Chapter 3 - Nutrition Assessment/Data Collection Flashcards

1
Q

diet history should include the following

A
  • 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
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2
Q

manifestations of inadequate nutrition

A
  • 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
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3
Q

avg fluid intake

A

2-3L daily

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4
Q

avg output

A

1750-3000 mL daily

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5
Q

protein level is usually measured by…

A

albumin levels

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6
Q

albumin range

A

3.5-5

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7
Q

prealbumin is a sensitive measure to assess…

A
  • critically ill pt who are at risk for malnutrition
  • —-reflects ACUTE changes rather than gradual
  • effectiveness of TPN
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8
Q

prealbumin decreases w…

A

inflammatory process

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9
Q

prealbumin expected range

A

15-35mg/dL

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10
Q

prealbumin of less than ___ is severe nutritional deficiency

A

less than 10.7

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11
Q

nitrogen balance formula

A

intake= (g over 24 hrs)/6.25
output=(nitrogen in urine) + 4g

intake-output=nitro balance

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12
Q

obesity

A

chronic condition caused by excess caloric intake

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13
Q

hormones that incr the risk of obesity

A

leptin + ghrelin

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14
Q

obese waist circumference

A

females: 35 in
males: 40 in

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15
Q

obese waist-to-hip ratio

A

females: 0.8 or greater
males: 0.95 or greater

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16
Q

type of meds to lose weight

A

ANORECTIC medication

17
Q

anorectic meds

A

suppress appetite + reduce food intake

18
Q

orlistat

A

prevents digestion of fats

19
Q

orlistat a/e

A
  • oily discharge
  • reduced food/vitamin absorption
  • decr bile flow
  • loose, oily stools
  • ab cramps
  • fecal incontinence
20
Q

lorcaserin

A

stim serotonin receptors in hypothalamus to curb appetite

21
Q

lorcaserin a/e

A
  • dry mouth
  • headache
  • fatigue
  • nausea
22
Q

phentermine-topiramate

A

suppress appetite + induce feeling of satiety

23
Q

phentermine-topiramate

a/e

A
  • dry mouth
  • constiptn
  • change in taste
  • nausea
  • dizzy
  • insomnia
  • numb/tingling
24
Q

phentermine-topiramate

CI

A
  • hyper-thyroid
  • glaucoma
  • taking MAO inhibitor
25
Q

position for chest expansion in obese pt

A

LOW FOWLER