Miscellaneous Flashcards

1
Q

What nutrients are malabsorbed in cystic fibrosis?

A

fat, fat soluble vitamins, essential FA, protein

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2
Q

What blood glucose is considered cystic fibrosis related diabetes?

A

> 126 mg/dL requires additional testing

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3
Q

Definition of metabolic syndrome

A

abdominal obesity, HTN, hyperlipidemia, glucose intolerance

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4
Q

most common food hypersensitivities

A

milk, eggs, wheat, peanut, soy

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5
Q

Types of food hypersensitivity reactions

A

IgE, non-IgE, cutaneous IgE, cutaneous non IgE, respiratory IgE

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6
Q

Symptoms of IgE reaction in food hypersensitivity

A

itching, throat tightness, nausea, vomiting, diarrhea

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7
Q

Symptoms of non-IgE reaction in food hypersensitivity

A

diarrhea, vomiting, celiac disease, bloody BM

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8
Q

Symptoms of cutaneous IgE reaction in food hypersensitivity

A

hives or flushing

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9
Q

Symptoms of cutaneous non-Ige reaction in food hypersensitivty

A

contact hypersensitivity, contact irritation, chronic dermatitis

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10
Q

Symptoms of respiratory IgE reaction in food hypersensitivity

A

rhinoconjunctivitis, laryngeal edema

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11
Q

What indicates a positive prick skin test in allergy testing?

A

welt >3 mm

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12
Q

What is RAST?

A

Radioallergosorbent test- in vitro assay that checks for serum specific IgE antibodies

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13
Q

How long is the limit for strict elimination diets?

A

6 weeks

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14
Q

Definition of constipation

A

<3 BM per week

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15
Q

Treatment for constipation

A

> 1 yr: 0.5 g/kg inc in fiber
<1 yr: barley cereal or prune/pear juice at 2 mL/kg/d

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16
Q

Definition of glycemic load

A

glycemic index X g CHO present

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17
Q

Definition of glycemic index

A

ranking system of how quickly a certain CHO raises glucose level

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18
Q

4 types of insulin

A

Rapid, short, intermediate, long

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19
Q

Characteristics of rapid insulin

A

15 min, peak at 30-90 min, duration 3-5 hrs

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20
Q

Characteristics of short acting insulin

A

30-60 min, peak 2-4 hrs, duration 5-8 hrs

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21
Q

Characteristics of intermediate acting insulin

A

1-3 hrs, peak 8 hrs, duration 12-16 hrs

22
Q

Characteristics of long acting insulin

A

1-2 hrs, duration 24 hrs, no peak

23
Q

Definition of hyperlipidemia

A

Total cholesterol >200
LDL >110

24
Q

Examples of gluten free starches

A

arrowroot, potato, legume, rice, soy, cornmeal, cornstarch, tapioca

25
Q

When is central access indicated?

A

When TPN >2 weeks

26
Q

When is PPN considered?

A

When TPN <2 weeks

27
Q

Limitations of PPN

A

<900 mOsm/L, 12.5% dextrose

28
Q

What is a PICC?

A

peripherally inserted central catheter can be used for up to 1 month

29
Q

What is D-Xylose used for?

A

checks malabsorption by giving D-xylose and checking for presence in blood

30
Q

What is qualitative fecal fat used for?

A

Monitors for fat malabsorption, pancreatic insufficiency and celiac disease

31
Q

What is qualitative fecal fat test?

A

2 day collection of stool using a 100 g fat test

32
Q

What is a barium swallow study?

A

Visualizes upper GI and small bowel, looks for hiatal hernia, varices and dysmotility

33
Q

What is an EDG?

A

tube threaded through esophagus to duodenum taking biopsies

34
Q

What is an upper GI?

A

Barium study that visualizes upper GI tract through small bowel looking for inflammation and lesions

35
Q

What is a barium enema?

A

Visualizes lower GI including colon/rectum, looking for polyps, colitis, UC, obstruction

36
Q

What does serum bilirubin test for?

A

blood test that measures the excretory function of the liver and can help diagnose hepatitis and cholestasis

37
Q

What does blood ammonia level test for?

A

measures how well the liver is able to break down protein for excretion

38
Q

What is prothrombin time tested for?

A

measures synthetic function of the liver, dependent on vitamin K and other clotting factors

39
Q

What is the behaviorist learning therory?

A

learning is modification of behavior based on conditioning

40
Q

What is the cognitive learning theory?

A

learning is motivated by the need for certain knowledge and not through a change in behavior

41
Q

What is the social cognitive learning theory?

A

An individual will be more likely to modify his/her behavior if they have a role model

42
Q

What is an EAR?

A

meets requirements of 50% of designated group

43
Q

What is RDA?

A

meets requirements of 98% of designated group

44
Q

What is AI?

A

average intake of designated group

45
Q

What is UI?

A

maximum intake not likely to pose health risk

46
Q

What is considered a large residual?

A

1/2 bolus volume or >2 hrs of continuous feed

47
Q

What are short term outcomes?

A

directly related to the process

48
Q

What are long term outcomes?

A

related to general quality of care and patient satisfaction

49
Q

What are 3 types of outcome measures?

A

clinical, customer functioning, customer satisfaction

50
Q

What is a clinical outcome measure?

A

positive results from intervention

51
Q

What is a customer functioning outcome measure?

A

ability to perform