johnson

Question 1

what is marasmus malnutrition

Answer 1

starvation-associated

Question 2

what is kwashiorkor malnutrition

Answer 2

protein malnutrition

Question 3

IBW

Answer 3

2.3(inches over 60) + 45.5 if woman, 50 if man

Question 4

degrees of malnutrition and % weight loss

Answer 4

<5%: small degree of malnutrition
5-10%: potentially significant degree of malnutrition
>10%: definitely significant degree of malnutrition

Question 5

Healthy BMI

Answer 5

19-24.9

Question 6

BMI malnutrition

Answer 6

17-19 is mild
16-17 is moderate
<16 is severe

Question 7

BMI percentiles children

Answer 7

<5th percentile: underweight
5-84th percentile: healthy
85-94th percentile: overweight
>95th percentile: obese

Question 8

waist circumference

Answer 8

> 35 women
40 men
is increased risk for obesity-related complications

Question 9

laboratory assessments for nutritional status

Answer 9

albumin, transferrin, prealbumin (transthyretin), c-reactive protein, total lymphocyte count, delayed cutaneous hypersensitivity testing

Question 10

albumin half life

Answer 10

18-20 days

Question 11

albumin is increased by __

Answer 11

dehydration, steroids, insulin, infection

Question 12

albumin is decreased by ___

Answer 12

edema, renal dysfunction, nephrotic syndrome, diet, burns, HF, cirrhosis, trauma, sepsis

Question 13

transferrin half life

Answer 13

8-9 days

Question 14

transferrin is increased by ___

Answer 14

iron deficiency, pregnancy, hypoxia, estrogen

Question 15

transferrin is decreased by __

Answer 15

infection, cirrhosis, burn, cortisone, testosterone

Question 16

prealbumin half life

Answer 16

2-3 days

Question 17

prealbumin is increased by

Answer 17

renal dysfunction

Question 18

prealbumin is decreased by ____

Answer 18

cirrhosis, hepatitis, stress, surgery, inflammation, CF, burs, Zn deficiency

Question 19

fluid needs adult

Answer 19

30-40 ml/kg/day

Question 20

fluid needs children <10 kg

Answer 20

100 ml/kg/day

Question 21

fluid needs children >10 kg

Answer 21

1000 ml
+
50 ml/kg/day for each kg btwn 11-20
+
20 ml/kg for each kg >20

Question 22

what increases fluid needs

Answer 22

fever, vomiting, ostomy/fistula drainage, diarrhea, glycosuria, heat, hyperventilation, sweating

Question 23

what decreases fluid needs

Answer 23

heart failure, renal failure, SIADH

Question 24

what is the protein requirement for normal healthy adult

Answer 24

0.8

Question 25

what is the protein requirement for adult over 60

Answer 25

1.5

Question 26

what is the protein requirement for pregnant/lactating

Answer 26

1.1

Question 27

caloric needs: normal healthy

Answer 27

20-25 kcal/kg

Question 28

caloric needs: illness, BMI<30

Answer 28

25-30

Question 29

caloric needs: illness, BMI>30

Answer 29

11-14 or 22-25 kcal/kg IBW/day

Question 30

caloric needs: major burn

Answer 30

25+40 kcal/ %TBSA burned

Question 31

protein requirement: burns

Answer 31

3 g/kg

Question 32

protein requirement: liver failure

Answer 32

0.5-1.5 g/kg

Question 33

protein requirement critically ill

Answer 33

1.2-1.4
BMI 30-40 is 2 g/kg IBW
BMI>40 is 2.5 g/kg IBW