Term
| What is the relevance of SIRS in trauma patients? |
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Definition
| It indicates that a systemic response (and all of its nutritional complications) is occurring |
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Term
| When should nutrition support be initiated in trauma patients? |
|
Definition
| Nutrition support should be initiated as soon as resuscitation is complete |
|
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Term
| Which antioxidant has not been shown to benefit trauma patients? |
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Definition
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Term
| How quickly should patients be screened for malnutrition risk after admission? |
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Definition
|
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Term
| What are the three main categories of surgical ICU patients? |
|
Definition
- Postoperative major elective surgery
- Major injury (burns/trauma)
- Serious sepsis
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|
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Term
| What are the characteristics of post-op major elective surgery patients in the SICU? |
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Definition
- They are often moderately depleted of body protein pre-operatively because of their disease process
- The patients tend to lose a significant amount of body protein post-operatively
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|
|
Term
| What weight change typically occurs in the ICU, and why? |
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Definition
| ICU patients typically gain a significant amount of weight due to fluid accumulation |
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Term
| What factors can cause indirect calorimetry to be inaccurate? |
|
Definition
- Receiving >60% fraction of inspired oxygen in a gas mixture
- Leaking chest or endotracheal tubes in which the ventilated gas is not completely captured
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Term
| Do adult patients need to wait 24 hours before initiating feeds after a PEG tube is placed? |
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Definition
| No. Two hours is generally adequate. |
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|
Term
| Is aggressive nutrition intervention effective at preventing body protein loss for critically ill patients? |
|
Definition
| No. They tend to lose large amounts of protein/LBM despite aggressive nutrition intervention |
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|
Term
| How much protein should patients on CRRT receive? |
|
Definition
|
|
Term
| What is the maximum rate of glucose oxidation in the metabolically stressed adult? |
|
Definition
| 4 to 7 mg/kg/min (equivalent to 400-700 g/day in a 70 kg person) |
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|
Term
| How much urine should a thermal injury patient produce? |
|
Definition
| Thermal injury patients should produce a minimum of 0.3 to 0.5 mL/kg/hr |
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|
Term
| What are the dangers of excessive fluid resuscitation in critical care patients? |
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Definition
| Excessive fluid resuscitation can lead to increased morbidity and mortality |
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Term
| What are the recommendations for vitamin and mineral supplementation for burns? |
|
Definition
- >20% TSAB: one multivitamin daily, 500 mg of ascorbic acid twice daily 10,000 IU of vitamin A daily, 45-50 mg of zinc daily
- <20% TSAB: one multivitamin daily
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Term
| Should parenteral glutamine be considered in the critical care setting? |
|
Definition
|
|
Term
| Is arginine supplementation recommended in major surgery, trauma, and burn patients? |
|
Definition
|
|
Term
| What groups benefit from preoperative PN provision? |
|
Definition
| Only severely malnourished patients have been shown to benefit from preoperative PN provision |
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