Malnutrition

Question 1

What are the causes behind hospital malnutrition?

Answer 1

Nbm
Malabsorption
Drug-nutrient interactions

Question 2

What are the criteria for nutrition support?

Answer 2

Malnourished- BMI < 18.5 OR unintentional weight loss > 10% over 3-6 months
At risk of malnutrition- eaten nothing for 5 days
Poor absorptive capacity

Question 3

What are the complications of enteral feeding?

Answer 3

Misplaced NGT
Hyperglycaemia
Deranged electrolytes
Ulcers

Question 4

What are the complications of parenteral nutrition?

Answer 4

Infection at catheter injection site
Pneumothorax
Hyperglycaemia

Question 5

What is refeeding syndrome?

Answer 5

When you reintroduce carbs to someone that’s starved they may start experiencing arrhythmia, tachycardia = cardiac arrest/sudden death
Coma
Seizures
Wernickes encephalopathy

Question 6

How do you manage refeeding syndrome?

Answer 6

Provide thiamine 30 mins prior
Start on 10-20 calories a day and slowly increase
Monitor electrolytes

Question 7

How do you calculate % weight loss

Answer 7

Current/previous weight x100

Question 8

Is albumin an indicator of malnutrition?

Answer 8

No
Albumin synthesis decreases it can be a predictor but not indicator