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ASPEN Malnutrition Exam Study Guide

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ASPEN Malnutrition Exam Study Guide 6 characteristics for malnutrition diagnosis - Answer-Insufficient energy intake, weight loss, loss of muscle mass, subcutaneous fat loss, fluid accumulation, hand grip strength Dx if inflammation is present - Answer-Mild or moderate- chronic disease related malnutrition; severe- acute disease or injury related malnutrition Dx is inflammation not present - Answer-Starvation related malnutrition Pre albumin and albumin as markers of inflammation - Answer-Acute phase proteins- reflect inflammatory response rather than poor nutrition; do not predict weight loss, calorie restriction or nitrogen balance; will not respond to feeding interventions Physical exam/clinical signs - Answer-Weight loss/ gain, fluid retention, loss of muscle or fat, macro/micronutrient deficiencies Inflammation: fever, hypothermia, systemic inflammation (tachycardia, hyperglycemia) Anthropometric data - Answer-Unintended weight loss; measure weight on admission and monitor frequently Lab data - Answer-Indicators of inflammatory response (albumin/ preal

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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024

ASPEN Malnutrition Exam Study Guide

6 characteristics for malnutrition diagnosis - Answer✔✔-Insufficient energy intake,

weight loss, loss of muscle mass, subcutaneous fat loss, fluid accumulation, hand grip

strength


Dx if inflammation is present - Answer✔✔-Mild or moderate- chronic disease related

malnutrition; severe- acute disease or injury related malnutrition

Dx is inflammation not present - Answer✔✔-Starvation related malnutrition

Pre albumin and albumin as markers of inflammation - Answer✔✔-Acute phase

proteins- reflect inflammatory response rather than poor nutrition; do not predict weight

loss, calorie restriction or nitrogen balance; will not respond to feeding interventions

Physical exam/clinical signs - Answer✔✔-Weight loss/ gain, fluid retention, loss of

muscle or fat, macro/micronutrient deficiencies

Inflammation: fever, hypothermia, systemic inflammation (tachycardia, hyperglycemia)

Anthropometric data - Answer✔✔-Unintended weight loss; measure weight on

admission and monitor frequently

Lab data - Answer✔✔-Indicators of inflammatory response (albumin/ prealbumin)

interpret with caution

Elevated CRP, WBC, blood glucose levels

Negative nitrogen balance and elevated REE support systemic inflammatory response



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