Exam 1 Flashcards

1
Q

What is medical nutrition therapy?

A

Evidence based application of the nutrition care process

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2
Q

What is a “competent” RD?

A

passed the RD exam

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3
Q

What is a “proficient” RD?

A

3+ years of experience

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4
Q

What is a “expert” RD?

A

Highest degree attainable within your area of practice. Advanced degree and additional certifications or other advances in that specific area

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5
Q

What are the 4 principles of the Code of Ethics?

A

1) Competence/non maleficence: do no harm
2) Integrity/autonomy: allowing patients to make their own decisions, and honest in professional relationships, maintain credentials.
3) Beneficence: respect everyone’s values and rights
4) Social responsibility & justice

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6
Q

How are dietitians different than nutritionists?

A

RD’s use evidence based practice.

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7
Q

What are advanced directives?

A

living will; in the case where you can’t verbalize your wishes in end of life care, the statement will give precedence

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8
Q

What is palliative care?

A

for comfort but doesn’t mean hospice, often times is in end of life care but doesn’t have to be

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9
Q

T/F withholding food has been shown to not be harmful or painful to the patient in end of life care

A

TRUE

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10
Q

What is furanocumarin?

A
  • compound found in grapefruit
  • inhibits p450 for up to 72 hours
  • avoid grapefruit with these drugs: statins, ambian, nighttime sleep medication, Viagra, warfarin (blood thinner), hydrocodone, zoloft
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11
Q

Hospice care

A

begins after treatment of the disease is stopped and when it is clear that the person is not going to survive the illness

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12
Q

importance of albumin in drugs

A

Many drugs rely on albumin to carry the drug, low albumin levels can cause higher free fractions of the drug floating around

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13
Q

What is a superbill?

A
  • contains ICD-10 code, docter referral, and CPT codes
  • client used form to file for reimbursement for MNT provided by RDN
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14
Q

What is the difference between an ICD-10 code and CPT codes?

A
  • ICD-10 code represent patient diagnosis assigned by a doctor
  • CPT codes represent services provided
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15
Q

What services does the Center for Medicare Services (CMS) for the elderly and low income cover?

A
  • diabetes
  • non-dialysis kidney disease
  • post kidney transplant (within 3 years)

covers 3 total hours in the first year, 2 hours every subsequent year

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16
Q

What are the CPT codes currently used?

A
  • nutrition counseling (individual and group for 15-30 minute increments)
  • assessment
  • reassessment
17
Q

What is a black box warning?

A
  • this drug taken with alcohol can cause death
  • ex: morphine and alcohol
18
Q

What do antibiotics cause the most damage to?

A

gut microflora

19
Q

What is the golden rule of nutrition support?

A

IF THE GUT WORKS, USE IT!

20
Q

Appetite enhancers

A

Marinol, derivative of marijuana

21
Q

What are the benefits of using enteral nutrition?

A
  • decreased risk of malnutrition
  • maintain integrity of the gut
  • improved immune response
  • ## compared to PN: decreased rates of infectious complications, reduced length of stay, cost savings
22
Q

Do we need bowel sounds to initiate EN (enteral nutrition)?

A

No

23
Q

What formula is recommended by ASPEN?

A

standard plyometric formula

24
Q

What is the maximum volume for bolus feeding?

A

500 ml/feeding

25
Q

Volume based feeding vs rate based feeding

A
26
Q

PHARMACOKINETIC

A

movement of a drug through the body by absorption, distribution, metabolism, and excretion (drugs designed based on normal body functionality)

27
Q

Pharmacodynamics

A

physiologic and biochemical effects of a drug or combination of drugs

28
Q

Food-drug interaction

A

effects of drugs on nutritional status

29
Q

drug-nutrient interaction

A

Drug activity/movement (pharmacokinetics) that is altered by nutrients or vice versa

30
Q

What is tests are included in CMP but not in a basic metabolic panel (BMP)?

A
  • albumin
  • total protein
  • ALP
  • ALT/AST
  • biliruben
31
Q

What are the 3 best clinical indicators of hydration?

A
  1. capillary refill
  2. respiratory rate/pattern
  3. skin turgor
32
Q

Name 2 postitive and 2 negative acute phase proteins

A

negative: albumin, pre-albumin, transferrin, retinal binding protein
positive: c-reactive protein (CRP), ferritin, fibrinogen