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What is the diff b/t primary and secondary malnutrition?
- Primary: General nutrients, amino acids are missing
- Secondary: Items missing due to deficiencies or physical demand
What are the two dangers of refeeding a marasmus patient?
- 1) Repletion heart failure: heart weak from fasting, can't take extra calories and glucose
- 2) Hyopophosphatemia: phosphate trap (less ATP)
What is used to measure Kwashiokor and what is its value?
- Albumin <2.8
- **Lymphopenia, bad wound healing, easy loss of hair or edema are also present
What are classic lab findings for Marasmus?
reduced seruym protein anemia
Is Cachexia a primary or secondary cause of malnutrition?
What happens to RMR in cachexia?
When is Enteral nutrition used?
- During times of malnutrition when there are ingestion/digestion problems
- absorptive capacity adequate
When is Parenteral nutrition used?
When GI tract is nonfunctional
How many days do you need in order to start nutrtitional support?
At least 5 (if less, then you can't do it)
If a person is expected to die of a disease b/f malnutrition, do you treat with nutritional support?
No, waste of resources for someone that is not in need
What are the two types of parenteral nutritional support?
- 1) TPN: fed into central vein, can require surgery
- 2) PPN: short term
Should you give a hyperglycemic patient a TPN?
No, it exacerbates the problem
What are the four advantages of Enteral nutrition over Parenteral nutrition?
- 1) Physiological
- 2) Immunologic
- 3) cost
- 4) safety