CNSC Exam Flashcards 100% Correct Answers

CNSC Exam Flashcards 100% Correct Answers PN initiation for refeeding risk - energy (kcal/kg) -Answer-15-20 PN initiation for refeeding risk - protein (max g/kg) -Answer-1.5 drink some water Advance PN by ______ calories per day for patients at refeeding syndrome risk -Answer-200-300 Zinc supplementation for high GI/fistula losses (mg per liter of loss) -Answer-12-17 you're crushing this protein needs for traumatic brain injury patients (g/kg) - Answer-1.5-2 Glutamine that may reduce complications/mortality in critically ill (g/kg/day) -Answer-0.2 Protein needs for post-surgery / trauma (g/kg) -Answer-1.5-2 Recommend PEG tube if EN is needed for more than _____ weeks -Answer-4 drink some water Begin EN if a patient with mild pancreatitis is unable to consume PO for ____ days -Answer-5 max aluminum allowed in PN (mcg/kg/day) -Answer-5 EFAD can occur in _______ weeks of lipid-free PN -Answer-1-3 minumum ILE required in PN to prevent EFAD deficiency -Answer-500ml of 20% ILE once a week drink some water diagnosis of EFAD via triene : tetrene ratio of greater than - Answer-0.4 max phos (mmol/hr) in PN to prevent thrombophlebitis -Answer-7 Which drug can impair folate? -Answer-methotrexate you've got this Which nutrient does metformin impair absorption of? -Answer-B12 Which minerals can ETOH increase excretion of? -Answer-calcium and magnesium Which essential nutrients besides B vitamins are water-soluble? -Answer-vitamin C and choline What are the essential trace minerals? -Answer-iron, zinc, copper, manganese, selenium, chromium drink some water Where is B12 absorbed? -Answer-ileum Fiber RDA (grams per 1000kcal) -Answer-14 Fiber RDA (children) -Answer-age +5 Free water deficit calculation -Answer-TBW (kg) [(Na-140) / 140] How long does the catabolic phase of critical illness last in days? -Answer-7-10 you've got this Half life of albumin in days -Answer-14-20 RQ for mixed diet -Answer-0.85 RQ for underfeeding -Answer-0.82 RQ for overfeeding -Answer-1.0 normal pH -Answer-7.35-7.45 hyponatremia (less than _____ mEq/L) -Answer-135 you're crushing this appropriate Na correction (mEq/L/day) -Answer-10 hypernatremia (greater than _____ mEq/L) -Answer-145 is D5W isotonic or hypotonic -Answer-Isotonic in the bag; hypotonic once metabolized What increases CO2 production and can worsen acidosis (underfeeding or overfeeding)? -Answer-overfeeding physiologic RQ -Answer-0.7-1 ideal RQ (protein sparing; mixed CHO/FAT metabolism) -Answer-0.85-0.95 Protein RQ -Answer-0.8 you're crushing this Fat RQ -Answer-0.7 Mixed substrate RQ -Answer-0.85 Carbohydrate RQ -Answer-1.0 Dextrose mOsm/g -Answer-5 you've got this Amino acids mOsm/g -Answer-10 Electrolytes mOsm/g -Answer-1-2 Lipid mOsm/g (30% ILE) -Answer-0.67 Carbemazepine (Tegretol) -Answer-Anti-convulsant; hold EN 2 hours before and after Fluoroquinolones -Answer-Drugs that end in -floxacin (hold EN 1 hour before and after) you're crushing this Isotonic EN formula (mOsm/kg) -Answer-300 French size of enteric tube to use for blenderized formula -Answer-14 You can use a PEG tube _____ hours after placement -Answer-2-4 Very low birthweight baby, under _______ grams -Answer-2500 you've got this Starting GIR birth - 12 months -Answer-6-8 Max GIR birth-12 months -Answer-15 Pediatric starting GIR -Answer-6-7 drink some water Pediatric max GIR -Answer-12 Obese critically ill kcals/kg -Answer-11-14 or 22-25 of IBW When to start EN for TBI, under _______ hours -Answer-48 What kind of formula to use for trauma -Answer-immune-enhancing How much of our TBW (total body water) is extracellular? -Answer-1/3