Exam 4: Chapter 36 Nutrition Flashcards
What are the six classes of nutrients?
CArbohydrates, Proteins, Lipids, Vitamins, Minerals, Water
What nutrients supply energy?
Carbohydrates, Protein, Lipids
What nutrients regulate body processes?
Vitamins
Minerals
Water
Factors Affecting Basal Metabolic Rate (BMR): Males vs Females
Males have a higher BMR due to larger muscle mass
Factors Affecting Basal Metabolic Rate (BMR): Factors to increase BMR
Growth, infections, fever, emotional tension, extreme environmental temperatures, elevated levels of certain hormones
Factors Affecting Basal Metabolic Rate (BMR): Factors that decrease BMR
Aging, Prolonged Fasting, Sleep
Factors Affecting Basal Metabolic Rate (BMR): When going on diet..
can have opposite effect on what you wanted
Carbohydrates are commonly known as
sugars and starches
Carbohydrates are the most
abundant and least expensive source of calories in the world
Carbohydrates classified as
simple or complex sugars
What percentage of carbohydrates are ingested?
90%
What are complex cards?
Tomatoes, Carrots, Beans , Peas
What are simple carbs?
Bread, Rice, Pasta
Recommended that how much total calories come from carbohydrates?
45-65%
What does carbohydrates aid in?
Aid in the transfer of glucose which provides energy, CO2, and water
Protein required for
the formation of al body structures
Protein labeled
complete (high quality) or incomplete (low quality) based on amino acid composition
Animal proteins are
complete
Plant proteins are
incomplete
What are some animal proteins?
Meat, Dairy, Eggs
What percentage of total calories should come from proteins?
10-35%
Proteins needed for
good wound healing
Some protein examples?
Fish, Cheese, Eggs
Incomplete Protein examples?
Grains, Certain Vegetables
Signs of Poor Protein?
Edema, Poor Wound Healing, And Apathy (Lack of Emotion)
What percentage of lipids in diet are triglycerides?
95%
Fats contain mixtures of
saturated (raise cholesterol levels) and unsaturated (lower cholesterol levels) fatty acids
Most animal fats are
saturated
most vegetable fats are
unsaturated
What percentage of total calories should come from fats?
20-35%
What is the good type of fat?
Unsaturated
Wht is the bad type of fat?
Saturated Fats
Unsaturated fats tend to do what to the body?
lower serum cholesterol levels
Vitamins are
organic compounds needed by the body in small amounts
Vitamins needed for
metabolism of carbohydrates ,proteins, and fats
Vitamisn classified as
water soluble or fat soluble
Vitamins absorbed through the
intestinal wall directly into the blood stream
What are some water soluble vitamins?
B Complex and Vitamin C
What are some FAt Soluble vitamins?
A,D,E,K
What do vitamisn require?
REquire fat
Minerals are
organic elements found in all body fluids and tissues
Some minerals function to
provide structure in the body, others help regulate body processes
Macrominerals include
calcium, phosphorus, and magnesium
Microminerals include
Iron, Zinc, Maganese, and Iodine
WAter account for
50-60% of adults total weight
What percentage of water is in ECF and ICF ??
66% in ICF
33% in ECF
Water provides
medium necessary for all chemical reactions in the body
Water acts as a
solvent and aids digestion, absorption, circulation, and excretion
How much water should you intake daily?
2200-3000 mL daily
Underweight BMI?
< 18.5
Normal BMI?
18.5 - 24.9
Overweight BMI?
25 - 29.9
Obesity I BMI?
30 - 34.9
Obesity II BMI?
35 - 39.9
Extreme Obesity BMI?
40+
Factors Affecting Nutrition: Stage of Development for Infants
Uron
Factors Affecting Nutrition: Stage of Development for Toddlers
Having finger foods
Factors Affecting Nutrition: Stage of Development for Teen
Eating disorders can occur
Factors Affecting Nutrition: Stage of Development for Adult
DOn’t require the same energy because they are no longer growing
Anorexic Definition
Lack of Appetite
Dysphagia definition
Inability to swallow
Nursing Intervention for Nutrition: Teach
Nutritional Information
Nursing Intervention for Nutrition: Monitor
Nutritional Status
Nursing Intervention for Nutrition: Stimulating
Appetite
Nursing Intervention for Nutrition: Assisting
With Eating
Nursing Intervention for Nutrition: Providing
Oral Nutrition and Long-Term Nutritional Support
When would a clear liquid diet be given?
Preparation for bowel surgery and lower endoscopy,
Acute gastrointestinal disorders; initial postoperative dieet
When would a pureed diet be given?
After oral or facial surgery; chewing and swallowing difficulities
When would a mechanically altered diet be given?
Chewing and swallowing difficulities; after surgery to the head, neck, or mouth
Short Term Nutritional Support: Using a
NG Tube
Short Term Nutritional Support: COnfirming NG Feeding Tube Placement
Radiographic Examination
Measurement of aspirate pH and visual assessment of aspirate
Measurement of tube length and tube marking
Long-Term Nutritional Support: Enterostomal Tube
This tube may be placed through an opening created into the stomach (gastrostomy) or into the jejnum (jejunostomy)
Long-Term Nutritional Support: Gastrostomy is
the preferred route to deliver enteral nutriiton in the patient who is comatose
How is Total Parenteal Nutrition (TPN) administered?
Intravenously via central access
TPN solution fontains?
Hypertonic Solution containing protein, carbohydrates, and fat
Electrolytes, Vitamins, and Trace Elements
TPN requires
constant monitoring
TPN changed
every 24 hours including filter and tubing
TPN can cause damage to a
vein