Nutrition Flashcards

(47 cards)

1
Q

How many Kcals/kg/day are required for a normal person?

A

25 Kcal/kg

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2
Q

How many Kcals/kg/day are required for post-surgical patients?

A

30 Kcal/kg

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3
Q

How many Kcal/kg/day are required for septic patients?

A

30-35 Kcal/kg

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4
Q

How many Kcals/kg/day are required for burn patients?

A

35-40 Kcal/kg

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5
Q

How many g protein/kg/day are required for a normal person?

A

1 g/kg

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6
Q

How many g protein/kg/day are required for post-surgical patients?

A

1.2-1.5 g/kg

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7
Q

How many g protein/kg/day are required for septic patients?

A

2 g/kg

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8
Q

How many g protein/kg/day are required for burn patients?

A

2.5 g/kg

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9
Q

How many Kcals per g does glucose metabolism produce?

A

4 kcal/g (dextrose is 3.4 kcal/g)

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10
Q

How many g of glucose per kg are required per day?

A

7.2 g/kg

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11
Q

What is glucose/carbohydrate respiratory quotient (O2 consumed/CO2 produced)?

A

1

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12
Q

How many kcals per gram does lipid metabolism produce?

A

9 kcal/g

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13
Q

How many g of lipid per kg is required per day?

A

1 g/kg

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14
Q

What is the lipid respiratory quotient (O2 consumed/CO2 produced)?

A

0.7

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15
Q

How many kcals per g does protein metabolism produce?

A

4 kcal/g

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16
Q

How many g of protein per kg is required per day?

A

0.8 g/kg

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17
Q

What is the protein respiratory quotient (O2 consumed/CO2 produced)?

A

0.8

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18
Q

How many grams of protein will yield one gram of nitrogen?

A

6.25 g protein = 1 g nitrogen

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19
Q

Nitrogen balance equation

A

N balance = (g daily protein intake / 6.25) - (24h urine Nitrogen + 4g)

4g is less from sweat

20
Q

How much nitrogen is needed per day?

A

0.25-0.35 g/kg

21
Q

Respiratory quotient >1? Treatment?

A

Lipogenesis

Treatment: decrease caloric intake and carbohydrates

22
Q

Respiratory quotient <0.7? Treatment?

A

Starvation and ketosis

Treatment: increase caloric intake and carbohydrates

23
Q

What micronutrient deficiency results in hyperglycemia?

24
Q

What micronutrient deficiency leads to pancytopenia, muscle weakness, and neurological abnormalities?

25
What micronutrient deficiency leads to skeletal muscle dysfunction and cardiomyopathy?
Selenium
26
What micronutrient deficiency leads to poor wound healing?
Zinc
27
What micronutrient deficiency results in inability to wean off the ventilator after prolonged starvation/refeeding?
Phosphorus
28
What micronutrient deficiency results in colonic mucosal atrophy after diversion procedure?
Short chain fatty acids
29
Short chain fatty acids
Acetate, butyrate, propionate
30
Where is calcium absorbed?
Duodenum
31
Where is iron absorbed?
Duodenum
32
Where are lipids, fats, and soluble vitamins absorbed?
Proximal small intestine
33
Where are Vitamin B12 and bile salts absorbed?
Terminal ileum
34
How much saliva do we produce each day?
1500 mL
35
How much gastric secretions do we produce each day?
2500 mL
36
Who much pancreatic secretions do we make each day?
1500 mL
37
How much does the small bowel produce each day?
1000 mL
38
How much does the small bowel absorb each day?
7500 mL
39
Assuming 2L PO intake, how much reaches the colon?
1500 mL
40
How much water can the colon absorb each day?
5000 mL
41
What is the primary fuel for small bowel enterocytes?
Glutamine
42
Vitamin A deficiency
Visual disturbances (night blindness, ocular keratitis)
43
Vitamin E deficiency
Neuronal degeneration, neuropathy, spinocerebelllar ataxia
44
Vitamin D deficiency
Osteomalacia, pathologic bone fractures, proximal myopathy
45
Vitamin B12 deficiency
Peripheral neuropathy, myelopathy, beefy tongue, megaloblastic anemia, cardiovascular complications (secondary to elevated homocysteine), dementia
46
Vitamin K deficiency
Low plasma levels of factor II, VII, IX, and X, causing bruising and hemorrhage
47
Refeeding syndrome electrolyte derangements
Hypokalemia Hypophosphatemia Hypomagnesemia