Chapter 7/8 Flashcards
Three sources of information
Biochemical
Physical
Functional
Recumbent length
Measuring a child up to 2yrs old lying down on board
What does Hamwi method calculate
Ideal body weight
5% weight loss in a month
7.5% in 3 months
>10% in 6 months
Significant weight loss
Severe weight loss
> 5% in a month
7.5 % in 3 months
10% in 6 months
Calculating percent weight loss
Usual body weight-actual body weight
Divide by usual body weight X 100
Measuring BMI
Weight in lbs X 703 / m^2
Skinfold thickness for males
Sum of chest abdomen and thigh
Skinfold thickness for female
Triceps thigh and superiliac measurements
What does skinfold thickness measure
Body fat reserves
Standard skinfold thickness measurements
Males-12.5mm
Females-16.5mm
Differentiates between gynoid obesity and android obesity
Waist to hip ratio WHR
(WHR )measurements that are considered to be at risk
- 0 o greater in men
0. 8 or greater in females
Measures fat, bone mineral, and , fat free soft tissue
DXA
Dual energy X-ray absoprtiometry
Body composition analysis
Patient must be hydrated and not have consumed caffeine alcohol or diuretics in the last 24 hours
Bioelectrical impedence analysis BIA
6 characteristics of adult malnutrition
Interpretation of weight loss Interpretation of reduced energy Loss of body fat Loss of muscle Fluid accumulation Reduced grip strength
Evolving evidence-based discipline that assesses muscular strength
Functional medicine
Bathing dressing grooming and personal hygiene
Activities of daily living ADL
Meal prep, taking care of pets, shopping , paying bills
Instrumental activities of daily living IADL
Common measurement of muscle strength may be used to help diagnose malnutrition
Dynamometry
Functional nutrition assessment involves what 3 things
Ingestion
Utilization of Nutrients
digestion
Study of the time course of drugs in the body
Includes absorption, distribution, metabolism, and excretion of the drug
Pharmacokinetics
Study of the biochemical and physiological effects of drugs
Pharmacodynamics
Process of the movement of drugs from the site of administration to the blood stream
Absorption
Distribution
Occurs when drug leaves systemic circulation and travels to various regions of the body.
Many drugs are bound to plasma proteins . Only the __ fraction will be metabolized
Unbound
Involved in phase 1 of the liver detox
Cytochrome P-450 enzyme system
Lower intakes of protein means fewer binding sites for drug, therefore this patient needs a ___dose because ___
Lower dose , drugs will have a greater effect
Genetically determined variations shown varying effects of drugs on individuals
Pharmacogenomics
Weight gain, increased appetite, must maintain constant fiber intake in order to be effective
Amitriptyline (Elavil)
Depletes niacin and pyridoxine must maintain adequate vitamin D and calcium
Isoniazid
Maintain consistent sodium and caffeine intake to stabilize levels
Lithium carbonate (lithobid)
Decreases folate and B-12
Methotrexate (rheumatrex)
Appetite stimulant
megastrol acetate (megace)