Chp 5,12,13,14 Flashcards
Proper food storage guidelines:
- fresh meat & fish is 1-____days at ____ degrees or colder
- Dairy: milk is good for ___ days & 3-4 weeks for ______
- Eggs: ___ weeks in shell, and 1 week for hard boiled
- fruits & veggies: 3-5 days. _____ fruits and apples keep for 1 week or longer.
- Pantry: dry dark place
- canned: one year
2 40 5 cheese 3 citrus
Cook food to the proper temperature:
- roasts & steak 145 degrees
- chicken: ____ degrees
- ground beef & eggs ____ degrees
180
160
occurs due to eating undercooked or raw meat, poultry, eggs, fish, fruit and dairy products. common symptoms include headache, fever, abdominal cramping, diarrhea, nausea and vomiting. can be fatal
Salmonella
raw or under cooked meat, esp hamburger, can cause this food borne pathogen. findings include severe abdominal pain and diarrhea.
E. coli
poor personal hygiene and improper hand hygiene commonly cause ______. food sources include dairy products and salads. findings include diarrhea
shigella
soft cheese, raw milk products, undercooked poultry, meat, seafood and vegetables can cause _______ monocytogenes. can cause sign problems for newborns (stillborn), prego (miscarriage) and immunocompromised clients.
listeria
______ juice interferes with the metabolism of many medications, resulting in an increased serum level of the med
grapefruit
consumption of food high in vit ___ (green leafy veggies, eggs, liver) can devrease the anticoagulent effect of warfarin
K
foods high in _____, amino acids, and vit b6 can increase the metabolism of the anti parkinson’s meds levodopa, which decreases the duration of its therapeutic effects.
protein
licorice can cause ________. excess ingestion can be dangerous for clients taking digoxin, stimulant laxative, some beta blockers, ace inhibitors
hyperkalemia
Cardiovascular disease is the leading cause of death in the US. ______ heart disease is the single leading cause of death
coronary
________ is a major risk factor for developing CHD. CHD is caused by atherosclerosis, a process of damage and cholesterol deposits on the blood vessels of the heart
Hypercholesterolemia
_____ density lipoprotein is “good” cholesterol because it removes cholesterol from the serum and takes it to the ______
- for females 35-___ mg/dl
- for males 35-____mg/dl
Low density is “bad” cholesterol bec it transports cholesterol out of the _____ and into the circulatory system, where it can form _____ on the coronary artery walls.
expected range is less than ___ mg/dl
high liver 80 65 liver plaques 130
Iron deficiency anemia symptoms include _____, lethargy, pallor of the nail beds, intolerance to cold.
* children with low iron intake can experience _____ attention spans and display poor intellectual performance before anemia begins
fatigue
short
_____ anemia symptoms include pallor, weakness,________, dyspnea & fatigue
macrocytic
palpitations
Vit B12 deficiency anemia include both ____ findings and ____ findings
GI
neurological
GI findings of Vit b12 deficiency include _______(inflamed tongue), anorexia, indigestion, weight loss, frequent _____/and or constipation
glossitis
diarrhea
Neurological findings of vit b12 deficiency include ______ (numbness of the hands and feet), decreased proprioception (sense of body position), ____ muscle coordination, increasing irritability, and _______
paresthesia
poor
delirium
_____ ____ deficiency anemia symptoms include mental confusion, fainting, fatigue, and GI distress.
mimic thos for vit b12 deficiency, except for neuro findings.
Folic acid
The presence of 3 of the 5 following risk factors can result in what syndrome?
- ) ______ obesity, women ___ inch waist, men 40 inch waist.
- ) Triglycerides greater than ____ mg/dl
- ) low HDL, men less than ___, women less than 50 mg/dl
- ) increased blood pressure: sys >130, Dia>85
- ) fasting blood _____ greater than or equal to 110 mg/dl
metabolic abdominal 35 150 40 glucose
consuming a low fat, low cholesterol diet can reduce risk for developing ___ ___ ______. What diet is designed to be a user friendly eating guide to encourage dietary changes?
