Board Certification in Obesity Medicine Exam With 100%
Accurate Solutions
Typical Daily Protein Requirements for Pts Receiving Nutrition Support Therapy -
ANSWER 1.) Protein-energy malnutrition, wound healing, and
hypercatabolism--1.2-1.8g/kg.
2.) Continuous Renal Replacement Therapy -- 1.5-2.5g/kg.
3.) Hypocaloric feeding for critically ill pt with class 1 or 2 obesity -->2g/kg.
4.) Hypocaloric feeding for critically ill pt with class 3 obesity -->2.5g/kg.
*No concensus of actual or IBW.
Special Considerations for Formula Selection of EN in Pts with Normal Nutrition,
Long-term/Diarrhea/Constipation, Volume Restriction, and Kidney Failure - ANSWER
1.) Normal Nutrition: Standard polymeric formula should be okay.
2.) Long-term/Diarrhea/Constipation: Fiber-containing
3.) Volume Restriction (CHF): Concentration. However, this may contain sucrose and
could lead to dumping. Controlled feeding on an enteral pump should help.
4.) Kidney Failure: Concentrated with low Na, K+, and Phos.
Starting and Advancing Parenteral Nutrition - ANSWER 1.) Start with normal serum
electrolytes and BG.
, 2.) Start with low Dextrose concentration (<150-200g Dex in 24 hrs)
3.) Advance slowly to goals for volume, Dex, AA< and fat emulsion over the next 2-3
days.
4.) First 3-5 days of PN: monitor K+, phos, and magnesium to avoid refeeding syndrome.
5.) Provide IV vits and mins in standard amounts bc infusion eliminates the risk of
malabsorption.
Indications for Nutrition Support in Bariatric Surgery Pts (P.N.) - 11 Indications. -
ANSWER 1.) No PO for 7-10 days (5-7 days in ICU)
2.) Diffuse peritonitis
3.) Presence of enterocutaneous fistula where an enteral feeding tube cannot be
inserted distal to fistula
4.) GI ischemia
5.) Ileus
6.) Obstruction
7.) Intractable vomiting or diarrhea
8.)Perioperative nutrition (PN for 7-10 days) for severely malnourished.
Accurate Solutions
Typical Daily Protein Requirements for Pts Receiving Nutrition Support Therapy -
ANSWER 1.) Protein-energy malnutrition, wound healing, and
hypercatabolism--1.2-1.8g/kg.
2.) Continuous Renal Replacement Therapy -- 1.5-2.5g/kg.
3.) Hypocaloric feeding for critically ill pt with class 1 or 2 obesity -->2g/kg.
4.) Hypocaloric feeding for critically ill pt with class 3 obesity -->2.5g/kg.
*No concensus of actual or IBW.
Special Considerations for Formula Selection of EN in Pts with Normal Nutrition,
Long-term/Diarrhea/Constipation, Volume Restriction, and Kidney Failure - ANSWER
1.) Normal Nutrition: Standard polymeric formula should be okay.
2.) Long-term/Diarrhea/Constipation: Fiber-containing
3.) Volume Restriction (CHF): Concentration. However, this may contain sucrose and
could lead to dumping. Controlled feeding on an enteral pump should help.
4.) Kidney Failure: Concentrated with low Na, K+, and Phos.
Starting and Advancing Parenteral Nutrition - ANSWER 1.) Start with normal serum
electrolytes and BG.
, 2.) Start with low Dextrose concentration (<150-200g Dex in 24 hrs)
3.) Advance slowly to goals for volume, Dex, AA< and fat emulsion over the next 2-3
days.
4.) First 3-5 days of PN: monitor K+, phos, and magnesium to avoid refeeding syndrome.
5.) Provide IV vits and mins in standard amounts bc infusion eliminates the risk of
malabsorption.
Indications for Nutrition Support in Bariatric Surgery Pts (P.N.) - 11 Indications. -
ANSWER 1.) No PO for 7-10 days (5-7 days in ICU)
2.) Diffuse peritonitis
3.) Presence of enterocutaneous fistula where an enteral feeding tube cannot be
inserted distal to fistula
4.) GI ischemia
5.) Ileus
6.) Obstruction
7.) Intractable vomiting or diarrhea
8.)Perioperative nutrition (PN for 7-10 days) for severely malnourished.
