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fs hn 461 > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

What does ADIME stand for

A

Assesment, Diagnosis, Ingtervention, Monitoring/Evaluation

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2
Q

SOP

A

Standards of Practice

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3
Q

SOPP

A

Standards of Professional Performance

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4
Q

6 Standards of SOPP

A

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

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5
Q

Who gets a nutrtion screening and who does it?

A

Everyone; any member of the healthcare team

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6
Q

Who gets a nutrition assesment and who does it?

A

Only those at risk; RD

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7
Q

What is a sign?

A

Biochemical value taken from the medical chart

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8
Q

What is a symptom?

A

In the physical/clinical exam; mostly complaints

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9
Q

When do you rescreen or reasses?

A

7 days depending on the level of nutritional risk

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10
Q

Health belief model

A

Persons belief about health may influence food choices and likelihood for change

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11
Q

Primary Nutrition Problem

A

Based on dietary intake

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12
Q

Secondary nutrition problem

A

Pathological condition that causes inadequacies (surgery, medications etc.)

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13
Q

BMI Interpretation values

A

<18.5-Underweight
18.5-24.9-Normal Weight
25-29.9-Overweight
>30-Obese

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14
Q

BMI interpretation in Children

A

<5th Percentile-Underweight
5-85th-Normal
>85th-Overweight
>95th-Obese

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15
Q

WHO Growth Charts are for who?

A

Children 0-2 y/o

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16
Q

CDC Growth charts are for who?

A

Children 2-20 y/o

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17
Q

IBW Interpretation Values

A

<90%-Underweight
90-110%-Normal
>110%-Overweight
>130%-Obese

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18
Q

%Wt change calculation

A

=(CBW-UBW)/UBW*100

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19
Q

%Wt Change Interpretations-Significant

A

1 Week-1-2%
1 Mo-5%
3 Mo-7.5%
6 Mo-10%

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20
Q

%Wt Change Interpretations-Severe

A

1 Week->2%
1 Mo->5%
3 Mo->7.5%
6 Mo->10%

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21
Q

Waist Circumference for at Risk

A

Men>40im Women >35in

Asians- Men>35.5in Women>31.5in

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22
Q

Which calculation is most accurate for all populations?

A

Mifflin-St. Jeor

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23
Q

Do you multiply by an activity factor and stress factor?

A

No

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24
Q

Adjusted Body weight for Obese Calculation

A

(ABW-IBW)*.25+IBW

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25
Q

Protein for healthy Adult

A

0.8-1.0g/kg

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26
Q

Protein for Underweight/Loosing Weight

A

0.9-1.2g/kg

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27
Q

Protein for protein depleated

A

1.25-2g/kg

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28
Q

Protein for Fracture, infection trauma, fever

A

1.5-2g/kg

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29
Q

Protein for extensive burns

A

1.5-3.0g/kg

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30
Q

Fluid rule of thumb

A

1mL/kcal

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31
Q

Significant Digits for Height

A

cm-tenths

m-hundreths

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32
Q

Significant digits for protein

A

Tenths

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33
Q

Significant digits for mg/dL

A

Whole

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34
Q

Significant digits for mmol/L

A

Tenths

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35
Q

Key Calculations for Every Patient

A

Enery, Fluid, Protein

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36
Q

Lab Values indicating protein-energy status

A

Albumin and pre-albumin

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37
Q

Lab Values indicating Hydration

A

Lab values falsely elevated

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38
Q

Lab Values indicating renal disease

A

BUN, Cr, K, PO4

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39
Q

Lab Values indicating metabolic issues

A

Glc, insulin, T4, K

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40
Q

Lab Values indicating anemia

A

Fe, B6, B12

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41
Q

Precision

A

Ability to reproduce a value multiple times

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42
Q

Accuracy

A

Closeness of the reported value to the actual value

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43
Q

Plasma

A

WBC and RBC Removed; clotting factors present but bound to anti-coagulant

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44
Q

Serum

A

RBC, WBC, and clotting factors removed

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45
Q

Creatinine Height Index Indication Values

A

60-80%-mild skeltal depletion
40-59%-moderate
<40%-severe

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46
Q

CHI calculation

A

24 hr urine collection/expected 24 hr urine*100

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47
Q

Nitrogen Balance equation

A

(Protein intake/6.25)-Urine N+2

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48
Q

Nitrogen Balance Indication Values

A

+/-2-balance

>+2-Positive

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49
Q

Negative Acute Phase Proteins

A

Albumin, Pre-albumin, Transferrin, Transthyretin, RBP

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50
Q

Positive Acute Phase Proteins

A

CRP, Fibrinogen

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51
Q

Albumin changes reflect what?

