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WorksheetsParenteral Nutrition Worksheet
Total questions: 12
Worksheet time: 6mins
Which factor must be assessed before initiating PN?
Vitamin reserve levels
Blood pressure levels
Liver enzyme levels
Urine output levels
Recommended GIR for term newborns at stable phase?
1–2 mg/kg/min
4–6 mg/kg/min
8–10 mg/kg/min
0.1–0.5 mg/kg/min
Excessive glucose infusion can cause:
Metabolic alkalosis
Respiratory acidosis
Hypokalemia
Hypernatremia
Initial amino acid requirement for preterm infants?
1 g/kg/day
2 g/kg/day
0.5 g/kg/day
3.5 g/kg/day
Main cause of Essential Fatty Acid Deficiency (EFAD)?
Giving lipid too fast
Inadequate lipid intake
Excessive carbohydrate intake
High protein diet
Fat overload syndrome is caused by:
Excess dextrose
Excess intravenous fat emulsion
Excess protein
Excess vitamins
Recommended parenteral sodium intake for term newborns at DOL 4:
0–1 mmol/kg/day
1–3 mmol/kg/day
4–5 mmol/kg/day
6–7 mmol/kg/day
What is the primary source of energy for preterm infants?
Carbohydrates
Proteins
Vitamins
Fats
What complication can arise from rapid infusion of intravenous lipids?
Hyperglycemia
Fatty liver
Dehydration
Hypocalcemia
Which of the following is the MOST effective strategy to prevent PN-associated liver disease (PNALD) in infants?
Increase dextrose infusion to promote weight gain
Use composite lipid emulsion eg. SMOF lipid emulsion instead of pure soybean oil
Avoid enteral feeding until the infant reaches full PN calories
Increase copper supplementation to prevent deficiency
What is the primary concern when transitioning from PN to enteral feeding in preterm infants?
Electrolyte imbalance
Gastrointestinal tolerance
Risk of infection
Fluid overload
Which electrolyte abnormality is most characteristic of refeeding-like syndrome in children receiving parenteral nutrition?
Hypermagnesemia
Hypophosphatemia
Hyperkalemia
Hyponatremia
