examen Flashcards

1
Q

Main gluconeogenic substrates

A

Alanine
Glutamine
Glycerol
Lactato

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Considerado un aminoácido semi elemental

A

Cysteine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

This amino acid is said to become essential in critical patients because of it ́s importance in gluconeogenesis and immunonutrition

A

Glutamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Extracellular electrolytes

A

Na
Cl
Ca

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Intracellular electrolytes

A

Mg
K
P

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Name at least two micronutrients with antioxidant properties, and therefore
are used to modulate the metabolic response to stress

A

Vitamin C
Vitamin E
Zinc
Selenium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

This mineral has an important role in insulin resistance

A

Chromium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

This minerals have an important role in wound healing

A

Zinc and Selenium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

This vitamin works as FAD in the hydrogen transport from krebs cycle to respiratory chain

A

Riboflavin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The deficiency of this vitamin can be diagnosed megaloblastic anemia and hyperhomocysteinemia

A

B12 Cobalamin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

This vitamin work as nad in the hydrogen transport from krebs cycle torespiratory chain

A

Niacin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

This vitamin work as nad in the hydrogen transport from krebs cycle torespiratory chain

A

Niacin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

This vitamin work as nad in the hydrogen transport from krebs cycle torespiratory chain

A

Niacin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

This vitamin work as nad in the hydrogen transport from krebs cycle to respiratory chain

A

Niacin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The deficiency of this vitamin may cause sideroblastic anemia

A

Pyridoxine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The deficiency of this vitamin causes beri beri

A

Thiamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

This vitamin works to unite acetyl coa into the krebs cycle

A

Pantothenic acid

17
Q

One of the main functions of this vitamin is in the maturation of erythrocytes

A

folic acid

18
Q

Main substrate in the first phase of starvation

A

Hepatic glycogen and protein

19
Q

Main substrate in the second phase of starvation

A

Lipids from adipose tissue

20
Q

In metabolic stress adaptation this is correlated with the degree of inflammation

A

Insulin resistance and hyperglycemia

21
Q

Nutrition screening tool recommended by ESPEN for hospitalized patients

A

NRS

22
Q

Nutrition screening tool recommended for older adults

A

MNA

23
Q

Nutrition screening tool used in the ICU to assess nutritional support

A

NUTRIC SCORE

24
Q

Nutrition screening tool recommended for general population

A

MUST

25
Q

Absolute gastrointestinal contraindications for enteral nutrition

A
  1. intestinal obstruction and ileus
    2.Severe peritonitis
26
Q

Post pyloric tube feeding is used for patients with

A

Aspiration risk
gastroparesis
gastro-oesophageal reflux

27
Q

Bolus feeding is

A

Associated with higher rates of gastrointestinal symptoms compared to continuous infusion
Convenient option in stable patients with PEG

28
Q

Modern nasogastric feeding tubes

A

Cannot be used for more than 4-6 week

29
Q

The correct position of an NG tube should be confirmed by

A

pH of the stomach <5 and/or abdominal x ray

30
Q

There are formulas with intact nutrients

A

Polymeric

31
Q

There are formulas with hydrolyzed nutrients

A

Oligomeric

32
Q

Water on fórmulas

A

Standard 80%
Hypercaloric 1.2kcal/ml 75%
Hypercaloric 2kcal/ml 50%

33
Q

When monitoring EN which indication regarding gastric residue should be taken into consideration to start prokinetic and/or slow down the infusion

A

Over 600 ml in 24 hrs
Half of the volume infused in the last hour
500 ml in soul measurement

34
Q

Mention the parameter with which we calculate gastric capacity for the bolus

A

5-7 ml/kg per bolus

35
Q

According to ASPEN and ESPEN how do we advance the infusion rate continuous enteral nutrition

A

Start with 20 ml/hr and increase 20 every 6-8 hour according to tolerance until you achieve the infusion rate goal

36
Q

What would I do if the patient didn’t tolerate the increase in the enteral nutrition infusion rate increase?

A

Identify the cause and return to last volume tolerated

37
Q

In order to prevent refeeding syndrome we need to supplement

A

200 - 300 mg of thiamine IV 30 min before we start the nutrition administration

38
Q

This are frequent electrolyte imbalances in refeeding syndromre

A

Hipofosfatemia e hipokalemia

39
Q

Refeeding syndrome kcal:

A

Day 1 BMI below 14: 5kcal/kg/day
Day 1 BMI above 14: 10kcal/kg/day
Day 2 to 10: increase 5 kcal/kg/day

40
Q

In the management of anemia in a patient with refeeding syndrome, in which way iron supplementation should be administered

A

After 7 days we started nutritional therapy

41
Q

In the event of having signs of refeeding syndrome you

A

should give 300 mg of thiamine