Nutrition in ICU

Question 1

contraindicaions to enteral nutrition

Answer 1

bowel ischemia

bowel obstruction

GI bleed

abd compartment syndr

gut perforation

severe hemodynamic instability
high pressor use

Question 2

when to initiate ENteral nutrition in ICU

Answer 2

w/in 24-48 hrs

Question 3

When is IV/parenteral nutrition started in ICU?

Answer 3

Day 7-10 WHEN enteral nutrition not an option

Question 4

Benefits of starting enteral nutrition early

Answer 4

gut integrity

prevents ileus

stress ulcer PPX

Question 5

results of study that compared start of parenteral nutrition 48hrs vs 7 days

Answer 5

No change in 90 day mortality between the two timings!

Question 6

early ____ nutrition associated with bowel ischemia

Answer 6

enteral

Question 7

start feed at (time after admission) of ICU and initiate ____% of metabolic need

Answer 7

(first week)
20-30%

Question 8

refeeding syndrome electrolyte disturbances

Answer 8

hypoP
HypoK
HypoMg

Question 9

risk factors for stress ulcers in icu

Answer 9

being on MV

Shock

Sepsis

Question 10

insulin therapy of goal glucose 140-180 part of ______ trial

Answer 10

NICE-SUGAR

Question 11

TPN associated w/ risk of

Answer 11

infections
increased Hospital stay

Question 12

results of 2018 study of pantoprazole and 30 day mortality

Answer 12

does NOT decrease risk of 30 day mortality

DOES reduce chances of GI bleed–>use in high risk patients (cirrhosis-decomp, ischemic bowel?)