NAANutrition Academic Award Program
 
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F. Other Organ Systems
F.5 Pulmonary Disease

Content Areas

  • Respiratory quotient
  • Chronic obstructive pulmonary disease
  • Mechanical ventilation
  • obstructive sleep apnea syndrome
  • Cystic fibrosis

  • Medical nutrition therapy
After training, the learner will be able to:
Knowledge Objectives: Medical Students
  • Explain the association between obesity and sleep apnea, and outline the nutritional regimen recommended for these patients.
  • Explain how acute lung injury and chronic lung diseases alter a patient’s nutritional requirements.
Knowledge Objectives: Residents
  • Outline the clinical evidence supporting the efficacy of nutrition therapy for malnutrition associated with lung disease.
  • Identify recommended nutritional interventions for patients with respiratory insufficiency that includes C02 retention and enhanced ventilatory drive; explain how these interventions alter the respiratory quotient (RQ).
  • Identify two common nutritional side effects of the three medications most commonly used in the treatment of pulmonary disease.
  • List the three most common respiratory complications of malnutrition among patients with chronic lung disease; propose an appropriate treatment plan for these patients.
Knowledge Objectives: Specialists
  • Define the nutrient composition of enteral nutrition formulas designed for critically ill patients on mechanical ventilation. Explain the mechanism of action of each of the primary constituents of these formulae.
  • Outline the recommended nutritional regimen for patients with cystic fibrosis.
  • Identify the immune factors that mediate inflammatory response in malnourished patients with chronic lung disease, and explain how response to these factors alters nutritional requirements.
Practice Behavior Skills: Medical Students
  • Given a patient with pulmonary disease, take an appropriate medical, social, diet, and weight history that includes an evaluation of current nutritional status, and conduct a thorough physical examination.
Practice Behavior Skills: Residents
  • Given a patient with pulmonary disease, design an appropriate set of individualized dietary intake and weight goal recommendations.
Attitude Objectives: All Learners
  • Recognize the importance of healthy lifestyle behaviors in the prevention and management of pulmonary disease.
  • Demonstrate a commitment to utilizing a multi-disciplinary team approach to the treatment of pulmonary disease, consulting with registered dietitians, nurses, and clinical pharmacists as appropriate.

*Red bold items were ranked in the top 1/3 of all objectives.
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