Nutrition in Disease Management Prep Exam Questions And Correct Answers.
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Course
Nutrition and Disease
Institution
Nutrition And Disease
Therapeutic diets cost more because... - Answer ingredients are high quality, science behind the production, and not produced in mass quantities
Insufficient nutrient intake causes... - Answer impaired immunity; decreased resistance to infection (higher rates of infection); inability to wa...
Nutrition in Disease Management Prep
Exam Questions And Correct Answers.
Therapeutic diets cost more because... - Answer ingredients are high quality, science behind the
production, and not produced in mass quantities
Insufficient nutrient intake causes... - Answer impaired immunity; decreased resistance to infection
(higher rates of infection); inability to waistband shock, surgery, and the effects of drugs; decreased
wound strength, muscle weakness; and organ failure
Exogenous energy is better than endogenous energy because... - Answer Eating vs. using body storage;
patient will maintain their lean body mass; more responsive to therapy
Endogenous energy - Answer Breaking down of fat, then muscles; affects wound healing, immune and
cellular function, cardiac and respiratory systems; ex. cancer patients
Why/when initiate nutritional support? - Answer history of illness or weight loss; BCS of less than 3 of 5
or 4 of 9; drastic weight loss of more than 5-10% of the body weight; history of anorexia or inappetence
>3 days; presence of injuries that could prevent adequate oral intake
Ways to encourage animals to eat? - Answer Grooming (for cats that like to be brushed), removal of
nasal discharge (with cats), tender loving care, providing competition, hand feeding, selection of diets,
different environment (give cats privacy), warm the food, offer your food
Feeding critically ill - Answer feed calculated RER at minimum; need to consume 85% of RER for enteral
feeding to be effective (maintains the intestinal mucosa and may prevent bacterial translation from the
gut to the rest of the body); once improved, feed calculated MER; chart the amount feed, technique
used, and type of food
Supportive Feeding - How? - Answer Syringe (force feeding), naso-esophageal tube, pharyngostomy
tube, percutaneous endoscopic gastronomy tube, orogastric tube (puppies and kittens with no teeth)
, Supportive feeding - When? - Answer greater than 10% weight loss, decreased food intake (significant,
intervention needed), anorexia, increased nutrient demands due to trauma or surgery, increased
nutrient losses
Supportive feeding - What? - Answer high palatability; digestible; high energy density from proteins
and fats, not carbs
Supportive feeding - Limit? - Answer tube feeding should not exceed 50 ml/kg each feeding (physically
too much for stomach)
Clinical nutrition for clinically ill - Water - Answer Initially correct water, electrolyte, and acid-base
status; IV, SQ, oral
Clinical Nutrition for clinically ill - Carbohydrates - Answer Highly digestible and supply sufficient
calories; fiber minimum (decrease digestibility and bind up important nutrients)
Clinical Nutrition for clinically ill - Protein - Answer Adequate levels of high quality; glutamine, arginine,
novel protein source
Glutamine - Answer important for the increased levels of gluconeogenesis occurring in rapidly dividing
cells; a deficiency can lead to gut mucosal atrophy and an increase in bacterial translocation
Arginine - Answer positive effect on immune system
Novel protein source - Answer protein antigens won't cross the blood stream and set up
hypersensitivity processes
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