malnutrition Flashcards

1
Q

interpretations of %UBW

A

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

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2
Q

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

A

time frame is relevant

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3
Q

considerations for %ubw

A

males and non preg women

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4
Q

immediate causes of undernutr

A

poor diet
or
disease

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5
Q

how to diagnose undernutr

A

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

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6
Q

outcomes of undernutrition

A
  1. nutr def
  2. sarcopenia
  3. low immunity/ risk to diseases
  4. low productivity
  5. stunted growth
  6. maternal undernutrition
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7
Q

interpretation of % weight change

A

significant if

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

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8
Q

failure to thrive

A

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

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9
Q

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

A

CDC
bc curve distance smaller = pick up on change faster

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10
Q

wh

when are u failing tp thrive?

A

below 3rd to 5th perventile

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11
Q

what is PEM

A

type of malnutrition where not meeting pro needs

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12
Q

2

2 types of PEM

A

marasmus = low pro and energy intake

kwashiorkor = low pro

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13
Q

marasmus symptoms

A

thin old
dry nails and hair

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14
Q

kwash

kwashiojkor synproms

A

edema

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15
Q

how to treat marasmus

A

slow increased intake of kcal and protein

4.8-5 kcal per g tissue needs to be gained

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16
Q

hpw

treating knwashiorkor

A

increased prot intake 20-50%
progressive

17
Q

causes of ED

A

sociocultural
genetic
psychological

18
Q

types of EDS

A
  1. anorexia nervosa
  2. builimia nervosa
  3. ARFID
  4. binge eating disorder
19
Q

characteristics of anorexia

A
  • starvation via restriction or binge/purging
  • <85% IBW
  • no period/ ammenorhea
20
Q

characteristics of builima

A
  • binge eating
  • purging
  • lack od control
  • normal weight
21
Q

characteristics of RFID

A

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

22
Q

characteristics of binge eating disorder

A

binge eating
no compensatory actions after

23
Q

prf

prader willis syndrome

A

ed
insatitable apettite

24
Q

2 types of rumination disorders

A
  1. devloped in childhood, pesrisst with no neg consequences
  2. with bulimia nervosa
25
concerns of ed = > screening?
weight concerns not eating with fam periods stopped change in growth curv e night time cravings
26
idea of clinical care of ED treatment?
- holistic approach - psych, med, nutri interventions -
27
types of appraoches of treatment cares for ED
1. holistic 2. bio-psychosocial 3. CBT
28
bio psychosocial approach
med nutri psych behav assessments
29
goals of nutri ED rehab
restore weight normal eating patterns correct complications from malnutr education
30
meal support therapy
supervised meals =encouragment and emo support
31
kcal goal and macros for ED treatment
1000=1600 kcal goal 25-30% fat 15-20 pro 50-60 cho
32
concerns to keep in mind for ED treatment?
refeeding syndrome
33
refeeding syndrome
nor gradually introcucing food to malnourished = cells fast glucose uptake =electrolytes follow with h20 =deficiences in blood
34
criteria risk for refeeding syndrome that only need 1
bmi < 16 weight loss > 15% in last 3-6 months little/no intake last 10 days low K, po4, mg before feeedinf
35
criteria risk for refeeding syndrome that only need 2
bmi < 18.5 weight loss >10% 3-6 mo no intake 5 days substance abuse
36
# reu reducing risk of refeeding
-cho < 200g /day < 1.5 kg protei electrolyte balance supplements provide half e requirements, build up accordign to current weight
37
BN diet managament specifics
weight problem = 120-130% abobe bee macros goal of leaving purging and binging