Surgical Nutrition

Question 1

what is the goal of surgical nutrition?

Answer 1

to minimize protein catabolism

Question 2

How much energy is stored?
CHO
FAT
PROTEIN

Answer 2

CHO=150gms (600kcal)
FAT= 6500gms (58,000 kcal)
Protein= 2400gms (9600 kcal)

Question 3

dietary requirement of protein

Answer 3

1-1.5gms/kg/day

1.2-2 after surgery

Question 4

prealbumin levels

Answer 4

170 = no risk

Question 5

hypovitaminosis a

Answer 5

poor wound healing

blindness

Question 6

hypovitaminosis b

Answer 6

b1,2,3,5,6,12

neuropathy
megaloblastic anemia

Question 7

hypovitaminosis c

Answer 7

scurvy

bleeding gums

joint pain

rash

subungual hemorrhage

Question 8

hypovitaminosis d

Answer 8

causes of osteomalacia

rickets-delayed physical and osseus dev

Question 9

hypovitaminosis e

Answer 9

hemolytic anemia->dec o2->impaired healing

Question 10

hypovitaminosis k

Answer 10

dec clotting factors

Question 11

clear liquid diet

Answer 11

to ascertain gi function

Question 12

advantage of extra-enteral nutrition

Answer 12

preserve role of intestine in immune function

-keeps gut barrier healthy

Question 13

nutritional requirements for wound healing

Answer 13

vitamin a,c
total protein
albumin >3
prealbumin>170
TLC>1500
essential minerals ZN, CU, SE