A 22-Year-Old Man in the Intensive Care Unit Is Being

question 27

Multiple Choice

A 22-year-old man in the intensive care unit is being evaluated for nutritional needs.  Three days ago, the patient was brought to the hospital after a severe motorcycle collision in which he sustained traumatic brain injury as well as splenic rupture with associated vascular injury.  The patient required multiple abdominal operations and finally underwent delayed fascial closure this morning.  Temperature is 37.1 C (98.8 F) , blood pressure is 128/84 mm Hg, and pulse is 90/min.  The patient is intubated and receiving mechanical ventilation.  The abdomen is mildly distended but soft; the dressing over the incision is clean and dry.  Bowel sounds are decreased.  Which of the following is the best next step for management of this patient's nutrition?

• A)Enteral nutrition via feeding tube
• B)Intermittent administration of 50% dextrose
• C)Intravenous infusion of 5% dextrose in normal saline
• D)Total parenteral nutrition via central venous catheter
• E)Total parenteral nutrition via peripheral venous catheter

---

Definitions:

Cost of Equity

The rate of return that a company is required to pay out to its equity investors, reflecting the compensation for the risk they undertake.

SML Approach

Security Market Line (SML) approach is a graphical representation in the Capital Asset Pricing Model (CAPM) that shows the expected return of an asset or portfolio at various levels of systemic risk.

WACC

Weighted Average Cost of Capital; a calculation of a firm's cost of capital in which each category of capital is proportionally weighted.

Perpetuity

An annuity in which the cash flows continue forever.