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Parenteral Quiz Nte 2

カード 88枚 作成者: KenB (作成日: 2014/01/04)

  • intravenous provision of macronutrients and micronutrients to patients whose GI tract is nonfunctional, inaccessible, or unsafe to use

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  • 1

    intravenous provision of macronutrients and micronutrients to patients whose GI tract is nonfunctional, inaccessible, or unsafe to use

    補足(例文と訳など)

    答え

    • parenteral nutrition

    解説

  • 2

    ways that parenteral nutrition can be administered

    補足(例文と訳など)

    答え

    • centrally or peripherally

    解説

  • 3

    what does TPN stand for?

    補足(例文と訳など)

    答え

    • total parenteral nutrition

    解説

  • 4

    type of catheter in central TPN

    補足(例文と訳など)

    答え

    • Hickman catheter

    解説

  • 5

    when TPN is administered through a large diameter central vein

    補足(例文と訳など)

    答え

    • central administration

    解説

  • 6

    what does PICC line stand for?

    補足(例文と訳など)

    答え

    • peripherally inserted central catheter

    解説

  • 7

    Type of administration with TPN

    補足(例文と訳など)

    答え

    • central or PICC line

    解説

  • 8

    length of time TPN can be used

    補足(例文と訳など)

    答え

    • indefinitely

    解説

  • 9

    Where are PICC lines inserted

    補足(例文と訳など)

    答え

    • through a peripheral vein to a central location near the heart

    解説

  • 10

    advantages to PICC line

    補足(例文と訳など)

    答え

    • less costly, lower risk of insertion complications

    解説

  • 11

    disadvantages to PICC lines

    補足(例文と訳など)

    答え

    • higher rate of malfunction, patient can't care for on their own

    解説

  • 12

    What does PPN stand for?

    補足(例文と訳など)

    答え

    • peripheral parenteral nutrition

    解説

  • 13

    advantage to PPN

    補足(例文と訳など)

    答え

    • less risk of infection than TPN

    解説

  • 14

    where is PPN inserted

    補足(例文と訳など)

    答え

    • a smaller peripheral vein

    解説

  • 15

    How long can PPN be used?

    補足(例文と訳など)

    答え

    • 2 weeks or less

    解説

  • 16

    limits on osmolality of PPN

    補足(例文と訳など)

    答え

    • 900 mOsm/L

    解説

  • 17

    reason for osmolality limits on PPN

    補足(例文と訳など)

    答え

    • damage to access vein and risk for thrombophelbitis

    解説

  • 18

    inflammation of a vein caused by or associated with formation of a blood clot

    補足(例文と訳など)

    答え

    • thrombophelbitis

    解説

  • 19

    Difference between PPN and TPN solutions

    補足(例文と訳など)

    答え

    • PPN solutions are lipid based and may provide fewer kcals, protein and electrolytes. PPN provides greater fluid volume

    解説

  • 20

    Patients who should not use PPN

    補足(例文と訳など)

    答え

    • severely malnourished

    解説

  • 21

    Patients who should not use PPN

    補足(例文と訳など)

    答え

    • hypermetabolic

    解説

  • 22

    Patients who should not use PPN

    補足(例文と訳など)

    答え

    • fluid restrictions

    解説

  • 23

    an abnormal tube like opening between 2 internal organs or between an organ and the body surface

    補足(例文と訳など)

    答え

    • fistula

    解説

  • 24

    high output fistula

    補足(例文と訳など)

    答え

    • high rate of discharge through the opening

    解説

  • 25

    indication for use of parenteral nutrition

    補足(例文と訳など)

    答え

    • a non-functioning GI tract. (If the gut works, use it.)

    解説

  • 26

    what does PN stand for?

