Fluid & Electrolytes, Nutrition, Metabolic And Endocrine Flashcards
Normal urine osmolarity
500-850mosm/kg
Normal serum osmolarity
275-295 mosm/kg
Define early nutrition
Within 48h
Early nutrition target
70% of energy needs
Indications for postpyloric feeding
Gastric feeding intolerance not solved with pro kinetic agents
Patients deemed to be at high risk for aspiration
Addisons features
primary adrenal insufficiency
Bronze skin pigmentation Changes in body hair distribution GI disturbances Weakness Hypoglycaemia Postural hypotension Weight loss
In which disease processes is steroid therapy beneficial
Meningitis - with first abx
Acute SCI - within 8h of injury. Less intramedullary haemorrhage
DM diagnostic criteria
RBG >11.1 with symptoms
HbA1C >6.5
Fasting glucose >7.8
Insulin effects
Anti inflammatory Anti thrombotic Improved vascular endothelial function Reversal of dyslipidaemia Anabolic
Drug not to give in thyroid storm
NSAID - displaces thyroxine from proteins
What is the wave length of red vs. Infrared light
Red: 660
Infrared: 940
Normal CVO2 levels
65-75%