02 - Surgical metabolism Flashcards
(23 cards)
How many kilocalories does a liter of D5LR provides?
170 kcal
WHO BMI cutoff for: underweight
<18.5 kg/m2 (5)
WHO BMI cutoff for: normal
18.5-24.9 kg/m2 (5)
Asian criteria BMI cut-off for: overweight
23-24.9 kg/m2 (5)
WHO BMI cut-off for: obese type 3
>=40 kg/m2 (5)
Asian criteria BMI cut-off for: normal
18.5-22.9 kg/m2 (5)
WHO BMI cut-off for: overweight
25-29.9 kg/m2 (5)
Asian criteria BMI cut-off for: obese type 3
no such cut-off (5)
Asian criteria BMI cut-off for: obese type 1
25-29.9 kg/m2 (5)
WHO BMI cut-off for: obese type 2
35-39.9 kg/m2 (5)
Asian criteria BMI cut-off for: underweight
<18.5 kg/m2 (5)
Asian criteria BMI cut-off for: obese type 2
>=30 kg/m2 (5)
WHO BMI cut-off for: obese type 1
30-34.9 kg/m2 (5)
Normal caloric requirement of healthy adult
22 - 25 kcal/kg/day
What is the principal source of fuel during short term fasting <5 days
lipids
When does ketone bodies become the principal source of fuel
starts after 2 days of starvation 24 days
What is the primary source of energy in critical illness and stressed states
lipids
caloric adjustment for hypermetabolic conditions
- mild stress - 25 - 30 2. moderate - 30 3. severe - 30 - 35 4. burns - 35 to 40
What vitamin is not part of parenteral nutrition and must be supplemented weekly
vitamin K
Most common trace mineral deficiency and is associated with diffuse eczematoid rash at intertriginous area
Zinc
What is the effect of prostacyclin in inflammation
inhibit platelet aggregation and vasodilation
How much does sepsis increase metabolic need
50%
what is the initial enteric formula for majority of surgical patients
low residue isotonic formula 1.0 kcal/ml - requires 1500 to 1800 ml
