Caloric Need

Fat Calories

Protein Calories

Carbohydrate Calories

Dextrose Calories

Nutritional Requirement
of Protein

Nutritional Requirement
of Fat

Nutritional Requirement
of carbohydrate

Trauma, Surgery and sepsis increase the kcal requirement by how much?

Pregnancy increases kcal requirement by how much?

Lactation increases kcal requirement by how much?

Calorie requirements for burn victims

Protein requirements for burn victims

Fever increases basal metabolic rate by how much?

Equation to calculate caloric need if overweight

Harris Benedict Equation for Men

Harris Benedict Equation for Women

Central Line TPN

Peripheral Line Parenteral Nutrition

Fuel for Colonocytes

Fuel for small bowel enterocytes

Primary Fuel for neoplastic cells

MC amino acid in blood stream and tissue

Approximate half life of albumin

Approximate half life of Transferrin

Approximate half life of Prealbumin

Normal Protein Level

Normal Albumin level

Normal Pre-albumin Level

Acute indicators of nutritional status

Equation for Ideal Body Weight for Men

Equation for Ideal Body Weight for Women

Preoperative signs of severe malnutrition

Indication for pre-op nutrition

Respiratory Quotient (RQ) > 1

Respiratory Quotient (RQ) <0.7

Treatment if RQ > 1

Treatment RQ < 0.7

RQ = 0.7

RQ = 0.8

RQ = 1.0

RQ = 0.825

What are the 3 Postoperative Phase?

Diuresis Phase

Catabolic Phase

Anabolic Phase

How long does it take for glycogen stores to be depleted?

Gluconeogenesis precursors

What is the primary substrate for gluconeogensis?

Amino Acids that increase during times of stress

In late starvation, where does gluconeogenesis occur?

What is the main source of energy in starvation and in trauma?

How long can people tolerate without eating?

When to place a PEG tube

Feeding through gut as opposed to TPN helps prevent what?

What do you do when patient develops diarrhea while on tube feeds?

What do you do for patient with high gastric residuals while on tube feeds?

Name 4 Obligate Glucose Users

What is refeeding syndrome?
what day do you usually see symptoms?

Effects of Refeeding Syndrome on electrolytes

Patients with refeeding syndrome can develop what?

How to prevent refeeding syndrome

Cachexia

Kwashiorkor

Marasmus

Effects of Major Stress on the Body

6.25g of protein equals how much nitrogen?

Protein synthesis in a health 70kg male

Majority of protein breakdown from skeletal muscle

What accounts for 90% of nitrogen loss?

What is the primary NH3 donor?

What are Micelles?

Fat Soluble Vitamins

Chylomicrons

Fats that enter the portal system

Lipoprotein Lipase

Saturated Fatty Acids

Unsaturated Fatty Acids

Hormone Sensitive Lipase (HSL)

Essential Fatty Acids

Glucose and Galactose

Fructose

Sucrose

Lactose

Maltose

Protein Digestion

Trypsinogen

Branched Chain Amino Acids

Name the Essential Amino Acids

Non-essential Amino Acids

Central Venous TPN
General Composition

Lipid supply separate from TPN

Purpose of Acetate for TPN

Vitamin to add separately from TPN

Vitamins to add to patient with ETOH abuse while on TPN

Long term TPN complication

Short term TPN complication

Chromium Deficiency

Selenium Deficiency

Copper Deficiency

Zinc Deficiency

Phosphate Deficiency

Thiamine deficiency

Pyridoxine (B6) Deficiency

Cobalamin (B12) Deficiency

Folate Deficiency

Ascorbic Acid Deficiency

Niacin Deficiency

Essential FA Deficiency

Vitamin A Deficiency

Vitamin K Deficiency

Vitamin D Deficiency

Vitamin E Deficiency

What is the Cori Cycle?

Metabolic Syndrome