Deck 9: Critical Care Related to the Gastrointestinal System

Question 1

Which of the following are all risk factors for refeeding syndrome?

A) Obesity, parenteral nutrition, and insulin-dependent diabetes.
B) Obesity, parenteral nutrition, and type II diabetes.
C) Low body weight, no or reduced food intake for more than 10 days, low levels of potassium, phosphate or magnesium before feeding and a history of alcohol or drug misuse.
D) Low body weight, reduced food intake for more than 5 days and high levels of potassium, phosphate, or magnesium after feeding.

Answer 1

C

Question 2

According to the European Society of Intensive Care Medicine (2017) early enteral feeding should be delayed if the affected person is experiencing which of the following:

A) Uncontrolled shock
B) Overt bowel ischaemia
C) Upper GI bleeding, gastric aspirates greater than 500 mls for 6 hours
D) All of these

Answer 2

D

Question 3

According to the 'nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition guideline' (NICE 2006), when should healthcare professionals consider enteral tube feeding in people who are malnourished or at risk of malnutrition?

A) The person has inadequate oral intake and a functional, accessible gastrointestinal tract
B) The person has adequate oral intake and a functional, accessible gastrointestinal tract
C) The person has inadequate oral intake and a non-functioning, accessible gastrointestinal tract
D) The person has inadequate oral intake and a non-functioning, inaccessible gastrointestinal tract

Answer 3

A

Question 4

What is the normal pH of gastric aspirates?

A) There is no normal pH for gastric aspirates
B) 6.5-7.5
C) 5.5-6.5
D) Less than 5.5

Question 5

What volume of sterile water to BAPEN recommend flushing enteral feeding tubes with between medications?

A) 10 mls
B) 20 ml
C) 30 ml
D) 40 mls

Question 6

Sheena is admitted to intensive care and is likely to be intubated and ventilated for several days.
-How quickly should nutritional replacement be commenced after admission?

A) Immediately/as soon as possible.
B) 12-24 hours following admission
C) 24-48 hours following admission
D) It's not a priority

Question 7

Sheena is admitted to intensive care and is likely to be intubated and ventilated for several days.
-What would be the most appropriate route to give her the nutrition?

A) Orally
B) Intravenously
C) Nasogastrically
D) Subcutaneously

Question 8

Ruby is having a nasogastric tube inserted for feeding whilst she is intubated and ventilated. She appears malnourished and thin.
-How would you know the nasogastric tube is in the stomach?

A) The woosh test
B) The test pH level of aspirate is 1-5.5
C) Blue litmus paper test
D) Absence of respiratory distress

Question 9

Ruby is having a nasogastric tube inserted for feeding whilst she is intubated and ventilated. She appears malnourished and thin.
-What syndrome is Ruby at risk of when the feeding starts?

A) Refeeding Syndrome
B) Hyperlipidaemia
C) Hyperglycaemia
D) Gastric bleed