Parenteral nutrition part 1 our questions

1. Which of the following are indications for parenteral nutrition? Select all that apply.

• 1. Unable to meet nutritional needs enterally

• 1. Motility disorders

• 1. Need for “bowel rest”

• 1. Cannot eat a sufficient amount

1. A patient with a low Nutrition Risk Score (NRS </=3) should receive parenteral nutrition as soon as possible. 

• 1. True

• 1. False

1. ICU patients at ___ risk should wait _ days for parenteral nutrition. Fill in the blank

1. ICU patients at ____ risk should start parenteral nutrition __ ____ __ ________ when enteral nutrition is not available.

2. Fill in the blank

1. Parenteral nutrition is hypertonic and can cause which of the following?

• 1. Venous thrombosis

• 1. Thrombophlebitis

• 1. Extravasation

• 1. None of the above

1. Parenteral nutrition can be given peripherally in osmolarity is _________ and centrally if osmolarity is  _________.

• 1. < 900 mOsm/L; >1000 mOsm/L

• 1. > 1000 mOsm/L; < 900 mOsm/L

• 1. > 900 mOsm/L; <1000 mOsm/L

• 1. < 1000 mOsm/L; > 900 mOsm/L

1. List the components of parenteral nutrition.

• 1. Sterile Water

• 1. Amino Acids

• 1. Intravenous fat emulsion (IVFE)

• 1. Dextrose

1. Amino acids provide _______ and are a significant source of _______.

1. Goal protein in stable adults is _._ - _._ g/kg/day and critically ill patients is _._ - _._ g/kg/day.

• 1. 0.8-1.5; 1.2 - 2.5

• 1. 1.2 - 2.5; 0.8-1.5

• 1. 0.5 - 1.5; 1.5 - 2.5

• 1. 1.5 - 2.5; 0.5 - 1.5

1. Intravenous fat emulsions (IVFE) are comprised of long chain fatty acid emulsions from:

2. Select all that apply

• 1. soybean oil

• 1. Olive oil

• 1. Soybean oil + Olive oil

• 1. All of the above