Professional Documents
Culture Documents
Study Guide CH 16 Metabolic, Resp Stress - Condensed Version SS2019
Study Guide CH 16 Metabolic, Resp Stress - Condensed Version SS2019
Study Guide CH 16 Metabolic, Resp Stress - Condensed Version SS2019
Inflammatory response
Initial concerns of acute stress are:
Initial care: fluids and electrolytes and stabilize pt, take care of underlying
problem. Then feed, using the GI system if possible. Starting sooner leads to fewer
complications, shorter stays.
Protein requirements in acute stress: obese critically ill pts are fed more protein
and possibly lower total kcal than healthy wt pts.
Normal RDA for protein __________g protein/kg
Nonobese critically ill pts ____________ g protein/kg
Micronutrients: increase ____, ______, and ________ for ACute streZ.
Hypermetabolic pts need more ____ vitamins for energy metabolism.
Respiratory Stress
Condition Characterized by
respiratory stress
COPD (stands for:
chronic bronchitis
emphysema
Causes of COPD:
Why do these people need more kcals?
Reasons for poor food intake in COPD:
Goals of nutrition therapy for COPD:
Pulmonary formulas usually have _____ fat, _______carb to help _________ CO2.
If the pt has pulmonary edema, probably use 2 kcal/cc formula to help with fluid
overload.
Fluid challenge with COPD patients:
Too little fluid:
Excessive fluid:
If need to use enteral feeding, what placement is preferred? Why? (See the
Respiratory Failure section and slides.)