The judgment of the healthcare professional based on
individual circumstances of the patient must always take
precedence over the recommendations in
... [Show More] these guidelines correct answers true
Equations derived from testing hospital patients (Penn State,
Ireton-Jones, Swinamer) are no more accurate than equations
derived from testing normal volunteers (Harris-Benedict, Mifflin
St Jeor) correct answers true
Additional energy provided by dextrose-containing fluids
and lipid-based medications such as propofol should be
accounted for when deriving nutrition therapy regimens to
meet target energy goals correct answers true
Based on expert consensus, we suggest an ongoing
evaluation of adequacy of protein provision be performed. - whats the rationale? correct answers In the critical care setting, protein appears to be the
most important macronutrient for healing wounds, supporting
immune function, and maintaining lean body mass
We recommend that nutrition support therapy in
the form of early EN be initiated within 24-48 hours in the critically ill patient who is unable to maintain
volitional intake. correct answers true
B2. We suggest the use of EN over PN in critically ill
patients who require nutrition support therapy correct answers true
Based on expert consensus, we suggest that, in the
majority of MICU and SICU patient populations, while
GI contractility factors should be evaluated when
initiating EN, overt signs of contractility should not be
required prior to initiation of EN -rationale correct answers GI intolerance has been variably defined (eg, absence or abnormal bowel
sounds, vomiting, bowel dilatation, diarrhea, GI bleeding, high
gastric residual volumes [GRVs]) and appears to occur in up to
50% of patients on mechanical ventilation. Bowel sounds are
indicative only of contractility and do not necessarily relate to
mucosal integrity, barrier function, or absorptive capacity
*basically its not a good enough proof of not using EN
B4a. We recommend that the level of infusion be diverted
lower in the GI tract in those critically ill patients at [Show Less]