Chapter 3 - Nutrition Assessment/Data Collection Flashcards
diet history should include the following
- time, type, amt of food eaten for bfast, lnch, dnnr
- time, type, amt of fluids
- type, amt frequency of “special foods” like celebration or movie foods
- number of meals eaten away from home
- type of prefered or prescribed diet (ovo-lacto, vegeterian, 2gNa, lo-fat)
- foods avoided due to allergy or preference
- frequency or dose/amt of meds or supplements taken
- satisfactions w diet over a time frame
manifestations of inadequate nutrition
- hair is dry.brille
- skin has dry patches
- poor wound healing
- irreg cardiovasc measurements (HR, BP, rhythm)
- enlarged spleen or liver
- general weakness
- impaired coordination
avg fluid intake
2-3L daily
avg output
1750-3000 mL daily
protein level is usually measured by…
albumin levels
albumin range
3.5-5
prealbumin is a sensitive measure to assess…
- critically ill pt who are at risk for malnutrition
- —-reflects ACUTE changes rather than gradual
- effectiveness of TPN
prealbumin decreases w…
inflammatory process
prealbumin expected range
15-35mg/dL
prealbumin of less than ___ is severe nutritional deficiency
less than 10.7
nitrogen balance formula
intake= (g over 24 hrs)/6.25
output=(nitrogen in urine) + 4g
intake-output=nitro balance
obesity
chronic condition caused by excess caloric intake
hormones that incr the risk of obesity
leptin + ghrelin
obese waist circumference
females: 35 in
males: 40 in
obese waist-to-hip ratio
females: 0.8 or greater
males: 0.95 or greater
type of meds to lose weight
ANORECTIC medication
anorectic meds
suppress appetite + reduce food intake
orlistat
prevents digestion of fats
orlistat a/e
- oily discharge
- reduced food/vitamin absorption
- decr bile flow
- loose, oily stools
- ab cramps
- fecal incontinence
lorcaserin
stim serotonin receptors in hypothalamus to curb appetite
lorcaserin a/e
- dry mouth
- headache
- fatigue
- nausea
phentermine-topiramate
suppress appetite + induce feeling of satiety
phentermine-topiramate
a/e
- dry mouth
- constiptn
- change in taste
- nausea
- dizzy
- insomnia
- numb/tingling
phentermine-topiramate
CI
- hyper-thyroid
- glaucoma
- taking MAO inhibitor
position for chest expansion in obese pt
LOW FOWLER
