Nutrition 403: Chapter 18 - Hypermetabolic States

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10 Questions

What is the recommended protein intake for thermally injured children?

2.5 – 3 g/kg

What is the primary goal of pre-operative nutrition in major surgery?

To correct deficiencies and provide reserves for surgery and post-operative period

What is the recommended vitamin C intake for thermally injured patients?

1000mg

What is the primary reason for monitoring fat intake in thermally injured patients?

To prevent lipids from decreasing immunologic responses

What is the recommended percentage of non-protein kcal from fat in thermally injured patients?

12 – 15%

What is the primary reason for providing ω-3 fatty acids in thermally injured patients?

All of the above

What is the recommended duration of NPO before surgery in major surgery?

6 hrs

What is the recommended approach to post-operative nutrition in major surgery?

Progressive diet or direct return to regular diet

What is the primary reason for monitoring BUN and creatinine levels in thermally injured patients?

To monitor renal function and fluid balance

What is the recommended approach to managing electrolyte imbalance in thermally injured patients?

Adjusting serum Na and K levels through fluid therapy

This quiz covers the metabolic response to stress, including catabolism of lean body mass, negative nitrogen balance, and muscle wasting. It also explores the ebb and flow phases that occur after injury.

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