Nutrition TPN

Question 1

TPN
Ideal Ca:phos

Answer 1

1.3:1

“Think 1:1 but Ca is 3rd letter in alphabet”

Question 2

BM
which immunoglobulin stays high in human milk

Answer 2

IgA all the way!

Holder pasteurization: “IgM Melts”

Question 3

Vit A facts

Answer 3

Important for lung growth

Deficiency: CLD, photophobia, conjunctivitis, FTT, skin scaling, epiphyseal bone probs, tooth enamel probs

Question 4

Thiamine

Answer 4

Vit B1

Ber1ber1: CARDIAC, CONSTIPATION, fatigue, irritability.

Associated: pyruvate dehydrogenase deficiency and Maple syrup urine disease

“Put BERI’s and MAPLE SYRUP in your PY(pie)”

Question 5

Riboflavin

Answer 5

FTT, photophobia, blurred vision, dermatitis, mucositis.

Associated: Glutartic Aciduria Type I

“Tauric from selling sunset has bad vision but great taste(flavor). So needs riboflavin.”

Flava Flave! is 2 words so B2

Question 6

Pyridoxine

Answer 6

Dermatitis, mucositis, hypochromic, anemia, possible seizures.

Needed in homoSIXtinurua

Six and pyridoXine both have “X”

Question 7

Biotin

Answer 7

Alopecia, dermatitis, scaling, seborrhea

Needed for: biotinidase deficiency, beta-methylcrotonyl glycinuria, propionic acidemia, pyruvate dehydrogenase complex deficiency.

Question 8

Ascorbic acid

Answer 8

Vit C: poor wound healing, and bleeding gums

Give it transient tyrosinemia

“Tyrone the pyrite (scurvy) transiently needs Vit C”

Question 9

Vit D deficiency.

Answer 9

Rickets, FTT,

Question 10

What percent should protein calories provide in TPN?

Answer 10

Critical for positive nitrogen balance.

7-15% of kcal.

1g= 4kcal