Adime Flashcards

1
Q

ADIME

what does each stand for

A

Assess
Diagnose
Intervene
Monitor/Evaluate

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2
Q

Assess

A
ABCD"S 
Anthro's
Biochemical Analysis
Client history
Diet 
Nutrition focused physical findings
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3
Q

4 nutritional screen and surveillance systems

A

Nutrition survey (Cross sectional study)
Nutrition surveillance (ongoing EX: wic)
NSI (elderly) DETERMINE
Focus Group

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4
Q

7 nutritional status and nutrition related measurements

A
PedNSS (for peds)
PNSS (pregnancy, counts BF moms)
NHANES 
USDA nationwide food 
KNOWLEDGE
HEALTH AND DIET SURVEY
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5
Q

Diagnose

A

what is patient at risk for

PES statement is created

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6
Q

PES statement

A
Problem
 (as related to) 
Etiology
 (as evidenced by) 
Signs and Symptoms
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7
Q

Intervention

A

based on the diagnosis, try to fix something

primary, secondary, tertiary preventions

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8
Q

knowledge

BRFSS
YRBSS

A

BRFSS: asks about behavior, smoking drinking

YRBSS: Youth

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9
Q

NHANES

A

ongoing program for clinical, chemical and anthro’s, 24 hr recall.
EX: anemia in elderly

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10
Q

USDA nationwide food consumption survey

A

evaluates 7 nutrients

You have to meet 66% to be considered normal and not poor

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11
Q

Primary prevention

A

no disease, education, awareness, vaccinations

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12
Q

Secondary prevention

A

pre-disease, screening to detect, regular exercise

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13
Q

tertiary prevention

A

Disease, rehab programs, chronic disease management, prevent death, teach to manage condition
EX: support group to cancer patient

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14
Q

TANF

A

temporary assistance for needy families

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15
Q

USDA Commodity food donation

A

monthly, low income women, infant
children up to (6)
can’t be a part of WIC if in this program

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16
Q

TEFAP

A

Emergency food program

limitation, caters to homeless shelters

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17
Q

NSLP

A

Entitlement program
1/3 protein, vit A, C, iron and CA provided
2oz meat per serving

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18
Q

WIC

A

not an entitlement program

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19
Q

NSBP

A

National school breakfast program
Entitlement
1/4 daily need must be provided

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20
Q

CACFP

A

child and adults care program for day care centers

21
Q

FFVP

A

for children to learn

22
Q

SNAP

A

USDA
Entitlement
Low income and has nutrition education

23
Q

Maternal and child health block grant

A

Title 5,

child- has 5 letters

24
Q

healthy start

A

healthy start- chance to start healthy, reducing infant mortality

25
Q

NSIP

A

Title 3
old American act
think 3
1 hot meal a day, 5x a week- 1/3 daily needs

26
Q

medicare

A

A: hospital, hospice
B: primary care above 65 and pt’s with ESRD

27
Q

headstart

A

3-5 low income children

have to participate

28
Q

Sodium

low
high

Best used for

A

136-145 meq/l

low: over hydration: edema, cirrhosis
High: dehydration: burns, thirst, diarrhea

best used for: best assessment for fluid status

29
Q

Potassium

levels:
Low
High:
Best for:

A

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

30
Q

Phosphorus

levels
Sources
Low
High

A

3.0-4.5 mg/dl
Dairy, beans, junk food as an additive.

Low: renal disease, TUMS
High: not enough binders, high phos diet

31
Q

Calcium

Levels
RDA

A

9-11
(call 911)
RDA- 1300 teen pregnant
1000-1200 adults

32
Q

BUN

Levels

A

10-20 mg/dl (a hamburger BUN is between $10-$20.

33
Q

BUN

Levels

A

10-20 mg/dl (a hamburger BUN is between $10-$20.

evaluates kidney function and hydration status

34
Q

Serum Creatinine
levels
measure:
High?

A

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

35
Q

BUN: CR Ration

A

tells us about kidney function

Elevated: pts with acute renal, or CHF

36
Q

Serum Albumin

A

long term: does not reflect current protein intake
3.5-5
useful in long term and overall health

37
Q

Which to tell renal function best

A

Serum Creatinine

38
Q

Pre-Albumin

A

16-40mg
(called transythyretin)
will be low during inflammation
not useful in screening for protein status

39
Q

Pre-Albumin

A

16-40mg
(called transthyretin)
will be low during inflammation
not useful in screening for protein status

40
Q

Serum Transferrin

A

transfers iron to bone marrow
low with liver disease
high with iron deficiency
reflects iron and current protein status

41
Q

Hematocrit

A

used for checking anemia with HG

42
Q

Hemoglobin

A

F: 12-15
M: 14-17

43
Q

What Decreases in inflammation

A

Albumin
Pre Albumin
Transferrin

44
Q

Increases in Inflammation

A

CRP( c-reactive protein)

serum ferritin

45
Q

ferritin

A

the storage form of iron and is the best assess for iron status

46
Q

Clinical domain

A

NC
Nutrition findings or problem related to medical or physical condition.
Ex: swallowing difficultly, alerted GI function

47
Q

Intake domain

A

NI
actual problems related to intake,
Ex: calories, fluids

48
Q

Behavioral environmental

A

NB

problem related to knowledge, access to food and food safety

49
Q

during inflammation what lab values decrease

A

albumin, pre albumin

transferrin