In this session, we will begin discussing nutrition support. Determining a patient's baseline nutritional status allows us to determine how best to meet their nutritional needs. This is an important aspect of critical care. In addition, questions about total parenteral nutrition (TPN) tend to show up on NAPLEX!
Learning Objectives
1. Recognize the terms associated with malnutrition and factors contributing to malnutrition
2. Describe anthropometric measurements used for nutrition assessment and the select the appropriate patient weight for calculations
3. Analyze the usefulness of laboratory parameters for assessment and monitoring of nutrition status in the acute care setting (i.e. albumin, transferrin, pre-albumin, CRP)
4. Describe methods used to determine caloric requirements (you do not need to memorize equations, but need to understand the components used in the equations)
5. Determine the most appropriate type of nutrition intervention in a given case scenario
6. Discuss factors impacting daily protein, dextrose, lipid, calorie, and fluid needs for a patient case scenario
7. Determine when the use of PN is appropriate given a patient case scenario
8. Discuss the macronutrient and micronutrient components of PN
9. Differentiate between central vs peripheral PN and 3-in-1 vs 2-in-1 PN
10. Describe factors that can alter stability of PN
11. Given a PN formula, calculate: 1) the content of macronutrients (protein, dextrose, fats), 2) the volume of each component and total volume of the PN, 3) the dextrose infusion rate, 4) the calories provided from each macronutrient
11. Given a PN formula, calculate: 1) the content of macronutrients (protein, dextrose, fats), 2) the volume of each component and total volume of the PN, 3) the dextrose infusion rate, 4) the calories provided from each macronutrient
12. Identify key resources for enteral and parenteral nutrition (eg: ASPEN)