CSO Exam -- Ch 13 -- Nutrition Support || QUESTIONS WITH COMPLETE SOLUTIONS!!

CSO Exam -- Ch 13 -- Nutrition Support || QUESTIONS
WITH COMPLETE SOLUTIONS!!
ASPEN recs for EN correct answers -No benefit from routine use
-peri-op = mod/severe MN use for 7-14 d prior
*weigh risk of delaying surgery to do so*

Most common use of EN in what cancers? correct answers HN
Gastric
Esophageal
Pancreatic

For adequate GI absorption you need how many cm of both jejunum and ileum? also need
what valve? correct answers 100 cm jej
150 cm ileo
ileoceceal valce

Renal EN products provide ____ to ___ % of kcal from protein? correct answers 7-18% of
kcal from pro

Pulmonary products provide what special nutrition considerations? correct answers nutrient
dense (~1.5 kcal)
low CHO
high lipid -- EPA, GLA; Pro = 16-18%

Possible causes of hypernatremia? correct answers inadequate FW ----> change FW to fix
Excess fluid losses (diurese) ---> monitor fluid status, I/O, daily wts

Possible causes of hyponatremia? correct answers Fluid overload ---> restrict FW
Sodium Losses in GI ----> supp Na
SIADH ---> restrict FW, diuresis

Possible causes of hyperphosphatemia? correct answers Kidney insufficiency --> consider
change to low phos formula vs binders

Tumor lysis syndrome --> consider change to low phos vs binders

Phosphate binding antacids --> rec change in meds

Possible causes of hypophosphatemia? correct answers Refeeding
Insulin therapy
Phosphate binding antacids

Maximum daily tolerance of Dextrose w/ TPN? correct answers 7 grams/kg/day OR 5
mg/kg/min

Maximum daily tolerance of AA w/ TPN? correct answers 2.5 g/kg