Lecture 1 Flashcards

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1
Q

When is nutrition screening used?

A

pt who are at high nutritional risk or have poor nutritional status

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2
Q

Common screening criteria

A

*history of weight loss
*current need for nutrition support
*presence of skin breakdown
*poor dietary intake

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3
Q

What is the name of the nutrition screening tool?

A

*Malnutrition screening tool
*Malnutrition universal screening tool

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4
Q

physical sign indicating bulimia

A

Russel’s sign

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5
Q

Normal BMI

A

18.5-24.9

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6
Q

Severely underweight BMI

A

<16

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7
Q

Which population needs the highest energy requirement?

A

Ill or injured

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8
Q

Basic metabolic rate

A

the amount of energy used during 24 hour while at complete rest

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9
Q

resting energy expenditure

A

energy expended in activities necessary to sustain normal body functions and homeostasis

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10
Q

thermic effect of food

A

increase in energy expenditure associated with consumption, digestion and absorption of food

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11
Q

activity thermogenesis

A

the energy expended during activities of daily living and the energy expended during sports or exercise

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12
Q

Which equation is most accurate in estimating resting energy expenditure

A

Mifflin St. Jeor
- not accurate for critically ill patients

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13
Q

What is included in the total energy expenditure

A
  1. basal energy expenditure
  2. thermic effect of food
  3. activity thermogenesis
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14
Q

What is the gold standard for measuring energy expenditure?

A

indirect calorimetry
- especially for critically ill

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15
Q

respiratory quotient

A

volume of co expired/volume of oxygen utilized

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16
Q

When is ASPEN used?

A

during hospital stay and after if they are malnutritions

17
Q

ASPEN malnutrition criteria

A

-inadequate energy intake
-weight loss
-loss of muscle mass
-loss of subcutaneous fat
-fluid accumulation
-measurably diminished grip strength

18
Q

starvation related malnutrition

A

chronic starvation without inflammation

19
Q

chronic disease related malnutrition

A

inflammation is chronic and mild to moderate degree

20
Q

acute disease or injury related malnutrition

A

inflammation is acute and of severe degree

21
Q

How many criteria must be met to receive diagnosis of malnutrition

A

2 or more