Nutrition

Question 1

Complication of undernutrition

Answer 1

Increase length of stay in hospitalised pts
Impairs wound healing
Leads to a longer and more difficult recovery
increases risk of poor outcome nd reduced functioning after admission

Question 2

When is malnutrition common

Answer 2

Those with long term health conditions that affect the gut such as Crohn’s, swallowing problems, socially isolated and those recovering from injuries or burns

Question 3

Calorie requirement formula

Answer 3

BMR x activity level

Question 4

Fat per day

Answer 4

<70g

Question 5

Carbs per day

Answer 5

At least 260g

Question 6

Protein per day

Answer 6

50g

Question 7

Which vitamins are fat soluble

Answer 7

ADEK

Question 8

which vitamins are water soluble

Answer 8

BC

Question 9

How are fat soluble vitamins absorbed

Answer 9

Require a degree of fat in order to be absorbed by gut

Question 10

What is used to identify pts in hospital at risk of malnutrition

Answer 10

Malnutrition Universal Screening Tool (MUST)

Question 11

Indications to insert an NG tube

Answer 11

Unsafe swallow (stroke, MND, head injury)
Altered level of consciousness (e.g. ventilated pts)
Supplement oral intake 
Upper GI strictures (e.g. possible bowel obstruction)

Question 12

BMI formula

Answer 12

w (kg)/ H2 (m)

Question 13

When is bariatric surgery recommended

Answer 13

Those who have a BMI>40 or over 35 with complications (e.g. T2DM) after appropriate non-surgical measures have been tried

Question 14

Types of bariatric surgery

Answer 14

• Restrictive types e.g. gastric bands and sleeve gastrectomies
• malabsorptove types sich as gastric bypass (can lead to malabsorption and pts can need lifelong micronutrient replacement)