Nutrition for Elderly and Obese By Alaina Darby Nutrition for Elderly and Obese

Elderly

JO is a 75 yo WM. He is currently taking amitriptyline for sleep, pseudoephedrine for congestion, furosemide for CHF-related edema, and ibuprofen for arthritis. Which of the following would be the most likely to cause malnutrition because of decreased desire to eat? Amitriptyline Pseudoephedrine Furosemide Ibuprofen More than one of the above b

JO is a 75 yo WM. He is currently taking amitriptyline for sleep, pseudoephedrine for congestion, furosemide for CHF-related edema, and ibuprofen for arthritis. Which of the following would be the most likely to cause malnutrition because of dysphagia? Amitriptyline Pseudoephedrine Furosemide Ibuprofen More than one of the above d

JO is a 75 yo WM. He is currently taking amitriptyline for sleep, pseudoephedrine for congestion, furosemide for CHF-related edema, and ibuprofen for arthritis. Which of the following would be the most likely to cause malnutrition because of dry mouth? Amitriptyline Pseudoephedrine Furosemide Ibuprofen More than one of the above E (a and c)

JO is a 75 yo WM. He is currently taking amitriptyline for sleep, pseudoephedrine for congestion, furosemide for CHF-related edema, and ibuprofen for arthritis. Which of the following would be the most likely to cause malnutrition because of nausea and vomiting? Amitriptyline Pseudoephedrine Furosemide Ibuprofen More than one of the above a

What is the most common etiology for malnutrition in the elderly? Drug induced Cardiovascular disease Cancer Gastrointestinal disease c

Which of the following is not a sign of frailty? Weakness Slow walking speed Decreased cognition Unintentional weight loss c

Which of the following is true of body composition in the elderly? Increased body water, increased body cell mass, decreased body fat Decreased body water, decreased body cell mass, increased body fat Increased body water, decreased body cell mass, increased body fat Decreased body water, decreased body cell mass, decreased body fat b

JD is a 68 yo WF. What is her optimal BMI? 22 25 27 30 c

JD is a 68 yo WF. Which of the following factors would be used as part of the GNRI to calculate her nutritional risk? Age and height Age and albumin Weight and height Weight and albumin d

JD is a 68 yo WF. Higher measurements/levels of which of the following would not be more acceptable in this patient than a younger patient? Cholesterol Potassium Glucose Blood pressure b

JD is a 68 yo WF. Which of the following nutritional markers may not be accurate in this patient if she had ESRD and CHF? Prealbumin Transferrin Skinfold Albumin d

JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400 JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400. Which of the following would be used to calculate calories if her BMI is calculated to be 29? Ideal BW Total BW BEE Adjusted BW c

JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400 JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400. Which of the following would be used to calculate calories if her BMI is calculated to be 31? Ideal BW Total BW BEE Adjusted BW a

JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400 JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400. Which of the following would be her goal for calories if her BMI is calculated to be 29? 1500 1750 2000 Can’t calculate b

JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400 JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400. Which of the following would be her max goal for calories if her BMI is calculated to be 31? 1500 1750 2000 Can’t calculate d

JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400 JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400. Which of the following would be closest to her goal for protein? 65 95 125 155 b

JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400 JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400. Which of the following would be closest to her goal for protein if she was admitted to the ICU for pneumonia? 65 95 125 155 Probably d… but c is also a possibility

JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400 JD is a 68 yo WF. Her weight is 80 kg and BEE is 1400. Which of the following would be closest to her goal for protein if her BMI is 31? 65 95 125 155 d

JD is a 68 yo WF. Which of the following would not increase the risk of hyperkalemia in this patient? Decreased muscle mass Decreased kidney function Impaired aldosterone response Diuretic administration d

JD is a 68 yo WF. Supplementation of which of the following would be least beneficial in this patient? Calcium Vitamin D Vitamin A Zinc c

Obesity

Which of the following is true of calculating energy expenditure in obesity? IBW tends to overpredict IBW is less accurate than TBW TBW tends to underpredict TBW is more accurate than REE b

Which of the following is not increased by obesity? Metabolic complications Hospital mortality Complications in ventilator weaning Heart failure complications b

Which of the following does not improve outcomes in obese patients? Intensive insulin therapy Increased CO2 production Positive nitrogen balance Decreased caloric intake b

Which of the following is not decreased with hypocaloric feeding? Insulin use Ventilator days Mortality Antibiotic use c

Which of the following is most improved with hypocaloric feeding? Glucose metabolism Fat metabolism Protein metabolism Insulin resistance b

Which of the following patients would likely require the most protein? 75 yo WF, BMI 35 45 yo WM, BMI 44 24 yo WF, BMI 44 64 yo WM, BMI 42 d

Administration of which of the following in a 66 yo WM (BMI 38) admitted to the ICU after a MVA is least important? Lipids to prevent fatty acid deficiency Glucose for wound healing Protein for muscle maintenance Non-protein calories for maintenance a

JR is a 66 yo WM (BMI 38) admitted to the ICU after a MVA JR is a 66 yo WM (BMI 38) admitted to the ICU after a MVA. What should his glucose/protein intake be? 130 g/kg/day glucose, 2 g/kg/day protein 130 g/kg/day glucose, 2.5 g/kg/day protein 130 g/day glucose, 2 g/kg/day protein 130 g/day glucose, 2.5 g/kg/day protein c

JR is a 66 yo WM (BMI 38) admitted to the ICU after a MVA JR is a 66 yo WM (BMI 38) admitted to the ICU after a MVA. When would 130 g/day glucose and 2 g/kg/day protein not be appropriate for this patient? Existing hyperglycemia (BG 300) Kidney disease (CKD stage 3) Elevated triglycerides (>500) Elevated LFTs (2x ULN) b

JR is a 66 yo WM (BMI 38) admitted to the ICU after a MVA JR is a 66 yo WM (BMI 38) admitted to the ICU after a MVA. If the patient’s TG’s are 375, what would you do? Decrease lipids Decrease protein Increase protein Stop D5W Stop lipids e