Exam 3 Flashcards

1
Q

Order of Small Intestine

A

duodenum–> jejunum–> ileum

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2
Q

Bolus Feeding

A

250-500mL over 10-15minute

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3
Q

Intermittent feeding

A

250mL of 20-30 minutes

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4
Q

Continuous feeding

A

10-40mL/h

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5
Q

Blood osmolality Normal

A

280-320mOsm/kg

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6
Q

Blood osmolality usual

A

280-290mOsm/kg

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7
Q

If IBW>CBW what BW do you use from protein

A

IBW

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8
Q

If CBW>IBW what BW do you use for protein

A

CBW

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9
Q

TPN Usual [AA]

A

3.5-20%

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10
Q

TPN AA kcal

A

4kcal/g

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11
Q

TPN %total kcal protein

A

15-20%

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12
Q

TPN usual [D]

A

5-70%

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13
Q

TPN D kcal

A

3.4kcal/g

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14
Q

Max tolerance of CHO

A

0.36g/kg/h

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15
Q

Max infustion of CHO

A

5mg/kg/min

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16
Q

Normal infusion of CHO

A

3-4mg/kg/min

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17
Q

10% lipid calories

A

1.1kcal/mL

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18
Q

20% lipid calories

A

2 kcal/mL

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19
Q

Optimal lipid infusion rate

A

1g/kg/24hr

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20
Q

Max lipid infusion rate

A

2g/kg/hr

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21
Q

Propofuol

A

Sedative; 10% soybean oil (1.1kcal/mL)

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22
Q

Lipid rule

A

Do not give lipids to pt with TG >400mg/dL

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23
Q

Electrolyte conversion

A

(mg/AW)*valence=mEq

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24
Q

Valence of 1

A

Cl, Na, K

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25
Valence of 2
Ca, Mg, P
26
NPC:N ratio for severly stressed
80-100
27
NPC:N ration for moderately stressed
100-150
28
NPC:N ratio for non-stressed
150-300
29
Determine amount of protein needed
[kcal needs/NPC:N+25]*6.25
30
Protein needs non-stressed
0.8-1.0g/kg
31
Protein needs mod. stressed
1.0-1.5g/kg
32
Protein needs severly stressed
1.5-2.5g/kg
33
Protein needs stresed obese
1.5-2.0g/kg
34
2008 PA guidelines for Americans
>150min/wk MPA or >75min/wk VPA
35
How many days a week should you do muscle strengthning
>2
36
PA guidelines for wt loss
>300min/wk MPA
37
AHA/ACC guidelines
>150min/wk MPA or 200-300min/wk MPA to loose or maintain weight
38
1 MET oxygen consumption
1 MET=3.5 mL/kg/min
39
1 MET ratio of EE to rest
1 MET=1 kcal/kg/hr
40
MET sedentary
<1.5 MET
41
MET light
1.6-2.9 MET
42
MET Moderate
3.0-5.9 MET
43
MET vigorous
>6.0 MET
44
US surgeon general PA guidelines
500-1000MET minutes/week
45
Class I obesity BMI
30.0-34.9
46
Class II obesity BMI
35-39.9
47
Extreme obesity
>40
48
Low calorie diet women
1000-1200kcal/day
49
Low calorie diet men
1200-1600kcal/day
50
Very low calorie diet
800kcal/day
51
Obesity definition
Lifelong, progressive, life-threatening, costly, genetically related, multi-factorial disease of excess fat storage with multiple co-morbidities
52
Can obesity be cured
NO
53
Obesity treatment pyramid
Lifestyle-->pharmacotherapy-->surgery
54
AHA/ACC guidelines women calories
1200-1500kcal
55
AHA/ACC guidelines men calories
1500-1800kcal
56
Step 1 LCD
500-1000kcal defecit/day for 1-2lb loss
57
Sibutramine
appetite suppressant; recalled in 2010
58
Orlistat and Alli
Lipase inhibitors
59
Fen-phen
anorectic; recalled
60
Capacity of stomach in banded stomach
30 mL
61
Capacity of stomach in sleeve
50-150mL
62
Capacity of stomach in Roux-en-y
20-30mL
63
Hypokalemia
K+ increase in cellsq
64
Hypophosphatemia
Insulin induced PO4 uptake in cells
65
Hypomagnesemia
Rapid influx of Mg into cell as metabolism shifts to anabolism
66
Thiamin depleation
Leads to Wernicke's encephaly or cardiomyopathy
67
What is the most serious EN complication
aspiration
68
What is the most common EN complication
diarrhea
69
Isotonic solution
350-500mOsm/kg
70
AA Osmolarity
%*50=mOsm/L
71
D Osmolarity
%*100=mOsm/L