Case Studies - Midterm II

Question 1

CHF Protein

Answer 1

1.1-1.4g/kg

Question 2

CHF sodium

Answer 2

Higher (2000-3000mg/day)

Question 3

CHF fluid requirement moderate

Answer 3

1-2L (lower)

Question 4

CHF fluid requirement severe

Answer 4

1-1.5L (even lower)

Question 5

CHF alcohol and exception

Answer 5

<1 drink/day and completely avoid if cause of CHF

Question 6

Advanced CHF energy requirement?

Answer 6

22-24 kcal/day

Question 7

Stroke sodium

Answer 7

Decrease

Question 8

Stroke fruits and veg, fibres, water, omega-3s (fatty fish)

Answer 8

Increase

Question 9

Stroke dairy product

Answer 9

Low fat

Question 10

Stroke recommendations similar to

Answer 10

HTN (Heart healthy diet and achieve healthy weight)

Question 11

Difficulties in stroke?

Answer 11

• Feeding difficulties
• Constipation
• Decreases oral hygiene
• Dysphagia

Question 12

Drug for heart failure? What should be monitored?

Answer 12

K+ losing diuretic, monitor potassium

Question 13

3 major dietary interventions in heart failure?

Answer 13

• Monitor sodium
• Monitor fluids
• Avoid early satiety, watch for SOB

Question 14

COPD protein? Time of stress?

Answer 14

1. 0-1.5

1. 2-.1.7

Question 15

Routine diet COPD?

Answer 15

Soft, no salt or added sugar

Question 16

Recommended feeding style for COPD?

Answer 16

• Small, frequent calorie dense meals, easy to swallow

- Not too high in fat, but high in energy and protein

Question 17

GERD treatment goals?

Answer 17

• Increase LES competence
• Decrease gastric acidity, symptoms
• Increase clearance of esophagus

Question 18

Drug for GERD?

Answer 18

Proton pump inhibitors, decrease H+ from HCL

Question 19

GERD feeding guidelines?

Answer 19

-Avoid lying down after eating and going to bed 3-4 hours after feeding

Question 20

Proton pump inhibitors associated with common deficiency of?

Answer 20

B12, Ca2+ and Iron

Question 21

Which conditions often use corticosteroids?

Answer 21

• CF

- COPD

Question 22

Nutritional implications of corticosteroids?

Answer 22

• Lean body mass loss
• Increase fasting blood glucose
• Decrease bone mineral density
• Weight gain
• DECREASE APPETITE

Question 23

Dietary recommendations for those on corticosteroids?

Answer 23

• low salt/sodium
• high fruits and veg
• Calcium/vit D supplementation
• High protein
• Supplement with K+/A/C

Question 24

Malnutrition in CF =

Answer 24

Pancreatic insufficiency

Question 25

Supplements in CF?

Answer 25

- Calcium, vit D - ADEK - Omega 3s, iron, zinc

Question 26

Healthy BMI men CF?

Answer 26

23

Question 27

Healthy BMI women CF?

Answer 27

22

Question 28

Healthy BMI children CF?

Answer 28

>50th percentile

Question 29

When can anemia of chronic disease occur?

Answer 29

Long term infections, chronic disease --> CF

Question 30

Recommendations after DIOS?

Answer 30

NPO, clear liquids, full liquids then normal diet

Question 31

CF related diabetes ?

Answer 31

Due to pancreatic insufficiency

Question 32

Key nutrient/dietary recommendations in CF?

Answer 32

- High protein and energy - Supplements as snacks - Enteral + oral nutrition - Potentially increase sodium

Question 33

PRIL

Answer 33

Ace I

Question 34

SARTAN

Answer 34

ARB

Question 35

OLOL

Answer 35

Beta-blockers

Question 36

Furosemide

Answer 36

K+ losing loop diuretic

Question 37

Spirinolactin

Answer 37

K+ sparing loop diuretic