Nutrition Part 2

Question 1

When the sources of calories and nitrogen are given at different times, there is a significant

Answer 1

Decrease in nitrogen utilization

Question 2

The continue infusion of a hyperosmolar solution through an indwelling catheter inserted into the superior vena cava

Answer 2

Parenteral nutrition

Question 3

Parenteral nutrition

Disadvantages

Answer 3

Infectious complication kapag short term
Infectious kapag severe injury
Augmented stress hormone and inflammatory mediator kapag naka complete bowel rest

Question 4

Parenteral nutrition

In cancer patient

Answer 4

Walang benefits

Question 5

Parenteral nutrition

As supportive therapy in

Newborn GIT anomalies

Answer 5

TE fistula
Gastrochisis
Omphalocele
Massive intestinal atresia

Question 6

Parenteral nutrition

As supportive therapy in

Infants who fail to thrive due to GI insufficiency

Answer 6

Short bowel syndrome
Malabsorption
Enzyme deficeincy
Meconium ileus
Idiopathic diarrhea

Question 7

Parenteral nutrition

As supportive therapy in

Adult patients with short bowel syndrome

Answer 7

Massive small bowel resection

Question 8

Parenteral nutrition

As supportive therapy in

Patients with fistulas

Answer 8

Enteroenteric
Enterocolic
Enterovesical
High output entercutaneous fistulas

Question 9

Parenteral nutrition

As supportive therapy in

Surgical pts with prolonged paralytic ileus

Answer 9

After major operations >7 to 10days
Multiple injuries
Reflex ileusw

Question 10

Parenteral nutrition

As supportive therapy in

Pts with normal bowel length but with malabsorption

Answer 10

Sprue
Hypoprotenemia
Enzyme
Regional enteritis
Ulcerative colitis

Question 11

Parenteral nutrition

As supportive therapy in

Adult pts with functional GI disorders

Answer 11

Esophageal dyskinesia after cerebro ascular accident
Idiophatic diarrhea
Psychogenic vomiting
Anorexia nervosa

Question 12

Parenteral nutrition

Proven efficacy

Answer 12

Radiation and chemoenteritis

Hyperemesis gravidarum

Question 13

Parenteral nutrition

Efficacy not yet estabilshe

Answer 13

Preoperative
Cardiac cachexia
Pancreatitis
Ventilatory support

Question 14

Perenteral nutrition

Under investigation

Answer 14

Cancer

Sepsis

Question 15

Contraindications to hyperalimentation

Answer 15

Inevitable dying would be delayed
Experiencing hemidynamic instability 
Gastrointestinal tract feeding is feasible
Good nutritional status
Infants with

Question 16

Also central parenteral nutrition

Answer 16

TPN

Question 17

TPN standard formula

Answer 17

15-25% dextrose

Question 18

TPN special formula

Answer 18

47% dextrose

Question 19

Lower osmolarity of solutions allow its administration via peripheral veins

Answer 19

Peripheral parenteral nutrition

Question 20

Peripheral parenteral nutrition has reduced levels of dextrose and protein

Answer 20

10%

5%

Question 21

Access of parenteral feeding

Central hyperalimenation

Answer 21

Subclavian vein
Internal jugular vein
Femoral vein

Question 22

Gauge for parenteral feeding

Answer 22

16,

8-12 inches

Question 23

To obtain the maximum benefit, the calorie: protein ratio must be adequate at least

Answer 23

100-150 kcal/g nitrogen and BOTH carbohydrates and proteins must be infused simultaneously