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Nutrition in the ICU

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Nutrition in the ICU

*Please take the quiz below the video to receive credit.

Objectives

Describe the screening process for malnutrition in the ICU
Become familiar with ASPEN/SCCM guidelines and recommendations
Discuss the benefits and indications for various enteric feeds
Appropriately calculate an individuals caloric and protein requirements
Discuss the stepwise approach for managing tube feed intolerance
Identify the indications for and risks of starting TPN

Articles

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)

Lecture

Quiz

ICU Nutrition

Name*
First Last
1. Which of the following is a characteristic used in the diagnosis of malnutrition according to the ASPEN/AND Criteria?*
- a. Muscle loss
- b. Altered mental status
- c. Sepsis
- d. Hypotension
2. True or False: Serum albumin and prealbumin are components of currently accepted definitions of malnutrition*
- a. True
- b. False
3. Which of the following is NOT an indication for enteral nutrition?*
- a. Inadequate PO intake
- b. Mechanical ventilation
- c. Post-op left in discontinuity
- d. Dysphagia
4. Which of the following is the first line standard polymeric formula recommended for use in the ICU?*
- a. TwoCal
- b. Vital AF 1.2
- c. Pivot 1.5
- d. Osmolite 1.5
5. True or false: Nepro tube feed formula is only indicated for use if a patient has electrolyte derangements that cannot be medically managed*
- a. True
- b. False
6. Increase caloric debt is associated with:*
- a. Increased mortality
- b. Increased duration of mechanical ventilation
- c. Increased risk of complications
- d. All of the above
7. Which of the following lipid infusions are correctly matched with the kcal/mL content?*
- a. Propofol 1.1 kcal/mL
- b. Cleviprex 1.1 kcal/mL
- c. Propofol 2.2 kcal/mL
- d. Cleviprex 2.2 kcal/mL
8. True or false: Always hold tube feeds when patient experience diarrhea.*
- a. True
- b. False
9. In refeeding syndrome, hypophosphatemia signs/symptoms include which of the following:*
- a. Cardiac arrhythmias
- b. Decreased 2,3 DPG production
- c. Decreased ATP production
- d. All of the above
10. What is the first line treatment for refeeding syndrome?*
- a. Initiate TPN
- b. Aggressively replace electrolytes
- c. Initiate enteral nutrition at goal rate
- d. Maintain strict NPO

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