Exam 1 Flashcards
What does ADIME stand for
Assesment, Diagnosis, Ingtervention, Monitoring/Evaluation
SOP
Standards of Practice
SOPP
Standards of Professional Performance
6 Standards of SOPP
1-Quality in Practice
2-Competence and accountability
3-Provisions of Service
4-Application of Research
5-Communication and Application of Knowledge
6-Utilization and Management of Resources
Who gets a nutrtion screening and who does it?
Everyone; any member of the healthcare team
Who gets a nutrition assesment and who does it?
Only those at risk; RD
What is a sign?
Biochemical value taken from the medical chart
What is a symptom?
In the physical/clinical exam; mostly complaints
When do you rescreen or reasses?
7 days depending on the level of nutritional risk
Health belief model
Persons belief about health may influence food choices and likelihood for change
Primary Nutrition Problem
Based on dietary intake
Secondary nutrition problem
Pathological condition that causes inadequacies (surgery, medications etc.)
BMI Interpretation values
<18.5-Underweight
18.5-24.9-Normal Weight
25-29.9-Overweight
>30-Obese
BMI interpretation in Children
<5th Percentile-Underweight
5-85th-Normal
>85th-Overweight
>95th-Obese
WHO Growth Charts are for who?
Children 0-2 y/o
CDC Growth charts are for who?
Children 2-20 y/o
IBW Interpretation Values
<90%-Underweight
90-110%-Normal
>110%-Overweight
>130%-Obese
%Wt change calculation
=(CBW-UBW)/UBW*100
%Wt Change Interpretations-Significant
1 Week-1-2%
1 Mo-5%
3 Mo-7.5%
6 Mo-10%
%Wt Change Interpretations-Severe
1 Week->2%
1 Mo->5%
3 Mo->7.5%
6 Mo->10%
Waist Circumference for at Risk
Men>40im Women >35in
Asians- Men>35.5in Women>31.5in
Which calculation is most accurate for all populations?
Mifflin-St. Jeor
Do you multiply by an activity factor and stress factor?
No
Adjusted Body weight for Obese Calculation
(ABW-IBW)*.25+IBW
Protein for healthy Adult
0.8-1.0g/kg
Protein for Underweight/Loosing Weight
0.9-1.2g/kg
Protein for protein depleated
1.25-2g/kg
Protein for Fracture, infection trauma, fever
1.5-2g/kg
Protein for extensive burns
1.5-3.0g/kg
Fluid rule of thumb
1mL/kcal
Significant Digits for Height
cm-tenths
m-hundreths
Significant digits for protein
Tenths
Significant digits for mg/dL
Whole
Significant digits for mmol/L
Tenths
Key Calculations for Every Patient
Enery, Fluid, Protein
Lab Values indicating protein-energy status
Albumin and pre-albumin
Lab Values indicating Hydration
Lab values falsely elevated
Lab Values indicating renal disease
BUN, Cr, K, PO4
Lab Values indicating metabolic issues
Glc, insulin, T4, K
Lab Values indicating anemia
Fe, B6, B12
Precision
Ability to reproduce a value multiple times
Accuracy
Closeness of the reported value to the actual value
Plasma
WBC and RBC Removed; clotting factors present but bound to anti-coagulant
Serum
RBC, WBC, and clotting factors removed
Creatinine Height Index Indication Values
60-80%-mild skeltal depletion
40-59%-moderate
<40%-severe
CHI calculation
24 hr urine collection/expected 24 hr urine*100
Nitrogen Balance equation
(Protein intake/6.25)-Urine N+2
Nitrogen Balance Indication Values
+/-2-balance
>+2-Positive
Negative Acute Phase Proteins
Albumin, Pre-albumin, Transferrin, Transthyretin, RBP
Positive Acute Phase Proteins
CRP, Fibrinogen
Albumin changes reflect what?
Illness not nutrtion
Lab Value for Albumin
3.5-5 g/dL
Lab Value for Pre-Albumin
16-45 mg/dL
Lab value for C-reactive protein
<1 mg/dL
Lab value for CRP during chronic inflammation
1-3 mg/dL
Lab Value for transferrin
W-215-380 mg/dL
M-215-365 mg/dL
Lab value for RBP
2.1-6.4 mg/dL
Half life for albumin
17-21 days
Half life for Transferrin
8-10 days
Half life for Pre-albumin
2-3 days