6- you're doing great!

Question 1

Best acute indicators of nutritional status are the

Answer 1

retinol binding protein, prealbumin, and transferrin.

Question 2

In a patient who is conscious and has a fully functioning GI tract, the best option for feeding is by

Answer 2

mouth

Question 3

NGs and Dobhoffs need what test right after placement

Answer 3

CXR to prevent pneumothorax

Question 4

what test should be checked to assess for obstruction or ileus.

Answer 4

KUB

Question 5

what to do for aspiration pneumonia from worsening ileus or obstruction

Answer 5

• stop NG
• start TPN
• abx

Question 6

What should be ordered prior to initiating TPN?

Answer 6

CBC, LFTs, BMP, cholesterol panel with triglycerides

A central venous catheter or PICC line should be placed and nutrition consult can be ordered to provide an ideal TPN formula.

An CXR should be ordered after the CVC/PICC line is placed to confirm placement and ensure there is no pneumothorax.

Question 7

how can you get hypercapneic from nutrition?

Answer 7

Overfeeding of total kcals