Adime Flashcards
ADIME
what does each stand for
Assess
Diagnose
Intervene
Monitor/Evaluate
Assess
ABCD"S Anthro's Biochemical Analysis Client history Diet Nutrition focused physical findings
4 nutritional screen and surveillance systems
Nutrition survey (Cross sectional study)
Nutrition surveillance (ongoing EX: wic)
NSI (elderly) DETERMINE
Focus Group
7 nutritional status and nutrition related measurements
PedNSS (for peds) PNSS (pregnancy, counts BF moms) NHANES USDA nationwide food KNOWLEDGE HEALTH AND DIET SURVEY
Diagnose
what is patient at risk for
PES statement is created
PES statement
Problem (as related to) Etiology (as evidenced by) Signs and Symptoms
Intervention
based on the diagnosis, try to fix something
primary, secondary, tertiary preventions
knowledge
BRFSS
YRBSS
BRFSS: asks about behavior, smoking drinking
YRBSS: Youth
NHANES
ongoing program for clinical, chemical and anthro’s, 24 hr recall.
EX: anemia in elderly
USDA nationwide food consumption survey
evaluates 7 nutrients
You have to meet 66% to be considered normal and not poor
Primary prevention
no disease, education, awareness, vaccinations
Secondary prevention
pre-disease, screening to detect, regular exercise
tertiary prevention
Disease, rehab programs, chronic disease management, prevent death, teach to manage condition
EX: support group to cancer patient
TANF
temporary assistance for needy families
USDA Commodity food donation
monthly, low income women, infant
children up to (6)
can’t be a part of WIC if in this program
TEFAP
Emergency food program
limitation, caters to homeless shelters
NSLP
Entitlement program
1/3 protein, vit A, C, iron and CA provided
2oz meat per serving
WIC
not an entitlement program
NSBP
National school breakfast program
Entitlement
1/4 daily need must be provided
CACFP
child and adults care program for day care centers
FFVP
for children to learn
SNAP
USDA
Entitlement
Low income and has nutrition education
Maternal and child health block grant
Title 5,
child- has 5 letters
healthy start
healthy start- chance to start healthy, reducing infant mortality
NSIP
Title 3
old American act
think 3
1 hot meal a day, 5x a week- 1/3 daily needs
medicare
A: hospital, hospice
B: primary care above 65 and pt’s with ESRD
headstart
3-5 low income children
have to participate
Sodium
low
high
Best used for
136-145 meq/l
low: over hydration: edema, cirrhosis
High: dehydration: burns, thirst, diarrhea
best used for: best assessment for fluid status
Potassium
levels:
Low
High:
Best for:
3.5-5 meq/L
(There for 3-5 bananas in a bunch)
Low: refeeding syn, insulin,
high: dialysis, metabolic acidosis, can cause heart attack
Very important in Dialysis-
short term goal to have consistent normal K levels
Phosphorus
levels
Sources
Low
High
3.0-4.5 mg/dl
Dairy, beans, junk food as an additive.
Low: renal disease, TUMS
High: not enough binders, high phos diet
Calcium
Levels
RDA
9-11
(call 911)
RDA- 1300 teen pregnant
1000-1200 adults
BUN
Levels
10-20 mg/dl (a hamburger BUN is between $10-$20.
BUN
Levels
10-20 mg/dl (a hamburger BUN is between $10-$20.
evaluates kidney function and hydration status
Serum Creatinine
levels
measure:
High?
0.6-1.4 mg/dl
if CR is high BUN will be 3x higher
measure somatic proteins and how well kidneys are functioning.
high: renal dysfunction
BUN: CR Ration
tells us about kidney function
Elevated: pts with acute renal, or CHF
Serum Albumin
long term: does not reflect current protein intake
3.5-5
useful in long term and overall health
Which to tell renal function best
Serum Creatinine
Pre-Albumin
16-40mg
(called transythyretin)
will be low during inflammation
not useful in screening for protein status
Pre-Albumin
16-40mg
(called transthyretin)
will be low during inflammation
not useful in screening for protein status
Serum Transferrin
transfers iron to bone marrow
low with liver disease
high with iron deficiency
reflects iron and current protein status
Hematocrit
used for checking anemia with HG
Hemoglobin
F: 12-15
M: 14-17
What Decreases in inflammation
Albumin
Pre Albumin
Transferrin
Increases in Inflammation
CRP( c-reactive protein)
serum ferritin
ferritin
the storage form of iron and is the best assess for iron status
Clinical domain
NC
Nutrition findings or problem related to medical or physical condition.
Ex: swallowing difficultly, alerted GI function
Intake domain
NI
actual problems related to intake,
Ex: calories, fluids
Behavioral environmental
NB
problem related to knowledge, access to food and food safety
during inflammation what lab values decrease
albumin, pre albumin
transferrin
