Examen Inter Flashcards
(24 cards)
Nutritional screening tool recommended for older adults
MNA
Nutritional screening tool used in the ICU to assess nutritual support
NUTRIC-SCORE
Nutritional screening tool recommended for general population
MUST
Absolute GI contraindications for enteral nutrition
Intestinal obstruction and ileus and sever peritonitis
Post- pyloric tube feeding is used for patients with
Aspiratiok risk, gastroparesis, gastro-oesophageal reflux
Bolus feeding is
Associated with higher rates of GI symptoms compared yo continuo se infusion ; convenient option in stable patients with PEG
The deficiency of this vitamin can be diagnosed with megaloblastic anemia and hyperthomocisteinemia
Cobalamin
The deficiency causes Beri-Beto
Thiamine
One of the main functions of this vitamin is the maturation of erythrocytes
Folic acid
Main substrate in the diary phase of starvation
Hepatic glycogen and protein
Main substrate in the second phase of starvation
Lipids from adipose tissue
Mention main gluconeogenic substrates
Glycerol, lactate, alanine, glutamine
Considered a semi elemental amino acid
Cistein
These amino acid is said to become escential in critical patients because of its importance in gluconeogensis and immunomodulation
Glutamine
Extracellular electrolytes
Na, Ca, Cl
Name at least two of the main micronutrients with antioxidant properties that are used to modulate the metabolic response
Vitamin C and selenium
This mineral has an important role in insulin resistance
Chromium
These mineral has an in important role in wound healing
selenium and Zinc
Modern nasogastric feeding tube
Cannot be used for more than 4-6 weeks
The correct position of an NG tube should be co formed by
oh of the stomach <5 and or abdominal X-ray
There are formulas with an intact nutrient
Polymeric
There are formulas with hydrolyzed nutrients
Olygomeric
Mention the water content on each type of formula
Standard polymeric 1kcal –> 80%
Hypercoric 1.2/kcal –> 75%
Hypercaloric 2 kcal –> 50%
I’m metabolic stress adaptation this is correlated with the degree of inflammation
Insulin resistance and hiperglucemia