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Nutrition Assessment > Final > Flashcards

Final Flashcards

1
Q

Expert Opinion

A

editorial based on opinion; not peer reviewed

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2
Q

Review of Literature

A

may be peer reviewed

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3
Q

Lab/ Animal Studies

A

Controlled conditions; beginning of human research

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4
Q

Case Series/ Reports

A

early research; not controlled

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5
Q

Case Control Studies

A

patient history compared with a comparison group; need to ask if the results are causation or association

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6
Q

Cohort Studies

A

prospective; large group; recruiting for the future without interventions

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7
Q

Randomized Control Trials

A

prospective; expensive; experimental placebo vs. standard dosage

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8
Q

Systematic Review

A

includes published and unpublished studies

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9
Q

Meta-Analysis Review

A

includes published studies; pools information to create a new data set

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10
Q

Histories in Nutrition Assessment

A

Medical/ Health History
Medication/ Drug History (alcoholism)
Socioeconomics
Food/ Nutrition History

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11
Q

Physical Assessment Techniques

A

Inspection: general observation
Palpation: touch
Percussion: sound
Auscultation: listening to body via ear or stethoscope

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12
Q

Adult HR , Respiratory Rate , BP

A

HR: 60-100 bpm
RR: 12-16 bpm
BP:

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13
Q

Corticosteroids

  • use
  • food interaction
  • monitor
  • example
A
  • strong anti-inflammatory drug that can be used to suppress immune system and prevent rejection for organ transplant. Can also help with low blood pressure
  • take with food or mic. Avoid simple sugars. Avoid large intakes of CHO, alcohol and citrus intake. Decrease Na supplements and increase Ca + Vit. D
  • increased appetite; hyperglycemia; weight gain
  • Prednisone
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14
Q

Diuretics

  • use
  • food interaction
  • monitor
  • example
A
  • prevents body form absorbing too much salt. Treats fluid retention
  • take on an empty stomach
  • increase Ca, K + Mg if there is a decrease
  • Foursemide (Lasix) + Hydrochlorothiazide (HCTZ)
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15
Q

Anticoagulants

  • use
  • food interaction
  • monitor
  • example
A
  • reduces blood clotting
  • limit vit. K consumption
  • do not exceed UL for Vit. A or E. limit supplemental intake of ginger, garlic, ginseng, saw palmetto, gingko, and horse chestnut
  • Warfarin (Coumadin)
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16
Q

Stromach Medication

  • use
  • food interaction
  • monitor
  • example
A
  • relieves pain and irritation caused by gird
  • take with or without food but definitely with 8 ounces of water. caffeine may cause irritation
  • take 2 hours before iron or antacid supplement. increase b12 absorption on an individualistic level, avoid alcohol
  • h2 Cimetidine (Tagamet)
  • Ranitidine (Zantac)
  • Famotidine (Pepcid)
  • Omeprazole (Prilosec)
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17
Q

IBW Range

A

+/- 10% of IBW

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18
Q

IBW %

A

actual weight / IBW x 100

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19
Q

AIBW

A

(actual weight - IBW) x 25% + IBW

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20
Q

UBW%

A

actual weight/ UBW x 100

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21
Q

BMI

A

weight in kg/ (height in m) 2

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22
Q

BMI Classifications

A
  1. underweight = 40
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23
Q

WHR

A

Waist - Hip - Ratio
Male: >1
Female: > 0.8

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24
Q

Waist Circumference

A

Male: >40”
Female: >35”

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25
Q

LBM

A

Lean Body Mass

weight - (weight x body fat%)

26
Q

FM

A

Fat Mass

weight x body fat%

27
Q

Densitometry

A

measure of body density; underwater weighing; addition of He added via tank

28
Q

TSF

A

triceps skin fold

[arm circumference - (3.14 x TSF)]2 / 12.56

29
Q

% Total Kcals of

  • BMR
  • TEF
  • Activity
A

BMR: 65%
TEF: 7-10%
Activity: 15-25%

30
Q

Protein Needs

A

weight in kg x stress factor

31
Q

Holliday Segar
Infants
Children
Adults (>3 y. o)

A
  • 100 mL/ kg
  • [(kg - 100 x 50 + 1000] / kg
  • [(kg-20) x 20] +1500
32
Q

METs

A

(BMR/24) x (METs) x (time in hours)

33
Q

CBC
WBC
RBC

A
  • Complete Blood Count
  • White Blood Cell; leukocyte; 5-10 thousand
  • Red Blood Cell; erythrocyte; hemoglobin and hematocrit
34
Q

Hemoglobin

Hematocrit

A

-Males: 14-18 g/dL
Females: 12-16 g/ dL
-Males: 42-52%
Females: 35-47%

35
Q

Albumin

Bilirubin

A
  • accounts for 60% of total serum proteins; 1/2 life of 21 days
  • clearance of aged RBC which contains hemoglobin
36
Q

BUN

A

amount of nitrogen in your bloods that goes form the waste product of urea

37
Q

C-Reactive Protein

A

helps to identify when acute hyper metabolic period of the inflammatory response wanes

38
Q

Creatinine

A

formed from creatine found in muscle tissue

39
Q

Ferritin

A

storage protein that sequesters iron in liver, spleen. and marrow

40
Q

FBG (S)

A

Fasting blood glucose or sugar

41
Q

Glycosylated Hemoglobin

A

useful in differentiating short term hyperglycemia

42
Q

retinol

A

vitamin a status can be estimated using this serum

43
Q

pre albumin// transthyretin

A

hepatic protein transported in the serum as a complex of retinol-binding protein and vitamin a; half life of 2-3 days

44
Q

vitamin D25OH

A

individual vitamin D status can be estimated by measuring plasma

45
Q

Fibrinogen

A

blood clotting protein

46
Q

Plasma Proteins

A

made by the liver and are required for blood clotting, osmotic pressure, plasma viscosity, and pH support
-albumin, pre albumin, total protein, retinol-binding protein, C-reactive protein, fibrinogen

47
Q

BUN + Creatinine

A

Renal function; increase dehydration and poor kidney function

48
Q

ALT + AST // ALKALINE PHOSPHATE

A

liver: elevated levels indicate liver problems

49
Q

BILIRUBIN

A

gallbladder

50
Q

AMYLASE // LIPASE

51
Q

Megaloblastic Anemia

A

folate deficiency

52
Q

Pernicious Anemia

A

B12 deficiency

53
Q

Macrocytic

A

large cells

54
Q

normochromic

A

normal iron and color

55
Q

Microcytic

A

small cells

56
Q

Hypochromic

A

low iron and color

57
Q 
How often do babies usually eat?
How often do older babies usually eat?
How many feedings per day is a baby having ?
How long is a baby feeding ?
How many wet/ dirty diapers per day?
A

-every 2 hours
-every 3-4 hours
8-12
-15-20 minutes
-8-12 diapers

58
Q

Bottle Feeding Intake Assessment

A
  1. 24 hours/ amount of feeding that day= A
  2. A x amount of ounces per feeding= B
  3. B x calories within feeding (20)= C
  4. C/ weight of baby in kg= D
  5. D should be in units kcal/kg/d
59
Q

Estimating Protein for Bottle Formula

A
  1. Calories form bottle/ 100= A in kg
  2. A x scoops of formula= B
  3. B/ weight in kg= C
  4. C should be in units g/kg/d
60
Q

ADIME

A

A: performed upon the 1st 24 hours of hospitalization; collect data
D: PES Statement
I: measurable; specific goals assessing what can be done
M/E: monitoring and evaluating the progression of the intervention

Nutrition Assessment (3 decks)

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