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Clinical Nutrition 3 > Midterm 1 Details > Flashcards

Midterm 1 Details Flashcards

1
Q

Supplementes in BS?

A
  • B1
  • B12
  • Folate
  • ADEK
  • Iron
  • Copper
  • Zinc
  • Calcium
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2
Q

Supplements which increase in RYBG compared to sleeve?

A

Zinc, Copper

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3
Q

Supplements which increases in BPD-DS compared to RYGB?

A
  • Vitamin A,K

- Calcium, Zinc, Copper

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4
Q

Where does the common limb meet for Roux-en-Y? Nutritional concerns?

A

Distal Jejunum

-Iron Calcium, Folate, Vitamin D and B12 (Supplemented)

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5
Q

Where does the common limb meet fo BDP-DS? Nutritional Concerns?

A

Terminal Ileum

-Calcium, Iron, Folate, ADEK and B12 (Supplemented)

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6
Q

BN/BED dietary patterns (FF-BAR-CD)

A
  • Forbidden Foods
  • Fasting
  • Binging
  • Avoidance of high-kcal foods
  • Removal of foods
  • CHO restriction
  • Diet Hx
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7
Q

AN dietary patterns (1/2) (GG-RR-L)

A
  • Gradual reduction in food intake
  • Gradual reduction in portion size
  • Removal of high kcal food
  • Rigid Schedule of eating
  • Low nutrient, bulky foods
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8
Q

AN dietary patterns (2/2) (L-FFF-V)

A
  • Limited choices.
  • Fluid avoidance or overload
  • Fat avoidance
  • Food avoidance avoidance due to “digestion”
  • Vegan/Vegetarian
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9
Q

BN Key characteristics? (BILE-CIAO)

A
  • Body weight fluctuations
  • Inability to express thoughts/feelings
  • Labile food
  • Excessive focus on weight/shape
  • Chaotic relationships
  • Impulsivity
  • Anxiety
  • Obsessiveness
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10
Q

AN Key characteristics? (3E/3S/A)

A
  • Excessive concerns about weight, shape and health
  • Excessive perfectionism
  • Extreme focus on school/job
  • Social withdrawal
  • Social rigidity
  • Self-denial
  • Anxiety
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11
Q

ARFID Key characteristics (FAM)

A
  • Food refusal
  • Anxiety
  • Maladaptive coping strategies
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12
Q

BED Key characteristics? (LONE)

A
  • Long-term weight gain
  • Obsessive thoughts about binging/restricting
  • No weight-loss with abstinence
  • Excessive thoughts about weight and shape
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13
Q

ARFID Diagnosis (1/2)?

A

1) Sub-optimal nutrient and kcal intake, which includes e4 factors
2) Not due to food insecurity or culturally-sanctioned practice
3) Not rooted in AN and BN, patient does not have a distorted perception of weight, body image and shape
4) Exceeds expected behaviour of any associated mental/physical disorders, or no other mental/physical disorder is indicated

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14
Q

ARFID diagnosis (2/2)

A

Sub-optimal nutrient/kcal intake leading to:

  • Significant weight loss
  • Significant nutrient deficiency
  • Reliance on ONS or EN
  • Psychosocial disturbances
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15
Q

What is a Binge?

A

Excessive amount of food, consumed within a discrete amount of time, with a lack of control and sense of shame, occurring >1x/week for >3months

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16
Q

BED Diagnosis? (1/2)

A

1) Binge
2) No compensatory behaviours
3) Includes 3/5 FEEEN factors

17
Q

FEEN factors in BED diagnosis? (2/2)

A
  • Feeling of shame/guilt
  • Eating rapidly
  • Eating alone
  • Eating until uncomfortably full
  • Not feeling physiologically hungry
18
Q

AN Diagnosis?

A

1) Reduced intake resulting in significant weight loss
2) Intense fear of being fat or gaining weight
3) Distorted perception of body shape, image, weight, health and food

19
Q

BN Diagnosis?

A

1) Binge
2) Compensatory behaviours
3) Distorted perception of body shape, image, weight, health and food

20
Q

GFR slotting?

A

1: >90
2: 60-89
3A: 45-59
3B: 30-44
4: 15-29
5: <15

21
Q

Hypercalcuria nutrition intervention?

A
  • Reduce acid load
  • Reduce NaCL and sodium
  • Reduce refined CHO’s
  • Increase dietary fibre
22
Q

Hyperoxaluria nutrition intervention?

A
  • Increase calcium and magnesium intake
  • Reduce high-oxalate foods
  • Discontinue vitamin D supplements
  • Address fat malabsorption
  • Probiotic therapy
23
Q

Hyperuricosuria nutritional intervention?

A
  • Decrease purine load from meats

- Reduce renal acid load

24
Q

Hypernatriuria nutritional intervention?

A

-Decrease NaCl and sodium intake as low as possible

25
Q

Hyperphosphaturia nutritional intervention?

A

-Normalize dietary intake of phosphorous if excessive

26
Q

Hypercitraturia nutritional intervention?

A
  • Reduce potential renal acid load
  • Encourage dietary citric acid
  • Address mg deficiency
27
Q

What are precursors to bicarbonate?

A

Fruits and vegetables, may decrease renal acid load

28
Q

Hypomagnesiuria nutritional intervention?

A

-Encourage mg rich foods, consider supplement

29
Q

Low urine ph?

A
  • Reduce renal acid load
  • Address bicarb wasting
  • Address overweight/obesity/diabetes
30
Q

5 examples of low potassium food

A
  • Apples
  • Celery
  • Mushrooms
  • Carrot
  • Cauliflower
31
Q

What are the Renal requirements?

A

Know it

32
Q

Which lab values are NOT liberalized in dialysis?

A

Calcium and sodium remain the same

33
Q

Stage 1 AKI?

A

1) Sr. Cr 1.5-.1.9 x baseline or >0.3 mg/dl increase

2) <0.5 ml/kg/3hr for 6-12 hrs u/o

34
Q

Stage 2 AKI?

A

1) Sr. Cr 2.0-2.9 x baseline

2) <0.5 ml/kg/3hr for >12 hours

35
Q

Stage 3 AKI Sr. Cr?

A

1)3.0 times baseline
OR
2) Increase in serum creatinine to >/= 4.0 mg/dl
OR
3)Initiation of renal replacement therapy
OR,
3) In patients <18 years, decrease in eGFR to <35

36
Q

Stage 3 AKI u/o?

A

< 0.3 ml/kg3h for 24 hours
OR
anuria for > 12 hours

Clinical Nutrition 3 (30 decks)

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