MNT Pulmonary Disease

Question 1

MNT for Cystic Fibrosis

Answer 1

maintain BMI (75th percentile 2-19 years, Median BMI: 22 for >20years), 120-150% REE energy, D3 supplement, K supplement

Question 2

Goals for MNT Cystic Fibrosis

Answer 2

increase strength, growth, maintain wt, increase QOL

Question 3

Nutrition support for cystic fibrosis

Answer 3

PEG, NG, gastronomy and jejunostomy

Question 4

Asthma

Answer 4

correct nutrient deficiencies, determine dietary triggers, determine food-drug interactions, increase antiosidant and MUFA, increase Vit C, Zinc, decrease beta caroteen, decrease BMI to healthy range.

Question 5

COPD MNT

Answer 5

BMI 20-24, increased energy requirements, easily prepare foods, limit alcohol <2 drinks a day 40-55:15-20:30-45 CHO, PRO, fat ratio, protein 1.2-1.5g/kg, fluid 35mL/kg body wt (adult) OR fluid 30mL/kg body wt (older adults), small frequent meals, rest before eating, increase vitamin c in smokers, increase vitamin D and K in glucocoricosteroid users.

Question 6

Goals for COPD MNT

Answer 6

nutritional well being, appropriate lean body mass to adipose ratio, correct fluid imbalance, manage nutrient-drug interactions, prevent osteoporosis

Question 7

Tuberculosis MNT

Answer 7

decrease malnutrition/cachexia, energy 35-40kcal/g IBW, 1.2-1.5g/kg IBW, Nutrition supplement for 50-150%RDA, Be aware of Vitamin A, Bs, C, E, Zinc, Selenium deficiencies.

Question 8

What is Tuberculosis

Answer 8

obligate anaerobe bacterial parasite that cause infection in lungs

Question 9

MNT for Lung Cancer

Answer 9

evaluate wt loss, treat anoriexa and associated s/s. Appetitie stimulants, nutrition support when needed

Question 10

MNT for Cancer Cachexia Syndrome

Answer 10

small frequent meals, rest before meals, high fat, high protein, low CHO, consider ghrelin (IV)

Question 11

MNT for Obesity Hypoventilation Syndrome

Answer 11

Wt reduction will decrease upper airway collapsibility by 13% and reduce apenea hypopnea by 55-29/hr

Question 12

MNT for Chylothorax

Answer 12

restrict long chained fatty acids, replace with MCT

Question 13

MNT for Acute Respiratory Distress Syndrome

Answer 13

treat malnutrition, do not over or under feed, nutrition support

Question 14

MNT for Aspiration Pneumonia

Answer 14

Nutrition support to SI rather than stomach. Continuous, elevate head, prokinetic agents, low sedatives, naloxone for gut motility

Question 15

MNT for Bronchopulmonary Dysplasia

Answer 15

Energy 15-20% than normal infants, protein needs 3.5-4.0g/kg body wt, fat 4.4-6.0g/100kcal. Monitor Vit D, Calcium, Potassium, Vitamin A in clinical doses?