A

Illness not nutrtion

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52
Q

Lab Value for Albumin

A

3.5-5 g/dL

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53
Q

Lab Value for Pre-Albumin

A

16-45 mg/dL

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54
Q

Lab value for C-reactive protein

A

<1 mg/dL

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55
Q

Lab value for CRP during chronic inflammation

A

1-3 mg/dL

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56
Q

Lab Value for transferrin

A

W-215-380 mg/dL

M-215-365 mg/dL

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57
Q

Lab value for RBP

A

2.1-6.4 mg/dL

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58
Q

Half life for albumin

A

17-21 days

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59
Q

Half life for Transferrin

A

8-10 days

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60
Q

Half life for Pre-albumin

A

2-3 days

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61
Q

Half life for RBP

A

10-12 hours

62
Q

Glucose normal value

A

<100 mg/dL

63
Q

Stage one of iron deficiency

A

Increased iron abs

Decreased serum ferritin

64
Q

Stage two iron deficiency

A

Decreased transferrin saturation

Increased Protoporphyrin

65
Q

Third stage iron deficiency

A

Decreased hemoglobin and mean corpuscular volume

66
Q

Lab value for hemoglobin

A

W-12-16 g/dL

M-14-18 g/dL

67
Q

Macrocytic anemia

A

Increased MCV

Folate and b12 deficiency

68
Q

Microcytic anemia

A

Decreased MCV

Iron deficiency

69
Q

Electroylte conversion

A

(mg/AW)*valence

70
Q

Elements with 1 valence

A

Chlorine, Potassium, Sodium

71
Q

Elements with 2 valence

A

Calcium, Magnesium, Phosphorous

72
Q

Medical Diagnosis

A

Will not change as long as the condition exists

73
Q

Nutrition Diagnosis

A

may change as long as the patients status changes

74
Q

Who is covered under employee sponsored health insurance?

A

Buisnesses >50 people and empoyees workin 30+ hours a week

75
Q

What RDN services are covered under employee sponsored and individual health plans?

A

Varies but usually very little

76
Q

Who is covered under individual health plans?

A

Self-employeed, <50 workers in company, or <30 hrs per week

77
Q

Who is covered under Medicare?

A

65+, disabled, end stage renal disease

78
Q

Medicare Part A is what?

A

Hospital stays covered after $1,340 deductable; paid for my todays employees

79
Q

Medicare Part B is what?

A

Physician visits after $183 deducable; $164 per month; paid by social security

80
Q

Medicare Part C is what?

A

Part A and B deductables and coinsurance; paid by enrolee

81
Q

Medicare Part D is what?

A

Medications; paid for by enrolee and is required

82
Q

What RDN is covered under part B?

A

Diabetes, Kidney disease, Obesity, ENPN

83
Q

Who is covered under medicaid?

A

Low income, pregnant, disabled

84
Q

What RDN is covered under medicaid?

A

Preventative wellness, Maternity, WIC, LTC, home health

85
Q

ICD-10 Code-First three numbers

A

Category

86
Q

ICD-10 Code-Next 3 numbers

A

Etiology/anatomic site

87
Q

ICD-10 Code-Last number

A

Extention

88
Q

Pharmaceutical phase

A

Physical and chemical Properties of a drug

89
Q

Pharmaceutical phase influenced by:

A

Dosage, Food presence, pH, Form

90
Q

Pharmacodynamic Phase

A

Drug action at the target tissue (desired theraputic response)

91
Q

Pharmacokinetic phase

A

Time course of drug in the body

92
Q

Pharmacokinetic phase-Absorption

A

Movement from site of administration to blood stream

93
Q

Pharmacokinetic phase-Distribution

A

Leaving circulation and traveling to organs

94
Q

Pharmacokinetic phase-Metabolism

A

biotramsformation for elimination-usually by urin (cytochrome p450)

95
Q

Pharmacokinetic phase-Elimination

A

Fecal/urine elimination of drug remnants

96
Q

Adrenergic drugs-

A

Decrease appetite
Increase satiety
Weight loss

97
Q

Serotonergic drugs

A 
Inhibit seritonin uptake
Increase satiety and decrease intake
Weight loss (Fen fen)
98
Q

Weight gain drugs

A

Block seritonin receptor

valproic acid and corticosteriods

99
Q

Propofuol

A

Weight gain due to calories from oil

100
Q

Magace

A

Wasting syndrome med

Weight gain

101
Q

INH for TB binds what nutrient

A

B6

102
Q

What drugs are Monoamine oxidase inhibitors

A

Anti-depressants, microbials and neoplastics

103
Q

MAOI inhibitors should avoid what nutrient?

