MNT-Burns, Bones, Genes, Malnutrition & Fx Foods Flashcards
-Fluids and electrolytes replace within 24 hrs
-Dont overfeed
Recovery: Increase cals & 2 g/kg protein
-Antibiotics, Vit K, C, Vits, Zinc
Burn MNT
physical injuries that need immediate atttention
ex: blunt force, car accidents, etc
Trauma
-More calories and protein to rebuild damaged cells
due to: hyerglycemia/hyperinsulinemia, protein breakdown
Trauma MNT
-localized injuries to skin or tissue due to unrelieved pressure
pressure injury
30-40 kcals/kg
Protein 1.5-2 gm/kg
Supp: A, C, zinc, copper, calcium
Pressure injruies
-no chromosone 15
-higher ghrelin increases appetite, never feel full
-sxs: wight gain, no muscle tone, shortness, failure to thrive
MNT: well-balanced, low cal meal planning often recommended
Prader-Willi syndrome
Ammonia doesn’t conver to urea causing buildup
sxs: siezures, tired, vomit, anorexia, coma
MNT: 1-2g/kg protein
Urea Cycle Defects
glucose 6-phosphate deficiency—> hypoglycemia
MNT: exogenious glucose, high carb, low fat, raw cornstarch
Glycogen Storage Disease
-can’t convert tyrosine (shortage of neurotransmitters)
-effects brain development & function
-Gunthrie test
PKU
-thyrosine and low phenylalanine foods
-low protein, high carb
-avoid aspartame
PKU MNT
-lack enzyme breaks down branch chain amino acids causes BCAA buildup
-sxs: failure to thrive, vomit, seizures, maple syrup odor of sweat and urine
Maple Syrup Urine Disease
low protein
milk in small doses
avoid DEMon (dairy, eggs, meat or nuts)
Maple syrup urine disease MNT
-long term inflammatory lung disease/obstructed airflow
assoc: emphysema
sxs: weight loss/anorexia
MNT: small, consistent meals, high protein (1-1.5 g/kg), vit D
COPD
compounds in organ meats, alcohol, anchiovies, sardines, high fructose corn syrup
Purines
excess uric acid–> urate crystal deposits
sxs: inflammation, pain, swelling, redness
MNT: avoid purine foods, med protein/fat, high vluids
Gout
