Medical Nutrition II Flashcards
Bariatric surgery patients can be deficient in
Protein, Iron, Ca, Vit/ D, B12, Folic acid, and Thiamine
With bariatric surgery, Ca, Vitamin D – Absorption is affected and this can lead to
Secondary hyperparathyroidism
Better absorbed with acid and better absorbed in duodenum and proximal jejunum
Calcium
With bariatric surgey, there is the possibility for less acid to cleave B12 from
R-binder protein
-also less intrinsic factor
Defined as gradual and irreversible deterioration of kidney function
Chronic Kidney disease
CKD is classified as 3 months or more with a GFR of
Less than 60
Hypertension uncontrolled for a long period of time causes hyaline arteriolosclerosis of small vessels in the
Kidney
People with CKD often have an imbalance in
-causes them to be swolen and have distended abdomens
Na+
Removing K is an important role of the kidney and one of the functions of aldosterone to excrete K. However, in CKD, the kidney parenchyma is so damaged that it cannot respond to
Aldosterone
Thus patients with CKD can have elevated levels of
K+
The kidneys are especially important for our acid base status. Without functioning kidneys, we see a significant
Metabolic acidosis
The kidneys are a producer of
-Tells the bone marrow to make more RBCs
EPO
Should be restricted in patients with CKD
Na+ and K+
Patients with CKD should be given phosphate binders in their diet to help regulate their
PTH signaling