Nutrition in the ICU Flashcards
There is __ lipolysis in critical illness
a. increased
b. decreased
a. increased
Height, weight, and labs are the best way to predict nutrition outcome in ICU pts
a. true
b. false
b. false
NOT valid in ICU population
these do NOT predict outcomes
A nutritional risk screening (NRS)-2002 score of > __ means the pt is nutritionally at risk and a nutrition care plan should be initiated
2
A mNUTRIC score of > __ predicts worse clinical outcomes AND pt is likely to benefit from aggressive nutrition therapy
4
What is the gold standard for estimating energy requirements?
indirect calorimetry (IC)
indirect calorimetry via metabolic cart
not all hospitals have
What does a high respiratory quotient indicate?
a. carb oxidation
b. fat oxidation
a. carb oxidation
What does a low respiratory quotient indicate?
a. fat oxidation
b. carb oxidation
a. fat oxidation
What BMI needs 25-30kcal/kg/day?
19-27
What BMI needs 20-25kcal/kg/day?
28-30
Protein should be reduced in critically ill pts with acute kidney or hepatic failure
a. true
b. false
b. false
do NOT reduce protein
Enteral nutrition should be continued while diarrhea etiology is being evaluated
a. true
b. false
a. true
Aspiration pneumonia is a complication of EN
a. true
b. false
a. true
Metoclopramide + erythromycin is recommended to improve EN tolerance
a. true
b. false
b. false
NOT recommended
There is no benefit of PN use in days 0-7
a. true
b. false
a. true
There is an increase in mortality if PN is not started in > __ days
14
