Question

- U 1 - = = 1 = - = 2 - 3 - 1 5 167 1. Knowing what you now know about the effects of nutrition on the body's metabolism, list at least 2 metabolic changes (things like energy expenditure, glycemic control, etc) would you expect as a result of: a. Severe stress b. Starvation C. Trauma or surgery 2. Discuss the nutritional requirements of patients with burns. Start at the acute phase and work through to the healing phase. 3. What is the purpose of early enteral nutrition for burn patients? What is the main nutritional/hydration goal for the first 24 hours? 4. List 3 considerations for a patient diet after a major surgery and discuss why they are important. 5. Define refeeding syndrome, and list three minerals that should be closely monitored during recovery from starvation or protein-energy malnutrition

Answer 1

Answer. (A) Severe stress increased fight or Flight reaction, affect CNs, restricted blood flow to digestive system, slowing contraction & decreasing secretion which leads to cramping, inflammation, imbalance of gut bacterias, peptic ulcer. Increase stress also cause increase acid in stomach cause indigestion. severe stress cause increased release of cortisol which increase appetite ② starvation - starvation disrupts the normal indigenous GI tract microflora and affect to antibacterial defenses decreased Lactobacilli decreased metabolism

Answer. (A) Severe stress increased fight or Flight reaction, affect CNs, restricted blood flow to digestive system, slowing contraction & decreasing secretion which leads to cramping, inflammation, imbalance of gut bacterias, peptic ulcer. Increase stress also cause increase acid in stomach cause indigestion. severe stress cause increased release of cortisol which increase appetite ② starvation - starvation disrupts the normal indigenous GI tract microflora and affect to antibacterial defenses decreased Lactobacilli decreased metabolism