A

Tyramine

104
Q

Grapefruit contains

A

Furacoumarins

105
Q

Furacoumarins cause what

A

Inhibit entercytes and hepatocytes-drug toxicity

106
Q

Natual Licorice counteracts what

A

Diuretics (can also be a laxative)

107
Q

Alcohol drinkers should avoid

A

NSAIDS, CNS depressants, Hepatotoxic meds

108
Q

Antabuse causes what

A

Buildup of Acetaldehyde

109
Q

Phenytoin nutrient interactions

A

Gut pH, decreased folate, vit D, and biotin abs

110
Q

Oral Contraceptives nutrient interactions

A

Increase folate excretion

Increase circulating Vit. A

111
Q

How does Edema affect drug

A

Need to increase dosage

112
Q

D5W Nutrition

A

Carbohydrates in water

113
Q

Obesity effects what in drugs

A

Need to calculate dosage based on Adj. BW

114
Q

Age effects what in drugs

A

Children and ederly metabolize more slowly

115
Q

Prilosec generic name

A

Omeprazole

116
Q

Prilosec drug class

A

proton pump inhibitor

117
Q

Prilosec Purpose

A

Decrease GI secretion

118
Q

Prilosec Patient

A

GI-Ulcers, GERD, heartburn

119
Q

Prilosec Mechanism

A

Inhibits cells that produce gastric acid

120
Q

Prilosec Nutrition

A

Decrease vitamin B12 abs

121
Q

Coumadin generic name

A

Warfarin

122
Q

Coumadin drug class

A

anti-coagulant

123
Q

Coumadin Purpose

A

blood thinner

124
Q

Coumadin patient

A

Cardiac

125
Q

Coumadin Mechanism

A

Inhibit vitamin K dependent synthesis of clotting factors

126
Q

Coumadin Nutrition

A

Anti-vitamin K

127
Q

Zocor generic name

A

Simvastatin

128
Q

Zocor Drug class

A

HMG-Coa reductase inhibitor

129
Q

Zocor Purpose

A

Decrease cholesterol, LDL and Cholesterol

130
Q

Zocor patient

A

Cardiac, high cholesterol

131
Q

Zocor Mechanism

A

Inhibit HMG-Coa reductase a rate limiting step in cholesterol biosynthesis

132
Q

Zocor Nutrients

A

Grapefruit effect

133
Q

Prednisone drug class

A

corticosteriod

134
Q

Prednisone purpose

A

anti-inflammatory

135
Q

Prednisone Patient

A

Lupus, asthma, arthritis

136
Q

Prednisone mechanism

A

inhibit DNA synthesis

137
Q

Prednisone Nutrition

A

Decrease Ca abs, Increase Ca excretion
Increase protein loss and water retention
Increase Blood glucose and body weight

138
Q

Lasix Generic name

A

Furosemide

139
Q

Lasix drug class

A

diuretic, anti-hypertensive

140
Q

Lasix Purpose

A

Decrease BP

141
Q

Lasix patient

A

hypertensio

142
Q

Lasix Mechanism

A

Inhibit abs of Na, Cl, H20 by loop in kidney

143
Q

Lasix Nutritional

A

Increased K excretion

144
Q

Aldactone Generic name

A

Spironolactone

145
Q

Aldactone drug class

A

diuretic, anti-hypertensive

146
Q

Aldactone purpose

A

decrease BP

147
Q

Aldactone patient

A

Cardiac, cirrohsis

148
Q

Aldactone mechanis

A

binding receptors of aldosterone dependent Na/K pumps

149
Q

Aldactone Nutrition

A

Increase K abs

150
Q

Fluid Needs-Weight

A

1500 for first 20 kg

20 ml/kg for the rest

151
Q

Fluid Needs-Age and Weight

A

16-30 (active)-40
25-55-35
55-75-30
75+=25

152
Q

What are the 4 components of a nutritional assesment?

A

Anthropometrics
Biochemical
Clinical/physical exam
History/Diet

fs hn 461 (8 decks)

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