malnutrition

Question 1

interpretations of %UBW

Answer 1

85-95 = mild malnutrition
75-84 = mod mal
< 74 = severe mal

Question 2

what is something u need to remember when looking at weight change

Answer 2

time frame is relevant

Question 3

considerations for %ubw

Answer 3

males and non preg women

Question 4

immediate causes of undernutr

Answer 4

poor diet
or
disease

Question 5

how to diagnose undernutr

Answer 5

need to have min 2
1. less energy intake
2. weight loss
3. muscle mass loss
4. subcut fat lass
5. fluid accum
6. low functional status

Question 6

outcomes of undernutrition

Answer 6

1. nutr def
2. sarcopenia
3. low immunity/ risk to diseases
4. low productivity
5. stunted growth
6. maternal undernutrition

Question 7

interpretation of % weight change

Answer 7

significant if

1 week = 1-2%
1 month = 5%
3 months = 7.5%
6 months = 10%

Question 8

failure to thrive

Answer 8

when baby 1-2 years is not growing accroding to standrards

Question 9

for failure to thrive, do we use CDC or WHO charts?

Answer 9

CDC
bc curve distance smaller = pick up on change faster

Question 10

wh

when are u failing tp thrive?

Answer 10

below 3rd to 5th perventile

Question 11

what is PEM

Answer 11

type of malnutrition where not meeting pro needs

Question 12

2

2 types of PEM

Answer 12

marasmus = low pro and energy intake

kwashiorkor = low pro

Question 13

marasmus symptoms

Answer 13

thin old
dry nails and hair

Question 14

kwash

kwashiojkor synproms

Answer 14

edema

Question 15

how to treat marasmus

Answer 15

slow increased intake of kcal and protein

4.8-5 kcal per g tissue needs to be gained

Question 16

hpw

treating knwashiorkor

Answer 16

increased prot intake 20-50%
progressive

Question 17

causes of ED

Answer 17

sociocultural
genetic
psychological

Question 18

types of EDS

Answer 18

1. anorexia nervosa
2. builimia nervosa
3. ARFID
4. binge eating disorder

Question 19

characteristics of anorexia

Answer 19

• starvation via restriction or binge/purging
• <85% IBW
• no period/ ammenorhea

Question 20

characteristics of builima

Answer 20

• binge eating
• purging
• lack od control
• normal weight

Question 21

characteristics of RFID

Answer 21

-restricting
- avoiding
- fear of vomit and choking
- avoiding colours and textures

Question 22

characteristics of binge eating disorder

Answer 22

binge eating
no compensatory actions after

Question 23

prf

prader willis syndrome

Answer 23

ed
insatitable apettite

Question 24

2 types of rumination disorders

Answer 24

1. devloped in childhood, pesrisst with no neg consequences
2. with bulimia nervosa

Question 25

concerns of ed = > screening?

Answer 25

weight concerns
not eating with fam
periods stopped
change in growth curv e
night time cravings

Question 26

idea of clinical care of ED treatment?

Answer 26

• holistic approach
• ## psych, med, nutri interventions

Question 27

types of appraoches of treatment cares for ED

Answer 27

1. holistic
2. bio-psychosocial
3. CBT

Question 28

bio psychosocial approach

Answer 28

med
nutri
psych
behav
assessments

Question 29

goals of nutri ED rehab

Answer 29

restore weight
normal eating patterns
correct complications from malnutr
education

Question 30

meal support therapy

Answer 30

supervised meals
=encouragment and emo support

Question 31

kcal goal and macros for ED treatment

Answer 31

1000=1600 kcal goal
25-30% fat
15-20 pro
50-60 cho

Question 32

concerns to keep in mind for ED treatment?

Answer 32

refeeding syndrome

Question 33

refeeding syndrome

Answer 33

nor gradually introcucing food to malnourished
= cells fast glucose uptake
=electrolytes follow with h20
=deficiences in blood

Question 34

criteria risk for refeeding syndrome that only need 1

Answer 34

bmi < 16
weight loss > 15% in last 3-6 months
little/no intake last 10 days
low K, po4, mg before feeedinf

Question 35

criteria risk for refeeding syndrome that only need 2

Answer 35

bmi < 18.5
weight loss >10% 3-6 mo
no intake 5 days
substance abuse

Question 36

reu

reducing risk of refeeding

Answer 36

-cho < 200g /day
< 1.5 kg protei
electrolyte balance
supplements
provide half e requirements, build up accordign to current weight

Question 37

BN diet managament specifics

Answer 37

weight problem
= 120-130% abobe bee
macros
goal of leaving purging and binging