Nutritional Support in Critically Ill Patients

Play an AI-generated podcast conversation about this lesson

What is the process by which nutrients are used at the cellular level known as?

Nutrient absorption

Nutrient metabolism (correct)

Nutrient assimilation

Nutrient excretion

What is the main goal of nutritional support in critically ill patients?

To increase nutrient requirements

To alter fluid status

To prevent the development of malnutrition (correct)

To reduce morbidity and mortality risks

During which phase of metabolic changes in critical illness do physiologic changes occur related to increased autonomic activity and altered fluid status?

Both ebb and flow phases

Neither ebb nor flow phase

Flow phase

Ebb phase (correct)

Which hormone is released from the pituitary gland in response to hypovolemia, pain, and stress in critically ill patients?

Antidiuretic hormone (ADH) Signup and view all the answers

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 Signup and view all the answers

What is the duration of the ebb phase during the metabolic changes of critical illness?

12 – 24 hours Signup and view all the answers

Which phase of metabolic changes in critical illness can last days to weeks depending on the patient's recovery?

Flow phase Signup and view all the answers

What does Antidiuretic hormone (ADH) do in response to hypovolemia?

Reduces free water excretion Signup and view all the answers

What are the relative indications for nutritional support in ICU patients?

Regular use of three or more medications Signup and view all the answers

What are the goals of care in nutritional support for critically ill patients?

Prevention and treatment of macronutrient and micronutrient deficiencies Signup and view all the answers

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 Signup and view all the answers

Which conditions are considered hypermetabolic in the context of nutritional support for ICU patients?

Sepsis, burns, pancreatitis Signup and view all the answers

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 Signup and view all the answers

What is the main purpose of nutritional support in critically ill patients?

To prevent and treat macronutrient and micronutrient deficiencies Signup and view all the answers

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" Signup and view all the answers

What aspect of patient care is included in the nursing approach to nutritional management for critically ill patients?

"Evaluating the response to nutritional support" Signup and view all the answers

In critically-ill patients, which of the following is NOT a goal of care in nutritional support?

Promotion of rapid weight loss Signup and view all the answers

Which of the following is a relative indication for nutritional support in ICU patients?

Regular use of three or more medications Signup and view all the answers

What is the nursing approach to assessing the nutritional status of critically-ill patients?

Assessing weight changes, dietary intake, and physical examination findings Signup and view all the answers

Which phase of metabolic changes in critical illness is characterized by increased autonomic activity and altered fluid status?

Ebb phase Signup and view all the answers

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 Signup and view all the answers

Which hormone is released from the pituitary gland in response to hypovolemia, pain, and stress in critically-ill patients?

Antidiuretic hormone (ADH) Signup and view all the answers

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 Signup and view all the answers

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?