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Worksheets1ST CLINICAL NUTRITION WORKSHOP
Total questions: 18
Worksheet time: 9mins
Which of the following NOT commonly included in a Nutrition Assessment?
Chewing ability
Changes in body weight
Echocardiogram findings
Physical examination for muscle loss
Which factor is MOST IMPORTANT when selecting the type of enteral formula for a patient?
Patient's favorite flavor
Patient’s clinical condition and nutrient requirements
Availability of feeding pump
Cost of the formula only
Patient with low appetite and poor wound healing may require:
Low Protein ONS
Parenteral Nutrition
High Protein ONS
If patient with poor oral intake and at risk of malnutrition refuse to take ONS, we can suggest to start TPN as soon as possible.
True
False
Below are the red flags that should alert you to act quickly in nutrition care, EXCEPT:
Loss of 10% body weight in 3 months
Pt c/o swallowing difficulty
Severe muscle wasting
Pt has history of taking vitamin C supplement
Blended diet can be used for nasogastric tube feeding.
True
False
To avoid feeding contamination, the maximum hanging time for enteral formula is:
12 hours
4 hours
6 hours
How much protein (in gram) does each serving of MYOTEIN high-quality whey protein concentrate provide?
2 g
5 g
10 g
15 g
Which of the following is NOT an appropriate indication for Vutycid (microencapsulated calcium butyrate)?
Irritable Bowel Syndrome (IBS)
Inflammatory Bowel Disease (IBD)
Traveler's Diarrhea
Osteoporosis management
Below are the indications for parenteral nutrition EXCEPT:
Gut is not functioning
Gut not accessible
Tube feeding is not safe
Patient dislike ONS
What is the daily requirements for lipid in adult PN?
0.7-1.5 g/kg/d
1.5-2.0 g/kg/d
As tolerated by patients
What is the energy requirements for PN in ICU adults?
<15 kcal/kg/d
15-20 kcal/kg/d
20-25 kcal/kg/d
>30 kcal/kg/d
Below are the benefits of monitoring & evaluating EN, EXCEPT:
Early detection and prevent complications
Ensure safe, effective and individualized nutrition therapy
To reduce more weight
Improve overall patient recovery & outcomes
Why is it crucial to make adjustments after monitoring and evaluating EN?
To prevent complications
Meet changing nutritional requirements
Optimize tolerance
Support clinical goals
What is the main risk if medication is administered via an enteral tube without proper consideration?
The tube may become blocked or damaged
The drug becomes more effective
No effect at all
Define Refeeding syndrome
Refeeding syndrome is defined as the potentially fatal shifts in electrolytes that may occur in severely malnourished patients receiving oral, enteral or parenteral nutrition.
Refeeding syndrome is defined as the potentially fatal shifts in fluids and electrolytes that may occur in severely malnourished patients receiving oral, enteral or parenteral nutrition.
Refeeding syndrome is defined as the potentially fatal shifts in fluids and electrolytes that may occur in severely malnourished patients receiving enteral or parenteral nutrition
Refeeding syndrome is defined as the potentially fatal shifts in fluids and electrolytes that may occur in patients receiving oral, enteral or parenteral nutrition.
Patient A is severely malnourished. He is at risk of refeeding syndrome. Serum electrolytes that were taken showed hypophosphatemia, hypokalemia and hypomagnesemia. Nutrition plan was given. Which is the best answer?
Stop feeding until correction of electrolytes is done and repeated serum calcium, phosphate and potassium are back to normal.
Stop feeding until correction of electrolytes is done. Can start feeding and no need to wait for repeated serum calcium, phosphate and potassium.
Feeding and correction of electrolytes can be done simultaneously. There is no need to stop feeding.
Patient B has been identified as having risk of refeeding syndrome. He has a NJ tube. He is being planned for an elective abdominal surgery. Which of this statement is TRUE?
We can start full feeding at 25 kcal per kg.
We start full feeding at 25 kcal per kg for 24 hours and then increase it to 30 kcal per kg in 2 days time to fasten the time for surgery.
Feeding is only started from 10-15 kcal per kg with slow increase of 3-5 kcal over 4-7 days over a period of time.
