Nutrition Flashcards
Identify the characteristics associated with nutritional problems
Identify px at risk
Nutritional screening
Collect and evaluate clinical conditions, diet, body composition and biochemical data
Nutritional assessment
Lymphocyte count to be considered as at risk
Less than 1500
Calorie requirement per day
25 to 30
During trauma or sepsis, calorie requirement
1.2 to 2 times greater
Normal NPN calorie: nitrogen
150:1
Nitrogen dailyy
0.25 to 0.35
Indication for pre op nutrition
Severe malnutrition with physiological impairment
Diminished secretory IgA production
Decrease cytokine production
Bacterial overgrowth
Altered mucosal defense
Enteral nutrition
Non essential amino acids
Major fuel source for enterocytes and immunocytes
Precursor for gluthatione
Glutamine
This enhances immunocyte function
Arginine
Reduces proinflammatory response from prostaglandin production
Canola oil or fish oil
W3 PUFA
This formula may bring potential harm for septic patients
Arginine
Does not improve primary endpoint with acute lung injury
W3 PUFA
Used for renal failure formula
Low potassium, phosphorus and magnesium