30 Questions
What is the recommended daily protein intake for critically ill patients with a BMI of 30-40?
2.0 g/kg ideal body weight/day
Which of the following is a limitation of enteral nutrition in the acute disease phase?
Potential lower nutritional adequacy
What is the primary benefit of enteral nutrition over parenteral nutrition?
More physiologic and providing nutritional benefits without adversely affecting gut integrity
Which of the following is NOT a sign of malnutrition?
Muscle hypertrophy
What is the primary challenge of parenteral nutrition?
Infectious complications and hyperalimentation
What is the recommended daily protein intake for critically ill patients with a BMI of ≥40?
2.5 g/kg ideal body weight/day
What is a crucial factor in determining the route of feed administration in a critically ill patient?
Hemodynamic status and gastrointestinal functioning
What is the primary benefit of early enteral nutrition (EEN) in critically ill patients?
Reducing the risk of complications
What is the recommended timeframe for initiating feeding in a critically ill patient who is not on vasopressor?
Within 24-48 hours
Why is it essential to assess abdominal sounds in a critically ill patient?
To monitor the patient's bowel function
What is a critical factor affecting patient outcomes in the ICU?
Appropriate timing of initiation, amount, and type of nutrition
What is the primary goal of early nutrition intervention in critically ill patients?
To reduce the risk of complications
What is the preferred method of feeding for patients who cannot eat?
Enteral feeding
Which route is recommended as the first choice for enteral feeding?
NG route
Why may some patients require post-pyloric feeding?
Due to delayed gastric emptying and poor intestinal motility
What is a risk factor for the development of Clostridium difficile colitis?
Long-term enteral feeding with elemental diets
What is a challenge when using hospital-prepared blenderized feeds?
Maintaining microbial quality within published standards of safety
What is more likely to occur with homemade or blenderized feeds compared to scientific feeds?
Contamination and batch-to-batch inconsistency
When should supplemental PN be considered in critically ill patients?
At the end of the 1st week after ICU admission
What is the recommended route for enteral feeding?
NG route
How should the NGT be measured for tube feeding?
From the tip of the nose to the tip of the ear, then to the xiphoid process
What is the minimum caloric target that EN support should deliver?
60%
When should total PN be considered?
In patients with septic shock, critically ill
What is the preferred method of formula feeding?
Continuous formula feeding with pumps or gravity bags
What is the primary goal of nutritional support in critical illness?
To prevent or reverse malnutrition and attenuate detrimental effects on nutritional state
When should nutritional therapy be started in critical illness?
As soon as possible and certainly within the first week of critical illness
What is the maximum volume of gastric residual volume (GRV) recommended by the ASPEN guidelines 2016 as a cutoff for EN tolerance?
500ml
What is the primary consequence of nonuniformity of nutritional protocols in critical illness?
Increased morbidity and prolonged stay in ICU
What is the purpose of daily monitoring of nutritional therapy in critical illness?
To identify factors that might affect the desired volume and total energy of the prescribed diet
What medication can be used to manage nutrition intolerance in critical illness?
Metoclopramide or erythromycin
This quiz covers the importance of choosing the right route of administration for nutrition in critically ill patients, considering hemodynamic status and gastrointestinal functioning.
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