FNN401 - Week 4: Intro to Critical Care Nutrition Support questions with verified answers

FNN401 - Week 4: Intro to Critical Care Nutrition
Support questions with verified answers
Intensive Care:


1. The focus of ICU care is management of ________ _________
2. T/F: Patients are often critically ill
3. T/F: Has a large disciplinary health care team
4. T/F: Usual medical lead is an _____________ Ans✔✔-1. *organ failure*
2. True
3. True
4. *Intensivist*


The ratio of nursing:patient in intensive care is usually ___:___ Ans✔✔-1:1


Intensive care provides what 4 supports? Ans✔✔-- life support
- invasive monitoring techniques
- resuscitation
- end-of-life care


List Examples of team members in the ICU Ans✔✔-- staff intensivist
- ICU fellows
- Residents
- Nurses
- Respiratory therapists

,- Dietitians
- Physiotherapists
- Pharmacist
- Speech language pathologist
- Chaplain
- Occupational therapy
- Ethicist
_+ students for all disciplines


What are the 10 types of Intensive Care Units? Ans✔✔-- Cardiovascular
- Respiratory
- Medical
- Surgical
- Neurosurgical
- Trauma
- Burn
- Pediatric
- Neonatal
- General


T/F: To be admitted into the ICU, illness is severe and requires the use of a
respirator Ans✔✔-False - can be mild, moderate, or severe and does not require
a respirator for admission


ICU admissions - *mild/ elective* illness:

,1. T/F: an uncomplicated colectomy is an example
2. patients are hemodynamically stable throughout [peri/post?]-operative period
3. All responses resolved in a few [hours/days/weeks?]
4. Patients sent home in <___ week(s) Ans✔✔-1. True
2. *peri-operative*
3. *few days*
4. *<1 week*


ICU admissions - *moderate* illness:


1. Colectomy can result in some complications, such as severe MI on Day ___ -->
shock with cardiac + respiratory failure --> back to ICU
2. T/F: Patient is put on mechanical ventilation
3. Patient's heart/lung function recovery takes ~____ days
4. Patient is taken off respirator and sent to ward by day ____ --> home after ____
weeks Ans✔✔-1. *Day 2*
2. True
3. *~10 days*
4. *day 15* --> home after *3 weeks*


ICU admissions - *severe* illness


1. Colectomy can have severe complications: Day ____ in ICU - pneumonia; Day
____ - septicemia --> back into heart failure --> develops acute renal failure -
dialyzed

, 2. After dialyzing, 2 options can occur:


a) Day ____: off dialysis, continue diuresis
Day _____: start weaning from ventilator
Day _____: to ward
Day _____: home


OR


b) Remains unstable on dialysis
Day ____: further lung infection
Day ____: ongoing heart ischemia, not tolerating dialysis very well
Day ____: dies of multi-organ failure Ans✔✔-1. *Day 6* - pneumonia; *Day 8* -
septicemia


2a) Day *20*: off dialysis, continue diuresis
Day *25*: start weaning from ventilator
Day *35*: to ward
Day *45*: home


OR


b) Remains unstable on dialysis
Day *18*: further lung infection