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Nutricion Artifical 2 > Examen Final > Flashcards

Examen Final Flashcards

1
Q

Main glucogenic substrate

A

Glycerol and alanine

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2
Q

Works as a hydrogen career in Krebbs cycle as FAD

A

Riboflavin

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3
Q

It’s deficiency causes sideroblastic anemia

A

Niacin

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4
Q

It has an important role before and during pregnancy to prevent neural tube defect

A

Folic acid

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5
Q

It’s a component of CoA as a acil transport

A

Panthotenic Acid

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6
Q

Works as a hydrogen career in Krebbs Cycle as NAD

A

Niacin

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7
Q

It’s a cofactor of carboxylase enzymes in the mitochondria

A

Biotin

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8
Q

It’s deficiency causes Wernike Karsakoff encephalopathy

A

Thiamine

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9
Q

If you have an elderly male patient with a HB of 11.3 mg/de and a VCM of 114; what deficiency do you suspect

A

Folic acid

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10
Q

This mineral has an important role in insulin resistance

A

Chromium

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11
Q

This vitamin has been used in neurological patients for its antioxidant properties

A

Vitamin E

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12
Q

This vital has a crucial role in carboxylation and activation of coagulation factors

A

Vitamin K

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13
Q

If I have a patient with anorexia Nervosa, who has been restricting her energy consumption for 2 months; her labs show glucose in upper limit, hyper triglyceride is and normal albumin, who’s is the main substrate that she is doing ?

A

Lipids form adipose tissue

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14
Q

Regarding proteolysis during metabolic adaptation to simple starvation and stress starvation

A

Lower starvation than in stress

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15
Q

Regarding gluconeogenesis during metabolic adaptation to simple starvation and stress starvation

A

Lower in starvation and high in stress

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16
Q

Regarding ketogenesis during metabolic adaptation to simple starvation and stress starvation

A

Higher in starvation and in stress

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17
Q

Nutritional Screening tool recommended by ASPEN for hospitalized patients

A

SGA

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18
Q

Nutritional Screening tool recelmended by ESPEN for hospitalized patients

A

NRS

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19
Q

Absolute GI contraindication for enteral nutrition

A

Intestinal obstruction and ileus

20
Q

You have a female patient with advance dementia, who suffered a stroke and consequent dysphagia; the neurology doesn’t expect a full recovery in the next 3 months, which would be the best option ?

A

Enteral nutrition with gastrostomy

21
Q

You have an obese patient who suffered a car accident and is in the ICU, he is tolerating the enteral nutrition, he is sedarte and with high values of PEEP on the mechanical ventilation; which would be the best option

A

Nasoyeyunal tube with continuous infusion

22
Q

Mention the parameter which we calculate gastric capacity for the bolus

A

5-7 ml/kg por bolus

23
Q

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

A

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

24
Q

According to ESPEN, which is the make osmolaroty we can use with a peripheral catheter

A

850

25
Q

Best option for a central access

A
  1. Subclavian catheter
  2. Yugular catheter
  3. Brachial Catheter
  4. Axiliar catheter
  5. Femoral catheter
26
Q

Tripulen catheters have a higher risk of infection

A

True

27
Q

Portacat catheters should be used in parenteral nutrition for a long period of time?

A

False

28
Q

PICCS are collected for peripheral acces

A

False

29
Q

Hickman catheter is an example of a tunneled central catheter

A

True

30
Q

PVI solutions are preferred and chlorhexidine for skin preperatiij for a CVC

A

False

31
Q

It’s a way to control hipercatavolsim other than nutrition

A

All of the above : Analgesia, pain control ; temperature; prevention of infections

32
Q

Energy recommendation that you would use for a undernourished patient with a BMI is 15.5 to prevent refeeding syndrome

A

10

33
Q

I’m refeeding syndrome it is very important to supplement the following

A

Thiamine

34
Q

In the prevention of refeeding syndrome, thiamine supplement should be given :

A

Intravenously

35
Q

I’m the prevention of refeeding syndrome, thiamine should be administered

A

30 minutos before nutrition and administration starts

36
Q

Main electrolyte we need to monitor in a patient which refeeding risk

A

P

37
Q

I’m 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

38
Q

Dose in which we supplement omega 3 in critically I’ll patients as immunotherapy

A

2000

39
Q

Dose in which most investigations report toxicity with omega 3 supplementation :

A

Over 6 gr a day

40
Q

Patients at risk which omega 3 supplementation should be carefully assessed and probably should not be used:

A

Thrombocytopenia

41
Q

You are siding glutamine supplementation to modulate inflammation in a critically I’ll patient, which GI is perforated

A

Parenteral nutrition

42
Q

Dose in which we suppplement glutamin in a critically I’ll patient

A

0.5 g/kg

43
Q

Main consideration to supplement a patient with glutamic

A

Patients liver function tests must be normal

44
Q

Due to the fact that arginine is predator of nitric oxide, it’s supplementation is not recommended and/or should be carefully assessed in this type of pathologies

A

Sepsis

45
Q

Predominant features of liver disease in patients with HPN are

A

Cholestasis in children and steatosis in adults

46
Q

Mention the safest limit for HCO infusion in parenteral nutrition when treating liver disease associated to PN

A

Maximum 5 mg/kg//min

Nutricion Artifical 2 (2 decks)

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