Lecture 3 Notes Flashcards
Vitamins are…
…noncaloric essential nutrients necessary for many metabolic tasks and the prevention of associated deficiency diseases.
Most deficiencies are associated with
- Malabsorption
- Alcoholism
- Medications
- Hemodialysis
- Total Parenteral Nutrition
- Food Faddism
- Inborn error of metabolism
Fat soluable:
Vitamins: A, D, E, K
Easier to be absorbed. Deposited in adipose tissue and liver
Water soluable:
Vitamins: B,C
Not stored, must be eaten on a regular basis
PPN
Superficial
TPN
Deep Vein
Entero
PO
Parenteral
IV, SC, IM
Dietary Reference Intake
Sodium: 2000
Cholesterol: 300
Fiber: 25
How many vitamins?
14
Vitamin A
retinol, retinoic acid, Isotretinoin, keratin
Acne
Comedon, excess of testosterone
Deficiency of Vitamin A
Xerophthalmia (dry eye)
Xerostomia (dry skin)
Vitamin A food source
Carrots
Vitamin D
Cholecalciferol
- made by cholesterol
Deficiency of Vitamin D
Decrease bone growth
*Rickets (children)
*Osteomalacia (adults)
Vitamin E
Tocopherol
- Antioxidant
Vitamin E deficiency
Hemolytic anemia
If you have surgery:
Stop Vitamin E 1 week before surgery
Vitamin K
Blood clotting
food source: green leafy veggies (kale and spinach)
Vitamin K deficiency
Ecchymosis (bruising)
Vitamin C
Ascorbic Acid
*Collagen
Vitamin C deficiency
Scurvy
Vitamin B1
Thiamine
-participate in production of ATPs
- Forms GABA
Vitamin B1 (thiamine) deficiency
BERI-BERI
Vitamin B1 (thiamine) deficiency
Wernicke-Koraskoff
Vitamin B2
Riboflavin
* Help produce more ATPs
Vitamin B2 food source
MILK
Vitamin B2 deficiency
2C’s 1G
-Cheilosis
- Corneal Vascularization
- Glossitis
Vitamin B3
Niacin
- Helps produce ATP’s
Vitamin B3 deficiency
Pellagra
(4 D’s)
-D
Vitamin B4
Choline
- Produce neuro transmitters
- Produce ATPs
Vitamin B5
Pantothenic Acid
- Promote cell division
- Produce neuro transmitters
Vitamin B6
Pyridoxine
Vitamin B6 deficiency
Neuritis
Vitamin B7
Biotin
Vit H
*Produced by flora
Vitamin B9
Folate, Folic Acid
- Helps with cell division for DNA synthesis
Vitamin B9 deficiency
Neural Tube Defects (NTB)
Vitamin B12
Cobalamin
-Used for RBC cell division
Vitamin B12 deficiency
Pernicious anemia
Complex B
All Vitamin B 1-9, 12
Vitamin B
- Promote production of ATPs
- Cell division
- Production of Neurotransmitters
Calcium
BroccoliP
Phosphorus
Sodium
135-145
- Water balance
Sulfur
Connective tissue
Trace Elements
<100 mg/ day
-Iron
-Iodine
-Zinc
-Cobalt
Iron
Absorbed in the duodenum
Iodine
Cretinism
Zinc deficiency
Poor wound healing
Selenium
regulate T3 & T4
Other trace element
Fluoride
Water
60% in adults
80% in children
55% in elderly
Intra cellular
Potassium
Phosphorus
Extra cellular
Sodium
Chloride
Element=Mineral
loss of e-
Normal Values:
pH : 7.35-7.45
Na+: 135-145
K+: 3.5-5.0
CO2: 35-45
HCO3-: 22-26
Mg++: 1.5-2.5
Cl-: 95-104