ASPEN Malnutrition Questions And Answers Latest Updates
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Course
ASPEN Malnutrition
Institution
ASPEN Malnutrition
Lab data - Indicators of inflammatory response (albumin/ prealbumin) interpret with caution
Elevated CRP, WBC, blood glucose levels
Negative nitrogen balance and elevated REE support systemic inflammatory response
Pre albumin and albumin as markers of inflammation - Acute phase proteins- reflect...
ASPEN Malnutrition
Lab data - Indicators of inflammatory response (albumin/ prealbumin) interpret with caution
Elevated CRP, WBC, blood glucose levels
Negative nitrogen balance and elevated REE support systemic inflammatory response
Pre albumin and albumin as markers of inflammation - Acute phase proteins- reflect inflammatory
response rather than poor nutrition; do not predict weight loss, calorie restriction or nitrogen balance;
will not respond to feeding interventions
Dx if inflammation is present - Mild or moderate- chronic disease related malnutrition; severe-
acute disease or injury related malnutrition
Dx is inflammation not present - Starvation related malnutrition
Physical exam/clinical signs - Weight loss/ gain, fluid retention, loss of muscle or fat,
macro/micronutrient deficiencies
6 characteristics for malnutrition diagnosis - Insufficient energy intake, weight loss, loss of muscle
mass, subcutaneous fat loss, fluid accumulation, hand grip strength
Anthropometric data - Unintended weight loss; measure weight on admission and monitor
frequently
Food/nutrient intake - 24 hour diet recall- estimated calorie count; plate waste; previous periods
of inadequate intake documented in patient chart
Functional Assessment - Hand grip strength
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