Lab Considerations

Question 1

What primary tests should be considered for a client living with alcoholism?

Answer 1

AST
ALT
GGT
Thiamin
Folate
Vitamin B12

Question 2

What primary tests should be considered when anemia is suspected?

Answer 2

CBC
TIBC
Transferrin saturation
MCV
Reticulocyte count
RBC Folate
Serum Vitamin B12

Question 3

What primary tests should be considered for a client living with diabetes?

Answer 3

Fasting serum glucose
Hemoglobin A1C
Insuline Levels
CRP
Serum
Urinary Ketones bodies

Question 4

What primary tests should be considered for a client living with an eating disorder?

Answer 4

Potassium
Albumin
Serum Amylase
Thyroid Studies
B-carotene aspartate
AST
ALT
Anemia

Question 5

What primary tests should be considered for a client living with hyperlipidemia?

Answer 5

Cholesterol
Triglyceride
LDL-C
HDL-C
Homocysteine
TSH secondary

Question 6

What primary tests should be considered for a client living with musculoskeletal pain and/or weakness?

Answer 6

25(OH) Vitamin D
Phosphate
PTH

Question 7

What primary tests should be considered when malabsorption is suspected?

Answer 7

24-hr fecal fat
Barium imaging studies
Electrolytes
Albumin
Serum triglycerides
Hydrogen breath test

Question 8

What primary tests should be considered when metabolic syndrome is suspected?

Answer 8

Fasting serum glucose
Lipid panel
Uric acid

Question 9

What primary tests should be considered when re-feeding syndrome is suspected?

Answer 9

Albumin
Calcium
Phosphorus
Magnesium
Potassium

Question 10

Serum albumin has a half life of ____, and is a good indicator of nutritional status over the past ____.

Answer 10

18-20 days
1-2 months

Question 11

Serum transferrin has a half life of _____, and is a good indicator of nutritional status over the past _____.

Answer 11

8-9 days
Several weeks

Question 12

Serum prealbumin has a half life of ____, and is good indicator of nutritional status, ____, and _____ over the past ____.

Answer 12

2-3 days
protein, caloric intake
Week

Question 13

In enteral nutrition, protein may make up __-__% of total calories of the feeding tube formal

Answer 13

8-25%

Question 14

How is nitrogen supplied in enteral nutrition tube formulas?

Answer 14

Whole
Partially hydrolyzed (peptides)
Fully hydrolyzed (free amino acids)

Question 15

In enteral nutrition, fat may make up __-__% of total calories of the feeding tube formal

Answer 15

10-55%

Question 16

In enteral nutrition, carbohydrates may make up __-__% of total calories of the feeding tube formal

Answer 16

27-70%

Question 17

What are standard formulas in tube feeds?

Answer 17

Isotonic; intact protein; complex carbs; higher LCT to MCT content
Pts w/ adequate digestion/absorption ability

Question 18

What type of pt is put on elemental and semi-elemental formulas in tube feeding?

Answer 18

Pts w/ impaired digestion or absorption like in Chron’s disease, pancreatic insufficiency, radiation enteritis, short bowel syndrome

Question 19

What are disease specific formulas in tube feeding?

Answer 19

glucose intolerance, kidney disease, pulmonary disease, liver disease

Question 20

When is parenteral nutrition indicated?

Answer 20

Paralytic ileus
Mesenteric ischemia
Small bowel obstruction
High output enterocutaneous fistula
Severe GI bleed
Lack of enteral access
GVHD of the gut
Short bowel syndrome
Radiation enteritis

Question 21

What is the minimum duration for parenteral nutrition?

Answer 21

7 days

Question 22

What are the concentration percentages of amino acids, carbohydrates, and lipids in parenteral nutrition formulas?

Answer 22

AA: 3-20%
C: 2.5-70%
L: 10-20% (infusion); 30% (compounding)