Question

3. after seven days of receiving parenteral nutrition your patient starts on an oral diet and wants to stop parenteral nutrition infusion. What is your next step
a. Discontinue the parenteral nutrition b. Call a dietitian c.Assess adequacy of oral food d. Begin enteral nutrition

4. nutritional concerns of a patient with metabolic stress include
a. Low metabolism B. Negative nitrogen balance c. Hypoglycemia D. Increased gastric motility

5. tube feed formulas for respiratory failure differ from standard formulas in what way
a. Lower energy density B. More fluid C. Protein provided as free amino acids d. Fewer percent calories from carbohydrates

Answer 1

3.b. Call a dietitian

The dietitian should be contacted before commencing oral diet in order to ensure the safety and tolerability of food in disease condition.

4. b. Negative nitrogen balance

Catabolic effect of noradrenaline and corticol released during stress results in negative nitrogen balance.

5. d. Fewer percent calories from carbohydrates

More fats are incorporated in modified feed formula for respiratory failure because fats produce less carbon dioxide during metabolism leading to positive ventilatory faunctions. Fats also promote synthesis of series 1 prostaglandins and series 5 leukotrienecs which is responsible for antiinflammatory and vasodilatory effects.