Nutrition Flashcards

1
Q

signs of inadequate nutrition: General signs

A
  • tired
  • listless
  • low energy
  • impaired coordination
  • decreased cognition
  • tremors
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2
Q

signs of inadequate nutrition: weight

A

low or high weight

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3
Q

signs of inadequate nutrition: skin

A
  • dry
  • scaly
  • flaky
  • bruised
  • pale and/or abnormal pigmentation
  • petechiae
  • poor wound healing
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4
Q

petechiae

A

a small red or purple spot caused by bleeding into the skin.

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5
Q

signs of inadequate nutrition: nails

A

brittle, pale

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6
Q

signs of inadequate nutrition: hair

A

dull, dry, brittle

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7
Q

signs of inadequate nutrition: eyes

A
  • sunken
  • pale
  • red conjuntiva
  • dryness
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8
Q

signs of inadequate nutrition: lips

A
  • swollen
  • red
  • cracked
  • vertical fissures
  • pale
  • dry
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9
Q

signs of inadequate nutrition: tongue

A
  • swollen
  • beefy red
  • increased or decreased size
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10
Q

signs of inadequate nutrition: gums

A
  • swollen
  • bleed easily
  • spongy
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11
Q

signs of inadequate nutrition: GI

A
  • anorexia
  • diarrhea
  • indigestion
  • constipation
  • enlarged liver
  • ascites
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12
Q

ascites

A

the accumulation of fluid in the peritoneal cavity, causing abdominal swelling.

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13
Q

signs of inadequate nutrition: Muscles

A
  • flaccid
  • wasted
  • underdeveloped
  • weak
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14
Q

signs of inadequate nutrition: nervous system

A
  • sensory loss
  • mental confusion
  • irritability
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15
Q

signs of inadequate nutrition: immune system

A
  • always sick
  • stays sick longer than most
  • illnessess more severe than most
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16
Q

Carbohydrate

A

major source of energy

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17
Q

Lipids

A
  • source of energy
  • essential for absorbing some fat-soluble vitamins
  • aids in blood clotting, inflammatory, and immune response
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18
Q

Proteins

A
  • amino acids are the building blocks of proteins and are necessary for tissue growth and repair
  • only nutrient that can make new cells and repair damaged tissue
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19
Q

Vitamins

A

regulate body functioning

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20
Q

Fat-Soluble Vitamins

A
  • A
  • D
  • E
  • K
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21
Q

