should be classified according to the _________ and the presence of ________

Answer 7

Periodicity and inflammation

Question 8

Every single patient that stays in a hospital needs a nutritional assessment

Answer 8

False

Question 9

Metabolic change observed during metabolic response to starvation:

Answer 9

Glucogenolisis

Question 10

Perform the subjective global assessment:
42 year old woman, previously healthy, arrives to the ER with Glasgow of 8 after a car crash. BMI 23. No changes in diet nor in her weight for the past 6 months. She has no gastrointestinal symptoms. Goes to the gym 5 times per week. Ay physical examination she looks muscular.

Answer 10

At risk of being undernourished

Question 11

Negative acute phase proteins are always markers of undernutrition in ICU patients

Answer 11

False

Question 12

In what order you ask the questions of the subjective global assessment?

Answer 12

1. weight changes
2. diet changes
3. gastrointestinal symptoms
4. functionality
5. disease and related stress
6. physical examination

Question 13

Positive acute phase hepatic protein used to assess inflammation

Answer 13

Reactive c protein