nutrition 1

Question 1

what are 3 things that can lead to undernutrition

Answer 1

1. starvation
2. impaired nutrient absorption
3. altered metabolism

Question 2

what are undernutrition deficiency state categorized by

Answer 2

1. protein and/or calorie deficiencies

2. single nutrient (ex. vitamin or trace element) deficiencies

Question 3

how is men’s ideal body weight calculated?

Answer 3

50kg + (2.3 x inches>5 ft)

45.5 kg + (2.3 x inches>5 ft)

Question 4

who needs to use adjusted body weight formula when calculating body weight?

Answer 4

patients weighing more than 120% of IBW

Question 5

what is the adjusted body weight formula

Answer 5

((ABW-IBW) x 0.25) + IBW

Question 6

what serum protein is a good marker for assessing nutritional therapy

Answer 6

prealbumin (has a short half life 2-3 days)

Question 7

what are the steps to determining nutritional needs

Answer 7

1. determining dosing weight

2. determining daily caloric needs

Question 8

what are 4 factors influencing energy requirements

Answer 8

1. basal metabolic expenditure
2. physical activity
3. stress
4. maintenance versus anabolism (replenish)

Question 9

what does BEE stand for

Answer 9

basal energy expenditure

Question 10

what are daily protein requirements based on?

Answer 10

1. age
2. nutritional statue
3. disease state
4. clinical condition

Question 11

protein utilization may be increased secondary to what?

Answer 11

stress

Question 12

why do cirrhosis patients need less protein

Answer 12

they have increased concentration of aromatic amino acids and can lead to encephalopathy

Question 13

what factors decrease fluid requirements

Answer 13

1. heart failure
2. ascites
3. renal failure
4. SIADH
5. fluid overload