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What is the ASPEN criteria for malnutrition? How many criteria does the patient have to meet
to be diagnosed with malnutrition? pt needs to meet 2 out of the 6 criteria
-muscle wasting, fat wasting, weight loss, inadequate energy needs, fluid accumulation, or grip
strength
Where are the locations in the human body for fat wasting? orbital region, buccal/cheeks,
arms (triceps), and midaxillary line @ iliac crest/overlying ribs
Where are the sites of muscle wasting on the human body? temples (temporalis), clavicle
region (pectoralis & deltoid), shoulders (deltoid), interosseous muscles (web of hands), scapula
(latissimus dorsi, trapezius, deltoids), thighs & patellar region (quadriceps), and calf
(gastrocnemius)
What are the weight loss percentages for acute? -moderate: 1-2% in one week, 5% in a
month, 7.5% in 3 months
-severe: >2% in a month, >5% in a month, >7.5% in 3 months
What are the weight loss percentages for chronic malnutrition? -moderate: 5% in a month,
7.5% in 3 months, 10% in 6 months, 20% in a year
-severe: >5% in a month, ?7.5% in 3 months, >10% in 6 months, >20% in a year
, What are some short term interventions for malnutrition? boost, vitamin/mineral
supplementation, appetite stimulants (not rec from chronically ill), enteral/parenteral feeding
What are some long term interventions for malnutrition? nutrition education, building
healthy eating habits
What % PO intake determines malnutrition for acute illness patients? <75% intake for more
than a wk, moderate
<50% for more than or equal to 5 days, severe
What % PO intake determines malnutrition for chronic illness patients? <75% intake for
greater than or equal to 1 month, moderate and severe
What is refeeding syndrome? no standard definition, but occurs when one is fed after a long
period of low to no intake of food.
Who is at risk for refeeding syndrome? pts with anorexia nervous, starvation, alcohol and
substance abuse disorders, malabsorption, malignancy (cancer pts), and those who are critically
ill
Why does refeeding syndrome occur? introducing food to the body after long periods
activates metabolic pathways, which:
-drains vitamin and mineral stores