    補足(例文と訳など)

    答え

    • parenteral nutrition

    解説

  • 27

    When should PN not be used

    補足(例文と訳など)

    答え

    • =- functional GI tract

    解説

  • 28

    When should PN not be used

    補足(例文と訳など)

    答え

    • - when nutrition support is needed for less than 5 days

    解説

  • 29

    When should PN not be used

    補足(例文と訳など)

    答え

    • =-if PN will delay a critical operation or procedure

    解説

  • 30

    When should PN not be used

    補足(例文と訳など)

    答え

    • =- when aggressive therapy is not warranted

    解説

  • 31

    When should PN not be used

    補足(例文と訳など)

    答え

    • =- when risks outweigh the benefits

    解説

  • 32

    simple estimate for PN calorie needs

    補足(例文と訳など)

    答え

    • 25-30 kcals/kg

    解説

  • 33

    maximum calories recommended/kg to prevent overfeeding

    補足(例文と訳など)

    答え

    • 35 kcals/kg

    解説

  • 34

    CHO distribution recs for PN

    補足(例文と訳など)

    答え

    • 45-65% of kcals

    解説

  • 35

    fat distribution recs for PN

    補足(例文と訳など)

    答え

    • 20-30% of kcals

    解説

  • 36

    Protein distribution recs for PN

    補足(例文と訳など)

    答え

    • 10-35% of kcals

    解説

  • 37

    what does the typical ready made PN solution consist of?

    補足(例文と訳など)

    答え

    • CHO, protein, vitamins, minerals, medications, sterile water

    解説

  • 38

    what does MVI stand for?

    補足(例文と訳など)

    答え

    • multiple vitamin infusion

    解説

  • 39

    What does TNA stand for?

    補足(例文と訳など)

    答え

    • total nutrient admixture

    解説

  • 40

    What is TNA?

    補足(例文と訳など)

    答え

    • PN solution with added lipids

    解説

  • 41

    what amount of CHO does the average adult require daily to spare protein?

    補足(例文と訳など)

    答え

    • 100 grams

    解説

  • 42

    Current RDI guidelines for CHO

    補足(例文と訳など)

    答え

    • 130 grams daily, maximum glucose oxidation rate

    解説

  • 43

    (maximum tolerable PN infusion rate for CHO)

    補足(例文と訳など)

    答え

    • .36 grams/kg body weight/hour

    解説

  • 44

    what are the CHO's in PN solution

    補足(例文と訳など)

    答え

    • dextrose

    解説

  • 45

    how many kcals does dextrose provide

    補足(例文と訳など)

    答え

    • 3.4 kcals/gram

    解説

  • 46

    contribution of dextrose to osmolarity of PN solutions

    補足(例文と訳など)

    答え

    • 5 mOsm/g

    解説

  • 47

    how is concentration of dextrose expressed?

    補足(例文と訳など)

    答え

    • X% dextrose solution = X g dextrose/100ml water

    解説

  • 48

    result of excess carbohydrate infusion

    補足(例文と訳など)

    答え

    • hyperglycemia, increase of lipid synthesis, and risk of fatty liver

    解説

  • 49

    test results that are indicative of excessive lipid synthesis

    補足(例文と訳など)

    答え

    • elevation in liver function tests

    解説

  • 50

    reason excess CHO can increase stress in patients with compromised respiratory function

    補足(例文と訳など)

    答え

    • glucose oxidation increases CO2 production

    解説

  • 51

    what does EFA stand for?

    補足(例文と訳など)

    答え

    • essential fatty acids

    解説

  • 52

    kcals provided by lipids

    補足(例文と訳など)

    答え

    • 9 kcals/gram

    解説

  • 53

    when are lipids administered with PN

    補足(例文と訳など)

    答え

    • short-term: not daily or possibly not at all. Long-term: EFA's to prevent deficiency

    解説

  • 54

    function of EFA's

    補足(例文と訳など)

    答え

    • cell membranes, prostaglandin synthesis, immune function

    解説

  • 55

    what can excessive intake of omega 6's do?

    補足(例文と訳など)

    答え

    • hinder immune function

    解説

  • 56

    what does a 10% lipid solution mean?

    補足(例文と訳など)

    答え

    • provides 1 kcal/cc

    解説

  • 57

    what does a 20% lipid solution mean?

    補足(例文と訳など)

    答え

    • provides 2 kcal/cc

    解説

  • 58

    what does a 30% lipid solution mean?

