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FS HN 461 > Exam 3 > Flashcards

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
Q

Valence of 2

A

Ca, Mg, P

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26
Q

NPC:N ratio for severly stressed

A

80-100

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27
Q

NPC:N ration for moderately stressed

A

100-150

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28
Q

NPC:N ratio for non-stressed

A

150-300

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29
Q

Determine amount of protein needed

A

[kcal needs/NPC:N+25]*6.25

30
Q

Protein needs non-stressed

A

0.8-1.0g/kg

31
Q

Protein needs mod. stressed

A

1.0-1.5g/kg

32
Q

Protein needs severly stressed

A

1.5-2.5g/kg

33
Q

Protein needs stresed obese

A

1.5-2.0g/kg

34
Q

2008 PA guidelines for Americans

A

> 150min/wk MPA or >75min/wk VPA

35
Q

How many days a week should you do muscle strengthning

A

> 2

36
Q

PA guidelines for wt loss

A

> 300min/wk MPA

37
Q

AHA/ACC guidelines

A

> 150min/wk MPA or 200-300min/wk MPA to loose or maintain weight

38
Q

1 MET oxygen consumption

A

1 MET=3.5 mL/kg/min

39
Q

1 MET ratio of EE to rest

A

1 MET=1 kcal/kg/hr

40
Q

MET sedentary

A

<1.5 MET

41
Q

MET light

A

1.6-2.9 MET

42
Q

MET Moderate

A

3.0-5.9 MET

43
Q

MET vigorous

A

> 6.0 MET

44
Q

US surgeon general PA guidelines

A

500-1000MET minutes/week

45
Q

Class I obesity BMI

A

30.0-34.9

46
Q

Class II obesity BMI

A

35-39.9

47
Q

Extreme obesity

A

> 40

48
Q

Low calorie diet women

A

1000-1200kcal/day

49
Q

Low calorie diet men

A

1200-1600kcal/day

50
Q

Very low calorie diet

A

800kcal/day

51
Q

Obesity definition

A

Lifelong, progressive, life-threatening, costly, genetically related, multi-factorial disease of excess fat storage with multiple co-morbidities

52
Q

Can obesity be cured

A

NO

53
Q

Obesity treatment pyramid

A

Lifestyle–>pharmacotherapy–>surgery

54
Q

AHA/ACC guidelines women calories

A

1200-1500kcal

55
Q

AHA/ACC guidelines men calories

A

1500-1800kcal

56
Q

Step 1 LCD

A

500-1000kcal defecit/day for 1-2lb loss

57
Q

Sibutramine

A

appetite suppressant; recalled in 2010

58
Q

Orlistat and Alli

A

Lipase inhibitors

59
Q

Fen-phen

A

anorectic; recalled

60
Q

Capacity of stomach in banded stomach

A

30 mL

61
Q

Capacity of stomach in sleeve

A

50-150mL

62
Q

Capacity of stomach in Roux-en-y

A

20-30mL

63
Q

Hypokalemia

A

K+ increase in cellsq

64
Q

Hypophosphatemia

A

Insulin induced PO4 uptake in cells

65
Q

Hypomagnesemia

A

Rapid influx of Mg into cell as metabolism shifts to anabolism

66
Q

Thiamin depleation

A

Leads to Wernicke’s encephaly or cardiomyopathy

67
Q

What is the most serious EN complication

A

aspiration

68
Q

What is the most common EN complication

A

diarrhea

69
Q

Isotonic solution

A

350-500mOsm/kg

70
Q

AA Osmolarity

A

%*50=mOsm/L

71
Q

D Osmolarity

A

%*100=mOsm/L

FS HN 461 (8 decks)

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