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ASPEN Modules Questions and Answers | 100% Pass

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ASPEN Modules Questions and Answers | 100% Pass Which of the following is the inpatient glycemic target for critically ill patients? 1: 80-110 mg/dL 2: 140-180 mg/dL 3: 181-210 mg/dL 4: 211-240 mg/dL - Answer-2: 140-180 mg/dL For the critically ill patient, blood glucose levels should be mai...

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  • October 2, 2024
  • 354
  • 2024/2025
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EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024

ASPEN Modules Questions and
Answers | 100% Pass

Which of the following is the inpatient glycemic target for critically ill patients?




1: 80-110 mg/dL

2: 140-180 mg/dL

3: 181-210 mg/dL

4: 211-240 mg/dL - Answer✔✔-2: 140-180 mg/dL



For the critically ill patient, blood glucose levels should be maintained between 140-180

mg/dL. Lower glucose targets may be appropriate for selected patients, but targets

<110 mg/dL are not recommended

Under conditions of sepsis and stress, which of the following metabolic alterations most

likely occur?



1: Increased glucose production and increased glucose uptake

2: Increased glucose production and decreased glucose uptake

3: Decreased glucose production and decreased glucose uptake

4: Decreased glucose production and increased glucose uptake - Answer✔✔-2:

Increased glucose production and decreased glucose uptake


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,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024



The metabolic response to sepsis and stress is characterized by an increase in glucose

production and a decrease in glucose uptake. Stress hormones induce insulin

resistance and hyperglycemia is commonly observed in stressed patients. It is

recommended that glucose levels be adequately controlled to avoid polyuria, electrolyte

disturbances, and infectious complications.

Which of the following immunomodulating nutrients may be harmful in patients with

sepsis/septic shock?



1: Arginine

2: Selenium

3: Nucleic acids

4: Omega-3 fatty acids - Answer✔✔-1: Arginine



Arginine is a major substrate for nitric oxide production. Under normal conditions, small

quantities of nitric oxide have a beneficial effect on immune function and tissue

oxygenation. Thus, arginine is considered an "immune-enhancing" agent. However,

nitric oxide can be detrimental by leading to coagulation abnormalities and altered

hemodynamic status. In this case, arginine could be considered harmful for patients

with sepsis/septic shock. Because of these effects, there is still much debate over the

value of arginine in nutrition support for critically ill patients.




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,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
Which of the following best describes enteral glutamine supplementation in the critically

ill patient in multi organ failure?



1: Enteral glutamine decreases mortality

2: Enteral glutamine decreases ventilator days

3: Enteral glutamine decreases hospital length of stay

4: Enteral glutamine decreases nosocomial infections - Answer✔✔-4: Enteral

glutamine decreases nosocomial infections



A recent meta-analysis investigated the impact of glutamine-supplemented nutrition on

the outcomes of critically ill patients and found that glutamine supplementation did not

decrease mortality and length of hospital stay in critically ill patients. However,

glutamine supplementation did reduce nosocomial infections among critically ill patients.

Which of the following are counter-regulatory hormones responsible for the

hypercatabolism observed in critically ill trauma patients?



1: Glycogen, insulin, norepinephrine

2: Glucagon, epinephrine, cortisol

3: Glycerol, serotonin, thymoglobulin

4: Glycerin, leptin, adenosine - Answer✔✔-2: Glucagon, epinephrine, cortisol




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, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
The inflammation following a traumatic injury provokes a release of systemic catabolic

hormones including epinephrine, glucagon, and cortisol. These hormones are

responsible for glycogenolysis, gluconeogenesis, proteolysis, and free fatty acid

release. The goal of this metabolic response is to maintain survival and homeostasis

and promote recovery. Therapeutic intervention is geared toward blunting the

inflammatory response without making the patient susceptible to immunosuppression.

Timely resuscitation, including restoration of perfusion, oxygenation, and hemodynamic

stability is the top priority. The early initiation of nutrition is an important component of

supportive therapy in the care of the trauma patient.

In patients with burns, providing caloric support above energy expenditure has been

found to



1: significantly decrease hospital length of stay

2: improve wound healing and graft success

3: decrease fat accumulation and steatosis

4: have no effect on preservation of lean body mass - Answer✔✔-4: have no effect

on preservation of lean body mass



The metabolic stress that occurs in burn injury generates a hypercatabolic state that

increases energy expenditure. Although patients with burns have increased needs,

feeding in excess of energy expenditure may cause hyperglycemia, hepatic steatosis,

and prolonged ventilator dependence. One study of critically ill burn patients showed


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