NTR 604 - MIDTERM EXAM - REFEEDING
SYNDROME, OBESITY, GLUCOSE
CONTROL QUESTIONS AND ANSWERS
what effects can hyperglycemia have on immune function? - Answer-increase risk of
infection as bacteria flourish in hyperglycemia
how does hyperglycemia delay wound healing? (3) - Answer-alters collagen synthesis,
impairs skin blood flow, reduces response to pressure
what 2 things can hyperglycemia cause? - Answer-fluid/electrolyte abnormalities and
symptoms of gastric paresis
the NICE-SUGAR study showed that
Tight glycemic control associated with significant ___ in mortality (27.5% vs. 24.9%) and
episodes of severe ____ (6.8% vs 0.5%)
•Study investigators -"Our findings suggest that a goal of ___ for glucose control does
not necessarily benefit critically ill patents and may be harmful" - Answer-increases,
hypoglycemia
normoglycemia
what is our recommended glycemic target for critically ill patients?
what may be acceptable for some critically ill patients? - Answer-140-180 mg/dL
110-140 mg/dL
what is our recommended glycemic target for non-critically ill patients
at premeal?
at random? - Answer-<140 mg/dL
<180 mg/dL
in critically ill patients initiate IV insulin infusion for any glucose ___ mg/dl - Answer-
>180 mg/dl
for PN and glucose control, what should your dextrose infusion rate be? - Answer-<4
mg/kg/min
SYNDROME, OBESITY, GLUCOSE
CONTROL QUESTIONS AND ANSWERS
what effects can hyperglycemia have on immune function? - Answer-increase risk of
infection as bacteria flourish in hyperglycemia
how does hyperglycemia delay wound healing? (3) - Answer-alters collagen synthesis,
impairs skin blood flow, reduces response to pressure
what 2 things can hyperglycemia cause? - Answer-fluid/electrolyte abnormalities and
symptoms of gastric paresis
the NICE-SUGAR study showed that
Tight glycemic control associated with significant ___ in mortality (27.5% vs. 24.9%) and
episodes of severe ____ (6.8% vs 0.5%)
•Study investigators -"Our findings suggest that a goal of ___ for glucose control does
not necessarily benefit critically ill patents and may be harmful" - Answer-increases,
hypoglycemia
normoglycemia
what is our recommended glycemic target for critically ill patients?
what may be acceptable for some critically ill patients? - Answer-140-180 mg/dL
110-140 mg/dL
what is our recommended glycemic target for non-critically ill patients
at premeal?
at random? - Answer-<140 mg/dL
<180 mg/dL
in critically ill patients initiate IV insulin infusion for any glucose ___ mg/dl - Answer-
>180 mg/dl
for PN and glucose control, what should your dextrose infusion rate be? - Answer-<4
mg/kg/min