Water Soluble Vitamins

A
  • B complex
  • C
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22
Q

Vitamin A

A

eye functioning

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23
Q

Vitamin D

A

calcium absorption and transport

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24
Q

Vitamin E

A

antioxidant, reduces the formation of dangerous radicals

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25
Vitamin K
coagulation cascade
26
Vitamin B complex
cellular functioning
27
Vitamin C
tissue healing
28
Minerals
* bone and teeth formation * nerve and muscle function * fluid and electrolyte balance
29
Examples of minerals
* Calcium * Phosphorus * Iron * Zinc * Iodine * Magnesium * Sodium * Potassium
30
Electrolyte imbalances could be...
life threatening
31
ChooseMyPlate.gov
* outlines suggested food intake by food groups * provides valuable information to individuals and family regarding the five food groups that help a healthy diet
32
5 food groups recognized by ChooseMyPlate.gov
1. fruits 2. veges 3. grains 4. protein 5. dairy
33
Normal BMI
18.5 - 24.9
34
Underweight BMI
\< 18.5
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Overweight BMI
25 - 29.9
36
Obese BMI
\> 30
37
Nutritional Assessment
* general assessment of patient's presentation * nutritional interview * recent weight gain or loss * mobility status * psychological stress * height and weight for BMI calculation
38
Factors affecting nutrition
* age * socioeconomic status * education * stress * culture * comorbidities * dentition
39
Nutrition in the elderly
* hunger sensation decreased * worsened absorption
40
Nutrition for babies
dependent on parents
41
Infants nutritional considerations
* nutritional intake affected by mother's nutrtional status when breastmilk is the primary source of nutrition * Greatly influenced by the caregiver's understanding of nutrition * Solid foods usually introduced between 4-6 months
42
Toddlers nutritional considerations
cut into small chunks smaller than toddler's airways to reduce choking risk
43
School aged children nutritional considerations
* require 2400 calories * over 20% are obese * primary source of nutrition from school lunches
44
Adolescents nutritional considerations
1800-3200 calories depending on activity level
45
Adults nutritional considerations
* early adulthood habits become patterns into adult life * 2000 calorie recommend for active adult * 2-3 liters of fluid intake recommended * sedentary lifestyle contributes to the development of multiple diseases
46
Older adults nutritional considerations
* dentition and swalling often impaired * sense of thirst, taste, and smell decreased * meds affect taste * may not be allowed to eat certain things * constipationdue to peristalsis * lower caloric needs
47
Cultural impacts on nutrition
* impact food choices * based on location, tradition, religion, food availability in the culture of origin * impacts food prep and consumption
48
Regular diet
* balanced * approx. 2000 calories * no restrictions on salt, caffeine, fluid intake, sugar, or any electrolytes
49
Cardiac diet
* low fat * low sodium * no caffeine * no canned food, highly processed foods, caffeinated drinks * low cholesterol foods * baked rather than fried * fresh, unsalted veges * brown rice * broth soups vs. creams * decaf * egg whites rather than whole * turkey instead of pork * wheat vs. white * herb packet vs. salt
50
Carb consistent diet
* aka "diabetic diet" * carbs given in smaller portions and spread throughout the day * sugar substitute used when cooking * diet drinks allowed
51
Renal diet
Kidneys can't filter off electrolyte and protein * low sodium * low potassium * low phosphorus * low protein * avoid high potassium foods * avoid high phosphorus foods
52
Foods high in potassium
* avocados * bananas * melons * oranges * plantains * potatoes * bran * beans * prunes * raisins * artichokes * kale * spinach * tomatoes * granola * brown, wild rice
53
Foods high in phosphorus
* whole grain breads * dark sodas * bran cereals/oatmeals * nuts and sunflower seeds
54
Mechanical diet
* foods are softer and easier to chew for those without teeth * meats and vegetables are moist and often extra gravy and sauces are added to ease in swallowing * shepherd's pie * beans * mashed potatoes * mac and cheese * casseroles * very cooked veges * scrambled eggs * grits * oatmeal
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Puree diet
* all foods are pureed for those that have difficulty swallowing or have aspiration precautions * no bread or fresh fruits * canned fruits * cottage cheese * mashed potatoes and gravy * ground meats * veges
56
Low Residue Diet
* bowel conditions it is important to restrict fiber * recommended: * cooked vegetables, * potatoes without skin, * starches made from refinded flours (saltines, white bread, white pasta) * mildly flavored meats and cheeses * avoid: * uncooked vegetables * juices with pulp * prunes * whole grains or pasta * bran cereal or oatmeal * raisins * nuts and seeds * chunky peanut butter * hotdogs * strongly flavored meats and cheeses
57
Full Liquid Diet
* Recovering from surgery or bowel impairment * Foods are liquid at room temperature or melt at body temperature * milk, cream soups, custards, or pudding * strained cereals, ice cream, sherbert juices
58
Clear liquid diet
* first food to be given after surgery * recovering from bowel impairment, surgery, or nausea/vomiting * all liquids that you can see through * gelatin without additives, cola, tea, broth, cranberry or apple juice, popsicles that melt into clear liquids
59
Low Sodium Diet
* high BP patients * Edema patients * High Sodium patients * 670mg to 2gm sodium in diet * need at least 500mg sodium in diet to maintain electrolyte balance Recommend: * fresh or frozen fruits and vegetables * uncured meats Avoid: * cured or processed meats or cheeses * breaded foods * canned foods * processed or instant foods
60
1500mL Fluid Restriction
* Patients with fluid volume excess * S/S: * edema * SOB * crackles * rhonchi * JVD * No jug of water at bedside * Educate patient and family on fluid restriction * Be cautious of IV fluids * Encourage ice chips instead of sips of water
61
Free Water Fluid Restriction
* Patients with low sodium * Trying not to further dilute sodium level with water * No plain water or even water baseds with non-sodium solutes added (crystal light, cool aid, tea, coffee) * Encourage patient to drink: * tomato juice * milk * soda * broths * sports drinks
62
How to promote nutrition for NPO patients
1. IV nutrition 2. Liquid feeds
63
IV Nutrition
TPN - "hyperalimentation"
64
Liquid feeds
* NGT * Dobhoff tube * G-tube or J-tube
65
TPN
Total Parenteral Nutrition * IV nutrition high in glucose, vitamins, minerals, protein, and lipids * used when the bowel needs to rest or when nutrients cannot be absorbed throug the bowel * requires frequent blood glucose monitoring...even for non-diabetics, usually q 4-6 hrs
66
NGT
Nasogastric Tube * inserted through the nose and down into the stomach * secured at the nose * patient can be awake for procedure * can be used to EMPTY stomach or MEDS and FEEDs into the stomach * temporary solution
67
Dobhoff Tube
small bore NGT * also inserted through the nose, but it is advanced post pyloric * can be left in place for up to 6 wks * only used for administering feeds and medication * NOT FOR EMPTYING STOMACH
68
G-tube or J-tube
* inserted through the abdominal wall with surgical instrumentation and sits in the stomach or jejunum (or both) * procedure guided with fluoroscopy and performed by a doctor * used when long term feeding is needed * patients can resume normal lives and conceal their feeding tube under clothes
69
Signs of dehydration
* dry skin with poor turgor * dry lips and mucous membranes * low urine output or dark, concentrated urine * hypotension * tachycardia * for infants: no tears, sunken eyes, depressed fontanel
70
Fontanel
soft spot
71
Signs of fluid excess
* edema * lung congestion * HTN * tachycardia * tachypnea * JVD
72