Pediatrics | Oncology and HIV/AIDS | Nutrition Support | Critical Care and Pulmonary | All Else |
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37 weeks
How many weeks gestation is considered full term?
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soft foods (adjust texture PRN, small frequent meals, PO supplements if needed, lidocaine-containing mouth wash for pain
What is the MNT for oral candidiasis
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How many bolus cans (assume 237-250ml can) would a patient require who is currently on a 60ml/h x 24h tube feed?
6 cans/day
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Difficulty breathing, shortness of breath
What is dyspnea?
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Diabetic nephropathy
What is the most common reason for ESRD
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880ml/day
What are the fluid needs for an infant who weights 8.8kg?
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30-40 kcal-kg and 1.2-2 g/kg protein
What are the calorie and protein needs for an underweight pt with AIDS
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c.difficile infection, antibiotics, bowel regimen
Name other causes for diarrhea in a tube patient that is not because of the tube feed?
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High calorie high protein
What type of diet is recommended for a patient with COP, shortness of breath
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25-35 kcal/kg, 1-1.5g/kg, increased fluids for diarrhea, replete lytes
What is the MNT for Chron's and Colitis Flare
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1 year of age
When should cow's milk be introduced?
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Food safety! Hand washing, wash fruits and vegetables, temperature control, etc
What is the MNT for neutropenia
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When PO/EN meets >75% of ENN
At what point should TPN be discontinued when transitioning from PN to PO or PN to EN?
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Protein, 1.2-2g (BMI <30 using CBW), 2-2.5g (BMI >30, using IBW)
Which macronutrient do critically ill patients typically require more of and give the range?
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Eat 15-20g simple carbs, wait 15 min recheck FS
What is the first thing a patient with hypoglycemia should do?
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Encourage high calorie high protein foods, limit juice and excess milk, feeding schedule, etc
Mention 3 nutrition interventions for a toddler with malnutrition
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anorexia (also weight loss, metabolic abnormalities, hypermetabolic rate, etc)
Increased levels of circulating cytokines in a patient with cancer are associated with that symptoms
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Lipids
Patients with egg allergy cannot receive what part of TPN?
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Immune function, gut integrity
Trophic/trickle feeding of the gut helps promote...
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Paracentesis
Name the procedure that involves aspirating fluid from a body cavity, often the abdomen
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High calorie/high protein, pancreatic enzymes, salt supplement, supplement fat soluble vitamins
What are two recommendations for patients with CF (cystic fibrosis)
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B12, Ca, D and folic acid
Micronutrient supplementation for stomach cancer (unless otherwise indicated)
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Start low and go slow! Monitor Phos, Mg, K and replete, start Thiamine and multivitamin
Patients at high risk of refeeding syndrome should have feeds advanced how?
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catabolism, muscle wasting, increased calorie/protein needs, anorexia, difficulty taking adequate PO
Name at least 2 nutrition consequences of ARDS
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American Society of Enteral and Parenteral Nutrition
What does ASPEN stand for?
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