- daily cholesterol should be less than ____ mg
- conservative use of ___ wine may reduce risk
- increasing ___ and carbs intake, avoid _____ fat, and decrease red meat consumption can decrease risk
- increasing intake of ______-__ fatty acids found in fish, flaxseed, soy bean, canola, walnuts reduces risk
- _______is an amino acid. elevated levels can increase risk of dev CHD. deficiencies in VIt b6 & b12 increase these levels.
coronary heart disease therapeutic lifestyle change TLC 200 red fiber saturated omega-3 homocysteine
secondary prevention efforts for CHD are focused on lifestyle changes that lower ____. include a diet low in cholesterol and sat fat, a diet high in _____, exercise, weight management, and smoking cessation
- sat fat should be less than __% of daily caloric intake
- a high fiber diet includes oats, _____, fruits, veggies, whole grains, barley
LDL
Fiber
7
beans
_______ is a significant risk factor for developing CHD, myocardial infarction and stroke.
*is a sustained elevation in BP greater than or equal to ___/____ mm/hg
hypertension
140/90
What does Dash stand for? it is a diet low in ____, and high ______& _________. proven to lower BP and cholesterol
*NA intake should be less than _____ a day
dietary approaches to stop hypertension
sodium (canned soups, sauces, chips seasoning)
potassium (apricots, banans, tomatoes, potatoes)
calcium (low fat dairy product)
2400mg
_____ ______ is the inability of the heart to maintain adequate blood flow through circulatory system. results in _____ sodium and fluid retention, and edema
- reduce na to recommended level
- monitor and possible restrict fluid intake to 1.5 L a day
heart failure
excess
An _____ _____ occurs when there is an inadequate supply of O2 to the myocardium. frequently this occurs b/c of atherosclerosis
*after this occurs, it is necessary to reduce the myocardical O2 demands related to metabolic activity
- a ____ diet is best for first 24 hrs after
- _____ should be avoided since it stimulates the heart
- small, _____ meals
myocardial infarction
liquid
caffeine
frequent
______results from either a reduction of the RBC or in _______, the oxygen carrying component of blood. can result from a decrease in rbc production, and increase in rbc destruction, or a loss of blood.
- the body requires _____, vit ___, and folic acid to produce RBC
- _____ deficiency anemia is the most common nutritional disorder in the world. affects 10% of population. results from poor intestinal ______,blood loss and inadequate consumption.
*_______anemia is the most common form of vit b12 deficiency. caused by a lack of the protein intrinsic factor which helps the body absorb vit b12. risks include ____, gastric cancer, helicobacter pylori and age greater than 50. people with this require b12 injections
anemia hemoglobin iron b12 iron absorption pernicious surgery
sources of iron include: _____, fish, poultry, tofu, dries peas & _____, whole grain, dried fruit
Iron fortified foods include: infant formula, infant cereal and ready to eat cereals
**medicinal iron overdose is the leading cause of accidental poisoning in small children and can lead to acute iron toxicity.
meat
beans
Vit ___ facilitates the absorption of iron (promote consumption)
C
Natural sources of ____include: fish, meat, poultry, eggs and milk
B12
- *people over 50 are urged to consume most of their vit b12 requirement from supplement or fortified foods.
- *vegans need supplements
____ acid deficiency anemia is caused by poor nutrition, malabsorption (____ disease) and drug use
*sources include green leafy veggies, dried peas and beans, seeds, OJ, cereals and breads fortified with folic acid.
folic
crohn
Nutrition therapy for gastrointestinal disorders is generally aimed at minimizing or preventing symptoms. In some conditions, such as _______ disease, nutrition is the only treatment.
celiac
Assess if the client is experiencing any of the following symptoms:
- difficulty chewing or swallowing (dysphasia), nausea or ______, or diarrhea.
- bloating, excessive flatus, occult blood, ______ (fat in feces), abdominal pain/cramping/distention, pale, sticky bowel mvmts
- changes in weight, ____ ____ or bowel habits
vomiting
steatorrhea
eating patterns
assess if the client uses:
- Tobacco, ______, caffeine, over the counter meds to treat ____ conditions).
- nutritional supplements
*______supplements
alcohol
GI
herbal
What are some general gastrointestinal considerations for nutritional guidelines and nursing interventions?
- Monitor gastrointestinal parameters
- Low fiber diets
- High fiber diets
What are some parameters to monitor gastrointestinal activity?
Weight & weight changes lab values bowel sounds elimination patterns I & O
Low-fiber diets avoid food that are high in _____ content (whole-grain breads, _____, raw fruits and vegetables)
- this reduces the _____ and _____ of fecal output and slow transit time of food through digestive tract.
- this diet is used for _____ term for clients who have diarrhea or malabsorption syndromes.
residue
cereal
frequency and volume
short
High fiber diets focus on food containing more than __ g of fiber per serving.
- Increases stool bulk
- stimulates ________
- prevent constipation
- protect against ___ _____
5
peristalsis
colon cancer