When providing nutrition support to the critically ill, it is crucial to avoid _______________ and its subsequent metabolic complications, which include increased _______________ production and hyperglycemia.
Fill in the blank(s) with correct word
Q. 2There is no official definition for the term megavitamin therapy, but it usually encompasses amounts of over 10 times the RDA.
a. True
b. False
Indicate whether the statement is true or false
Q. 3For normal-weight individuals, _______________ kcal/kg of actual body weight per day are recommended during critical illness.
Fill in the blank(s) with correct word
Q. 4Complementary and alternative medicine (CAM) includes the use of herbs, botanicals, and megadoses of nutrients.
a. True
b. False
Indicate whether the statement is true or false
Q. 5Negative _______________ balance is a consistent marker of metabolic stress.
Fill in the blank(s) with correct word
Q. 6Mrs. Z is a 76 year old female who is seen by the internal medicine physician because she has been feeling very depressed. She also gets chronic migraines. The physician takes a full history from Mrs. Z, which reveals that several medications have been prescribed to her by a variety of specialists. It seems that each specialist neglected to pay attention to the meds that Mrs. Z was prescribed by her other doctors and the potential drug-nutrient interactions. She also takes some daily health supplements. The physician's notes are as follows: Current Meds / Supplements Reason for Prescribing / Taking St. John's wort .............................
.. she read in a magazine that this helps with depression Slow Fe (iron supplement) ............ for prior anemia Warfarin .............................
............ history of embolic stroke Omeprazole .............................
...... history of peptic ulcer Tums .............................
................ chronic upset stomach Amoxicillin .............................
...... recent respiratory infection Doxazosin .............................
........ incontinence Allegra .............................
............. seasonal allergies Lipitor .............................
.............. high cholesterol Vitamin E .............................
......... she heard it was good for heart disease Typical Daily Diet Breakfast: eggs, bacon, grapefruit, fresh orange juice Lunch: hotdogs, sausages, or pepperoni sub, sliced tomatoes, cold tea Dinner: cooked spinach, chicken breast, mashed potatoes, hot tea With no fever, shortness of breath or rales, which medication should likely be discontinued for Mrs. Z?
a. amoxicillin
b. warfarin
c. doxazosin
d. Lipitor
e. omeprazole
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