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Author Question: Which of the following metabolic factors can hinder weaning? 1. Excessive carbohydrate feeding 2. ... (Read 48 times)

TVarnum

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on: Jul 16, 2018
Which of the following metabolic factors can hinder weaning? 1. Excessive carbohydrate feeding 2. Amino acidbased parenteral nutrition 3. Calorie intake = 1.5  resting energy expenditure (REE)
 
  a. 2 and 3 only
  b. 1 and 2 only
  c. 1, 2, and 3
  d. 1 and 3 only

Question 2

Which of the following cardiovascular signs would indicate that a patient's cardiovascular status is unstable and that weaning should not begin at this time?
 
  a. Cardiac index of 2.5 L/min/m2
  b. Hemoglobin content of 10 g/dl
  c. Heart rate of 108/min
  d. Systolic blood pressure of 80 mm Hg


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strudel15

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Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: B
Excessive carbohydrate feeding can increase carbon dioxide production and may precipitate acute hypercapnic respiratory failure. Parenteral nutrition solutions containing amino acid formu-lations (arginine/lysine) can cause metabolic acidosis and thus increase ventilatory demand.

Answer to Question 2

ANS: D


TVarnum

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Reply 2 on: Jul 16, 2018
Thanks for the timely response, appreciate it

Dnite

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Reply 3 on: Yesterday
Excellent

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