Final: Pulmonary Disease

Question 1

Energy requirements for chronic pulmonary patients

Answer 1

125-150% basal energy needs

Question 2

Kcal/kg requirements for chronic pulmonary patients

Answer 2

25-30

Question 3

Protein requirements for chronic pulmonary patients

Answer 3

1.2 - 1.7 g/kg body weight

Question 4

Carbohydrate requirements for chronic pulmonary patients

Answer 4

1 - 5 mg/kg/min

Question 5

Fat requirements for chronic pulmonary patients

Answer 5

-Most ~35% of total calories from fat
-Not necessarily everyone

Question 6

_____ is common in refeeding syndrome and can result in respiratory muscle weakness

Answer 6

Hypomagnesemia

Question 7

How does malnutrition affect lung function?

Answer 7

-Respiratory muscles are catabolized for energy
-Hypoalbuminemia may contribute to pulmonary edema
-Compromised immune function
-Decreased surfactant production
-Hypophosphatemia

Question 8

Indications for IC

Answer 8

-Inability to accurately estimate caloric requirements
-Inadequate clinical response using predictive equations