Term
| Malnutrition Clinical Manifestations |
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Definition
*BMI <18.5
*5% weight loss in 1 month
*10% weight loss in 6 months
*albumin <3.5 g/ld- specify severity level (mild 3-3.4 <10% body mass loss, moderate 2.4-3 10-20% body mass loss, severe <2.4 and >20% body mass loss)
*pre-albumin <12 mg/dl
*cachexia
*poor appetite/PO intake
*enteral or parenteral alternative nutritional support
-->malnutrition could be due to ACUTE or CHRONIC cause- link the underlying etiology if known |
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Term
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Definition
Temp >38 or <36
HR >90
RR >20 or PaCOs <32 or mechanical ventilation
WBC >12k or <4k or >10% immatures |
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Term
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Definition
| 2 of 4 SIRS criteria present and suspected or confirmed source of infection |
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Term
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Definition
-sepsis and one or more organ dysfunction (failure)
-P/F ratio <250 (or mechanical ventilation) (acute respiratory failure)
-UP <0.5 cc/kg/hr or GFR halved or creatinine at least doubled over baseline (acute renal failure)
-acute alteration in mental status (metabolic encephalopathy)
-bilirubin >4, liver enzymes twice normal (acute hepatic failure)
-SBP <90 or MAP <65
-pH <7.3 or arterial lactate >1.5x normal |
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Term
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Definition
| Patient in severe sepsis and despite adequate fluid therapy )CVP 8-12), patient requires vasopressors to maintain MAP >65 |
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Term
| Chronic Kidney Disease (CKD stages) |
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Definition
Stage GFR
1 90+
2 69-89
3 30-59
4 15-29
5 14 or less |
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Term
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Definition
| Each one unit of pRBCs will increase the hemoglobin by approximately 1 g/dl in a typical adult |
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Term
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Definition
100,000 neuro ICU
50,000 active bleeding or invasive procedure
20,000 bleeding diathesis
10,000 marrow failure
5,000 generally transfuse |
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