    補足(例文と訳など)

    答え

    • provides 3 kcal/cc

    解説

  • 59

    cc equivalent in ml

    補足(例文と訳など)

    答え

    • 1 cc = 1 ml

    解説

  • 60

    contribution of lipids to osmolarity

    補足(例文と訳など)

    答え

    • 1.7 mOsm/g

    解説

  • 61

    make-up of PN lipids

    補足(例文と訳など)

    答え

    • isotonic made of long-chain tryglycerides from soybeans

    解説

  • 62

    amount of EFA needed to prevent deficiency

    補足(例文と訳など)

    答え

    • 4% of kcals

    解説

  • 63

    administration schedule of lipids

    補足(例文と訳など)

    答え

    • seperately once a week, three times a week, or daily as part of TNA

    解説

  • 64

    allergy risk with lipid PN solutions

    補足(例文と訳など)

    答え

    • emulsified using phospholipids so you can't use it in patients with egg allergies

    解説

  • 65

    risk of lipid PN solutions

    補足(例文と訳など)

    答え

    • may cause hypertriglyceridemian

    解説

  • 66

    patients at risk for hypertriglyceridemia

    補足(例文と訳など)

    答え

    • pancreatitis, familiar hyperlipidemia, liver disease, severe metabolic stress

    解説

  • 67

    at what serum level should lipid infusion be stopped?

    補足(例文と訳など)

    答え

    • 400 mg/dl

    解説

  • 68

    what are protein requirements based on?

    補足(例文と訳など)

    答え

    • age, gender, nutrition status, disease state, stress, wound status, kidney and liver function

    解説

  • 69

    protein requirements for healthy adults

    補足(例文と訳など)

    答え

    • 0.8 g/kg/day

    解説

  • 70

    how much nitrogen does protein contain

    補足(例文と訳など)

    答え

    • 6.25 grams protein = 1 gram nitrogen

    解説

  • 71

    reason kcals from amino acids aren't used to contribute to kcal requirement of the patient

    補足(例文と訳など)

    答え

    • amino acids should be used for protein synthesis

    解説

  • 72

    protein requirements for critical illness and moderate malnutrition

    補足(例文と訳など)

    答え

    • 1.2-1.5 g/kg/day

    解説

  • 73

    protein requirements for trauma and severe malnutrition

    補足(例文と訳など)

    答え

    • > 1.5 g/kg/day

    解説

  • 74

    protein requirements for renal/hepatic impairment

    補足(例文と訳など)

    答え

    • possibly reduced

    解説

  • 75

    contribution of protein to osmolarity

    補足(例文と訳など)

    答え

    • 10 mOsm/g

    解説

  • 76

    what type of amino acids will accumulate in the liver in hepatic failure leading to hepatic encephalopathy

    補足(例文と訳など)

    答え

    • aromatic amino acids

    解説

  • 77

    type of amino acids that are oxidized primarily by muscle this reducing amino acid load in the liver

    補足(例文と訳など)

    答え

    • branched chain amino acid

    解説

  • 78

    in cases of acute renal failure how long may essential amino acids be given when dialysis is not possible

    補足(例文と訳など)

    答え

    • 2 weeks

    解説

  • 79

    vitamin not included in the MVI

    補足(例文と訳など)

    答え

    • vitamin K

    解説

  • 80

    mineral not added to PN solutions and reason

    補足(例文と訳など)

    答え

    • iron

    解説

  • 81

    mineral not added to PN solutions and reason

    補足(例文と訳など)

    答え

    • it is oxidative and will destabilize lipids

    解説

  • 82

    minerals that are ommited from PN solutions in cases of hepatic failure

    補足(例文と訳など)

    答え

    • copper, manganese

    解説

  • 83

    reason you must use caution with calcium and phosphorous supplementation in PN solution

    補足(例文と訳など)

    答え

    • it can cause crystalline precipitation which can block the catheter

    解説

  • 84

    what can mask calcium deficiency

    補足(例文と訳など)

    答え

    • albumin status

    解説

  • 85

    contribution of vitamins and minerals to PN osmolarity

    補足(例文と訳など)

    答え

    • 300 to 400 mOsm/L

    解説

  • 86

    estimated fluid needs for adults

    補足(例文と訳など)

    答え

    • 30-35 cc/kg body weight

    解説

  • 87

    a metabolic complication that can occur when nutrition is reintroduced for patients who are severely malnourished

    補足(例文と訳など)

    答え

    • refeeding syndrome

    解説

  • 88

    primary problem in refeeding syndrome

    補足(例文と訳など)

    答え

    • significant shift in intracellular ions. Glucose stimulates the production of insulin which promotes cellular intake of ions. Serum levels of ions drop drastically.

    解説

56969

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