EDGENUTRITION CNSC STUDY GUIDE
PRACTICE QUESTIONS WITH VERIFIED
ANSWERS
what diagnosis is the buildup of nitrogen containing waste BUN >100
azotemia
what do some azotemia patients require
dialysis
removes the acid producing cells in the stomach antrum, duodenum is anastomosed to the
bottom of the stomach
no pylorus so prone to dumping syndrome
Bilroth 1
pylorus removed small bowel anastomosed to bottom of the stomach
Bilroth 2
What minerals could be deficient in a patient status post Roux-en-Y
magnesium calcium zinc copper iron
what are the standard guidelines if no IC available post bariatric surgery
100 gm protein and hypocaloric
what should you add if a patient's wound or has a leak post bariatric surgery
zinc
What minerals are higher need in burn patients
copper selenium and zinc
what are the protein needs for adult burn patients (gm/kg)
1.5-2
what cancer syndrome causes uremia, hyperkalemia, and hyperphosphatemia because cells
explode and release intracellular potassium and phosphate
tumor lysis syndrome
excess phosphate binds with calcium, essentially "soaking up" calcium, when does this
occur?
tumor lysis syndrome hypocalcemia
, what are the calorie and protein needs for cancer patients adequately nourished
(kcals/kg)
(gm/kg)
25-35
1.2-2
energy needs for chyle leak
25-30 kcals/kg + 200 kcals/L of chyle output
protein needs for chyle leak
1.2-1.5 gm/kg + 20 gm/L chyle output
lipid needs for chyle leak
1-2 gm/kg for PN orders + 5 gm/L chyle output
fluid needs for chyle leak
25-30 ml/kg fluid + fluid lost from chyle output
what state is cirrhosis
catabolic state
what stress hormones are increased in critical illness
cortisol epinephrine glucagon growth hormone
what vasopressor dose should you feed with caution (mg/kg/min)
0.3-0.5
what vasopressor dose should you NOT feed (mg/kg/min)
>0.5
what phase causes fever, hypercatabolism, gluconeogenesis, increase 02 requirement and
requires tight glucose control
the catabolic phase
protein increases during stress
positive acute phase
proteins decrease during stress
negative acute phase
too much cortisol in the body
can cause hypervolemic hypernatremia
PRACTICE QUESTIONS WITH VERIFIED
ANSWERS
what diagnosis is the buildup of nitrogen containing waste BUN >100
azotemia
what do some azotemia patients require
dialysis
removes the acid producing cells in the stomach antrum, duodenum is anastomosed to the
bottom of the stomach
no pylorus so prone to dumping syndrome
Bilroth 1
pylorus removed small bowel anastomosed to bottom of the stomach
Bilroth 2
What minerals could be deficient in a patient status post Roux-en-Y
magnesium calcium zinc copper iron
what are the standard guidelines if no IC available post bariatric surgery
100 gm protein and hypocaloric
what should you add if a patient's wound or has a leak post bariatric surgery
zinc
What minerals are higher need in burn patients
copper selenium and zinc
what are the protein needs for adult burn patients (gm/kg)
1.5-2
what cancer syndrome causes uremia, hyperkalemia, and hyperphosphatemia because cells
explode and release intracellular potassium and phosphate
tumor lysis syndrome
excess phosphate binds with calcium, essentially "soaking up" calcium, when does this
occur?
tumor lysis syndrome hypocalcemia
, what are the calorie and protein needs for cancer patients adequately nourished
(kcals/kg)
(gm/kg)
25-35
1.2-2
energy needs for chyle leak
25-30 kcals/kg + 200 kcals/L of chyle output
protein needs for chyle leak
1.2-1.5 gm/kg + 20 gm/L chyle output
lipid needs for chyle leak
1-2 gm/kg for PN orders + 5 gm/L chyle output
fluid needs for chyle leak
25-30 ml/kg fluid + fluid lost from chyle output
what state is cirrhosis
catabolic state
what stress hormones are increased in critical illness
cortisol epinephrine glucagon growth hormone
what vasopressor dose should you feed with caution (mg/kg/min)
0.3-0.5
what vasopressor dose should you NOT feed (mg/kg/min)
>0.5
what phase causes fever, hypercatabolism, gluconeogenesis, increase 02 requirement and
requires tight glucose control
the catabolic phase
protein increases during stress
positive acute phase
proteins decrease during stress
negative acute phase
too much cortisol in the body
can cause hypervolemic hypernatremia
