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Nutrition

Lernkarten zu PACT

Lernkarten zu PACT

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Christian Brunner
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Christian Brunner
Diese Lernkarten behandeln die Grundlagen der Ernährung im medizinischen Kontext auf Universitätsniveau. Sie konzentrieren sich auf Stoffwechselstörungen, Kontraindikationen für parenterale und enterale Ernährung, sowie spezifische Formeln zur Berechnung des Kalorienbedarfs. Die Karteikarten behandeln auch die empfohlene Zufuhr von Glukose, Lipiden und Proteinen, insbesondere bei Patienten mit besonderen Bedürfnissen wie Verbrennungen oder starken Verlusten. Medizinstudenten und Fachkräfte profitieren von diesen Informationen, um die Ernährungsbedürfnisse von Patienten besser zu verstehen und zu managen.
Flashcards
7
Students
2
Language
German
Category
Medical
Level
University
Created / Updated
28.09.2014 / 29.07.2017
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Flashcards

Wieviel Proteinzufuhr/d?

It is generally accepted that protein intake should vary between 1.2 and 1.5 g/kg/day, and should certainly not exceed 2.0 g/kg/day except in patients with substantial losses (e.g. extensive burns, GI and/or urinary losses, etc.)

Wieviel Glucose/d?

Wieviel Lipide/d?

Glucose intakes through artificial nutrition should be less than 6 g/kg/day

lipid intakes between 0.5 to ≤  2 g/kg/day. When oral or enteral intakes are possible, the lipid and carbohydrate requirements are the same as for healthy subjects, i.e. 30-35 % of total calorie intakes as lipids and 50-55% as carbohydrates

Harris-Benedkt-Formel?

Mann/Frau?

Wieviel erhöht pro 1 Grad Fieber?

  • Men: EE (kcal/day) = 66 + (13.7 x gewicht) + (5 x Grösse) − (6.8 x alter)
  • Women: EE (kcal/day) = 655 + (9.6 x gewicht) + (1.7 x grösse) − (4.7 x alter)
  • pro 1 Grad 10% mehr Kalorienbedarf!

absolute Kontraindikationen für enterale Ernährung?

  • Adequate oral intakes (more than 80% of the energy target)
  • Non-functional gut: anastomotic disruption, lower GI obstruction, gut ischaemia/necrosis
  • Generalised peritonitis
  • Uncontrolled severe shock states

Relative Kontraindikationen?

  • Expected period of fast ≤ 5 days, except in severely injured patients
  • Abdominal distension/severe protracted diarrhoea
  • Localised peritonitis, intra-abdominal abscess, active upper GI tract haemorrhage
  • Coma with risk of aspiration (especially gastric feeding)
  • Very short bowel (less than 70 cm) or high output fistulae
  • Electrolytes or fluid or substrate intolerance (kidney, heart, liver failure)
  • Terminal disease
  • Dementia, agitation, confusion

Absoulte KI für parenterale Ernährung?

  • Adequate oral intake
  • Enteral nutrition feasible and covering more than 60% of the energy target within the three days following admission
  • Uncontrolled severe shock states

Stoffwechsel 24h nach Beginn der Sepsis?

The metabolic disturbances are characterised by moderate to severe hypermetabolism:

increased gluconeogenesis with insulin resistance, a large increase in endogenous lipolysis, and net loss of the lean body mass

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