ASPEN Self-Study CNSC Exam
Questions and Answers
Modular products are used to enhance the nutrient profile of a feeding regimen. Which
of the following combinations represents modular products?
1. Safflower oil, protein, glucose and selenium
2. Glucose, glutamine, water and MCT oil
3. Protein...
and the increased cost of such products it has been suggested that the use of these
hepatic fomulas be limited to patients with encephalopathy refractory to standard
medical therapy (lactulose, non-absorbed antibiotics)
Enteral nutrition may be contraindicated in the early post-transplant period in adult
patients with hematopoietic cell transplants because of:
1. increased incidence of sinusitis with enteral feedings
2. lack of benefit from enteral feedings in allogeneic patients
3. gastrointestinal toxicities related to the conditioning regimen
4. improved survival seen in autologous patients receiving PN - Answer✔✔-3.
Gastrointestinal toxicities related to the conditioning regimen
Why is EN contraindicated in the early post-transplant period in adult patients with
hematopoietic cell transplants? - Answer✔✔-GI toxicities such as nausea, vomiting,
delayed gastric emptying and diarrhea seen in the first 2-3 weeks post-stem cell
transplant may preclude EN. GI toxicity is most often related to chemotherapy and total
body irradiatin, however GI toxicity may also result from other medications or early
acute graft-versus-host disease in this patient population.
Which nutrition therapy is preferred in early post-transplant hematopoietic cell transplant
patients (adult)? - Answer✔✔-Currently there is insufficient data to establish benefits
of enteral nutrition over parenteral nutrition with hematopoietic cell transplants. In one
study, parenteral nutrition was found to increase survival in allogeneic patients
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