More Study Questions Flashcards
The best method to assess nutritional status in liver disease pts
SGA
What percentage of obese pts have fatty liver
80% (BMI > 40)
When initiating Jtube feeds, a hormonal release in response to LCFA and protein in the ileum is called
ileal brake
Improving blood sugars can improve what for a GI pt
gastric emptying
Small bowel bacterial overgrowth (SBBO) d/t to what in a GI pt?
chronic PPI, altered GI motility
REglan cautious with what neuro problem?
spinal cord injury
BMI less accurate with what neuro problem?
paraplegia
Pregnancy and hypermetabolism- inc cals by how much/day
200-300 kcals
How much protein in 2nd & 3rd trimesters?
25 grams
What test can differentiate diagnosis of NASH vs. NAFLD?
liver biopsy
Hepatoma (primary hepatocellular carcinoma) is seen in pts with
cirrhosis
ligament of treitz is located
in the proximal jejunum just past the duodenum or 50-60 cm past the pylorus
Optimal TF formula for acute pancreatitis that results in the least pancreatic stimulation is
elemental, nearly fat-free or semielemental small peptide with MCT
TF with greatest absorption in acute pancreatitis is
semielemental, small peptides
PN should be initiated when in the acute pancreatic pt and why
after 5 days timed to follow peak of the initial inflammatory response.