Malnutrition and Nutritional Assessment Flashcards
How do we screen for malnutrition?
MUST (Malnutrition Universal Screening Tool)
Who is multi frequency bioelectrical impedance analysis used on?
Used in renal and haematology patients
What can CT tell us?
- Muscle distribution and composition
- Fat and muscle content from 1 abdominal cross section
- Can tell between visceral and subcutaneous fat
What responds earliest to nutritional deprivation and depletion than other parameters?
Hand grip test.
What do we use to measure resting metabolic rate?
respirator gas exchange canopy
What is the difference between Enteral feeding and parenteral nutrition.
Enteral feeding- Feeding tube inserted
Parenteral nutrition- IV
What is the name of the enteral feeding tube that enters through the nose into the stomach?
Nasogastric tube
What is the name of the enteral feeding tube that enters through the nose into the duodenum?
Nasoduodenal tube
What is the name of the enteral feeding tube that enters through the nose into the jejunum?
Nasojenunal
What is the name of the enteral feeding tube that enters directly into the stomach?
Gatrostomy tube
What is the name of the enteral feeding tube that enters into the jejunum?
Jejunostomy tube
What is serum albumin production inhibited by?
Inflammation, IL6 and TNF
What is the acute phase response?
Inflammatory stimulus activates monocytes &m macrophages which release inflammatory cytokines to act on the liver stimulating production whilst downgrading production of others like albumin.
What do you need to be careful of when reintroducing food to a starved patient?
Refeeding syndrome
What is tested using MUST?
Answer