Nutrition Therapy in ICU

Dietitian Hospital Selayang termasuklah:

• Syamhairil Bin Mohamed

• Adlin Natasya Mohd Said

• Hasme Anim Binti Ahmad Basri

• Siti Nurhaliza Binti Tarudin

Tajuk CDE hari ini

• MNT in Critical Ill

• MNT in ICU

• MNT in Critically Ill

• MNT in Adult Critical Ill

These are the goals of mechanical ventilation EXCEPT:

• Oxygenation

• Ventilation

• Patient Comfort

• Facilitation of Escalation

These are the purpose of providing adequate nutrition during ICU stay EXCEPT:

• To shorten the duration of mechanical ventilation

• To decrease the risk of infectious complications

• To reduce the use of antibiotics

• To reduce the length of ICU stay

The disadvantage of SIMV:

• Not sychronised

• Inappropriate triggers

• Sometimes complicated to set

• Decreased compliance

What is the recommended energy requirement in the first 7-10 days of ICU stay based on ASPEN 2022?

• 12-25 kcal/kg/d

• 25-30 kcal/kg/d

• 65-70% of target energy requirements

• 80-100% of energy requirements

Which method is preferred to estimate energy needs for critically ill patients with obesity?

• Actual body weight

• Predictive equations

• Adjusted body weight

• Indirect calorimetry

Why are proteins important during critical illness?

• To reduce muscle mass

• To increase the risk of infection

• To regulate the inflammatory response

• To prolong ICU stay

What is the recommended protein target after progression according to ESPEN guidelines?

• ≥0.8g/kg/day

• ≥1.2g/kg/day

• ≥1.3g/kg/day

• ≥2.0g/kg/day

What is the recommended protein intake for critically ill patients with BMI ≥40 according to ASPEN 2016/SCCM?

• 1.3g/kg Adjusted body weight

• 2.0g/kg Ideal body weight

• 2.5g/kg Ideal body weight

• 1.2g/kg Actual weight