24 Questions
What is the process by which nutrients are used at the cellular level known as?
Nutrient metabolism
What is the main goal of nutritional support in critically ill patients?
To prevent the development of malnutrition
During which phase of metabolic changes in critical illness do physiologic changes occur related to increased autonomic activity and altered fluid status?
Ebb phase
Which hormone is released from the pituitary gland in response to hypovolemia, pain, and stress in critically ill patients?
Antidiuretic hormone (ADH)
What are the common causes of changes in metabolism and energy demands in critically ill patients?
Limited intake or absorption, increased losses, increased nutrient requirement
What is the duration of the ebb phase during the metabolic changes of critical illness?
12 – 24 hours
Which phase of metabolic changes in critical illness can last days to weeks depending on the patient's recovery?
Flow phase
What does Antidiuretic hormone (ADH) do in response to hypovolemia?
Reduces free water excretion
What are the relative indications for nutritional support in ICU patients?
Regular use of three or more medications
What are the goals of care in nutritional support for critically ill patients?
Prevention and treatment of macronutrient and micronutrient deficiencies
What is the nursing approach to nutritional management for critically ill patients?
Deciding the timing and the appropriate method for feeding & preventing of feeding method – related complications
Which conditions are considered hypermetabolic in the context of nutritional support for ICU patients?
Sepsis, burns, pancreatitis
What is the term used to refer to a generalized disordering of body composition due to sub-optimal or deficit macro- or micro-nutrient intake?
Malnutrition
What is the main purpose of nutritional support in critically ill patients?
To prevent and treat macronutrient and micronutrient deficiencies
What factors should be considered when deciding the appropriate method for feeding in critically ill patients?
"Illness or surgery that may interfere with nutritional intake"
What aspect of patient care is included in the nursing approach to nutritional management for critically ill patients?
"Evaluating the response to nutritional support"
In critically-ill patients, which of the following is NOT a goal of care in nutritional support?
Promotion of rapid weight loss
Which of the following is a relative indication for nutritional support in ICU patients?
Regular use of three or more medications
What is the nursing approach to assessing the nutritional status of critically-ill patients?
Assessing weight changes, dietary intake, and physical examination findings
Which phase of metabolic changes in critical illness is characterized by increased autonomic activity and altered fluid status?
Ebb phase
What factors should be considered when deciding the appropriate method for feeding in critically-ill patients?
Patient's cultural and religious beliefs, gastrointestinal function, and expected duration of inadequate oral intake
Which hormone is released from the pituitary gland in response to hypovolemia, pain, and stress in critically-ill patients?
Antidiuretic hormone (ADH)
Hypermetabolic conditions such as sepsis, burns, and pancreatitis fall under which relative indication for nutritional support in ICU patients?
Inadequate nutrient intake for >7 days, illness or surgery that may interfere with nutritional intake
Calculating nutritional components requirements based on the patient’s condition is part of which aspect of nursing approach to nutritional management for critically-ill patients?
Deciding the timing and the appropriate method for feeding & preventing of feeding method – related complications
Test your knowledge of nutritional support in critically ill patients and the impact of metabolism and energy demands on body composition. Learn about the importance of early identification and interventions to lessen morbidity and mortality risks.
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