Nutrition Flashcards

1
Q

Loss of _____% over _____ weeks is considered significant.

A

> 5

4

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2
Q

Weight loss below IBW has been linked to what 4 things?

A

weakness, increase risk for infection, decreased immune function, and death

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3
Q

Serum albumin malnutrition level=

A

<3.5 gm/dL over 21 days

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4
Q

Total lymphocyte count malnutrition level=

A

<18000/mm

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5
Q

Prealbumin malnutrtion level=

A

<16gm/dL (3 days)

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6
Q

Hemoglobin and hematocrit malnutrition levels=

A

<12/33

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7
Q

Weigh loss malnutrition level=

A

> 15%

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8
Q

1 gm/dL loss of albumin= _____ increase in chance for pressure ulcer.

A

3x

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9
Q

True or False: prealbumin is better at detecting acute levels of protein.

A

TRUE
half life of 48 hours
Responds quickly to good refeeding
may be elevated in use of corticosteroids or renal disease

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10
Q

_____ reflects prolonged protein depletion.

A

Albumin
half life of 20 days
increase slowly with good refeeding

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11
Q

Protein calorie malnutrition reduces the number of ____.

A

WBC

WBC x %lymphocyte= TLC

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12
Q

What percentage of IBW is considered severe?

What percentage of weight loss is considered severe?

A

IBW 25%

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13
Q

True/False: Obese patients with wound should be put on a calorie restricted diet.

A

False, they need the nutrition for wound healing

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14
Q

What are 4 important components of a wound healing diet?

A

Proteins
Carbs: for energy
Fluid: replace what is lost with exudate, skin integrity and turgor
Vitamins

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15
Q

Calorie needs=
Protein needs=
Fluid need=

A

pt weight in kg x 30
pt weight in kg x 1.5
pt weight in kg x 30

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16
Q

How many grams of vitamin C are needed per day?

A

500

17
Q

How many grams of vitamin A are needed per day?

A

1600-2000 for immunocompromised pt to get macrophage action.

18
Q

How many grams of vitamin E are needed per day?

A

400-800

19
Q

Petechiae are commonly present when a pt is deficient of ______?

A

Vitamin K

20
Q
Ca 
Mg
Iron
Zinc
Copper
Manganese
A
800-1500
320-420
8
60
1-3
5-11
21
Q

An essential amino acid needed for collagen synthesis and increases the number of total lymphocytes is

A

arginine