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Who, by JCAHO standards is supposed to fill out a nutritional assessment on every patient?
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The dietician
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What lab level is a long-term indicator of nutritional status?
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Albumin
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What is considered to be WNL for albumin levels?
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4 g/dl
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What is one important reason that albumin levels remain WNL?
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Important in regards to drugs that are highly protein bound, such as Dilantin
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What are some nutritional assessment indicators?
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Weight loss (10%), albumin levels, and trasnferrin levels
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T/F: Nutritional Assessments are done on every patient
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TRUE
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T/F: A thorough nutritional assessment is not helpful in indicating early nutrition
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FALSE
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T/F: If a nutritional issue is noted upon assessment, it is important to correct the problem
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TRUE
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T/F: during hospitalization, basal metabolic rate tends to increase
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TRUE
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As a nurse, what can be requested for the patient, based off of the nutritional assessment?
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Ensure supplements on meal tray, speech consul (evaluate swallowing) to determine risk for aspiration
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As a nurse, what can be done upon assessment to check nutritional status?
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Obtain height, weight, I&O, have a dietary consult for a caloric count
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As a nurse, what can be done to encourage patient's nutritional intake?
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Assist patient with completing daily menu and collaborate with family to bring food from home
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What is stress hypermetabolism associated with?
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Critical illnesses associated with surgery, sepsis, and severe injuries (trauma, burns)
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T/F: if nutrition is not started within 48 hours of being on a critical care floor, the risk for mortality is increased
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TRUE
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What does stress hypermetaboism cause an increase of?
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An increase in oxygen consumption and an increase in protein metabolism
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