Nutrition Flashcards

1
Q

What is nutrition?

A

“the science of food, the nutrients and the substances therein, their action, interaction, and balance in relation to health and disease, and the process by which the organism ingests, absorbs, transport, utilizes, and excretes food substances” The Council on Food and Nutrition of the American Medical Association

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2
Q

What are essential nutrients?

A

Essential Nutrients are either not synthesized in the body naturally or are made in insufficient amounts.- these must be provided in the diet or through the use of supplements

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3
Q

Essential nutrients must: (3)

A

Have at least one specific biological function of the nutrient in the body must be identified.
Omission of the nutrient from the diet must lead to a decline in certain biological functions, such as production of blood cells.
Replacing the omitted nutrient in the diet before permanent damage occurs, will restore those normal biological functions

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4
Q

The six classes of nutrients, and what they do

A

Nutrients that supply energy
Carbohydrates
Lipids
Proteins

Nutrients that regulate body processes
Vitamins
Minerals
Water

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5
Q

Poor diet and sedentary lifestyle are risk factors for:

A
chronic diseases:
Disease of the heart (29% of all deaths)
Cancer (22%)
Cerebrovascular disease (~7%)
Diabetes (3%)
Accounts for ~2/3 of all deaths
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6
Q

Describe carbohydrates

A

Sugars and starches
Organic compounds composed of carbon, hydrogen, and oxygen
Most abundant and least expensive source of calories in the world
Classified as simple or complex sugars
Energy yielding (~4 kcal /gm)
90% of carbohydrate intake is ingested
Converted to glucose for transport through the blood
50 to 100 g of carbohydrates are needed daily to prevent ketosis

USDA and DHHS recommend 45-65% of total calories come from complex carbohydrates.

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7
Q

Describe proteins

A

Composed of carbon, hydrogen, oxygen, nitrogen
Structural material
Required for the formation of all body structures
Labeled complete (high quality) or incomplete (low quality), based on amino acid composition
Animal proteins are complete; plant proteins are incomplete
Needed for tissue growth
Added needs during illness

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8
Q

T or F:

Red meat is an incomplete protein.

A

False. It is a complete protein.

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9
Q

Describe lipids

A
Insoluble in water and blood
Composed of carbon, hydrogen, and oxygen
95% of lipids in diet are triglycerides
Contain mixtures of saturated 
 (raise cholesterol levels) and 
 unsaturated (lower cholesterol levels) 
 fatty acids
-Most animal fats are saturated
-Most vegetable fats are unsaturated
Digestion occurs largely in the small intestine
Most concentrated source of energy in the diet
RDA not established, should be no more than 20% to 35% total calorie intake
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10
Q

describe trans fats/ Hydrogenation of fatty acids

A

A partially hydrogenated oil

Makes oil solid

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11
Q

Describe vitamins

A

Composed of various elements and are needed by the body in small amounts. Enable chemical reactions

Fat soluble
Water soluble

Yield no energy

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12
Q

Fat soluble vitamins

A

A D E K

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13
Q

Water soluble vitamins

A

C some B

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14
Q

Describe minerals

A

Inorganic substances
Function in cellular processes, nervous system, water balance, structural systems
During cooking / soaking can cause a loss of minerals
Trace minerals
Major minerals
Electrolytes
Yield no energy

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15
Q

Describe Water

A

Accounts for between 50% and 60% of adult’s total weight
Two-thirds of body water is contained within the cells (ICF)
Remainder of body water is ECF, body fluids (plasma, interstitial fluid)
Provides fluid medium necessary for all chemical reactions in body
Acts as a solvent and aids digestion, absorption, circulation, and excretion

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16
Q

Describe phytocemicals

A

A chemical found in plants

Not considered essential nutrients
Provide significant health benefits
Found in fruits and vegetables

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17
Q

The food guide pyramid

A

Translates science into practical terms
Helps people meet nutritional needs
For carbohydrate, protein, fat, vitamins, & minerals
Suggests a pattern of food choices
Incorporates foundations of healthy diet:
Variety, balance, moderation

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18
Q

Using the pyramid

A
Choose low-fat/non-fat options
Include plant proteins several times a week
Include dark green vegetable every day
Include vitamin C-rich food every day
Choose whole-grain products
Include plant oils daily
Eat fish at least twice a week
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19
Q

Factors affecting BMR

A

Males have a higher BMR due to larger muscle mass
BMR is about 1 cal/kg of body weight per hour for men
BMR is about 0.9 cal/kg of body weight per hour for women

Factors that increase BMR
Growth, infections, fever, emotional tension, extreme environmental temperatures, elevated levels of certain hormones

Factors that decrease BMR
Aging, prolonged fasting, and sleep

Age, sleep, infections, fasting, trauma, burns

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20
Q

On the average- (after age 20) BMR decreases ___ per decade…

A

2%

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21
Q

Factors affecting food habits

A

Physiologic and physical factors
Stage of development, state of health, medications

Physical, sociocultural, and psychosocial factors influencing food choices
Economics, culture, religion, tradition, education, politics, social status, food ideology

22
Q

Developmental considerations

A

growth, activity, age-related changes, nutritional needs

23
Q

Growth

A

infancy, adolescence, pregnancy, and lactation increase nutritional needs

24
Q

Activity

A

increase nutritional needs

25
Q

Age related changes

A

in metabolism and body composition

26
Q

nutritional needs

A

level off in adulthood

Fewer calories required in adulthood because of decrease in BMR

27
Q

Risk factors for poor nutritional status

A
Developmental factors
Gender
State of health
Alcohol abuse
Medications
Megadoses of nutrient supplements
28
Q

Components of nutritional assessment

A
History taking
Dietary, medical, socioeconomic data
Physical assessments
Anthropometric and clinical data
Laboratory data 
Protein status, body vitamin, mineral, and trace element status
29
Q

What would you look for in lab data specifically?

A

albumin: low-poor nutrition
Prealbumin: more reliable than albumin looks at short term changes faster

30
Q

BMI

A
Underweight = BMI < 18.5
Healthy weight = BMI 18.5-24.9
Overweight = BMI 25-29.9
Obese = BMI 30-39.9
Severely obese = BMI >40
*A high BMI may not reflect overweight or fatness. Extra muscle tissue can result in a BMI greater than 25.
31
Q

Describe types of Dietary data

A

24-hour recall method
Food diaries/calorie counts
Food frequency record
Diet history

32
Q

Factors to Assess for Nutritional Status

A
Usual dietary intake
Food allergies or intolerance
Food preparation and storage
Dietary practices
Eating disorder patterns
33
Q

T or F: According to the MyPyramid Food Guide, the average person should consume 2½ cups of vegetables daily.

A

True

According to the MyPyramid Food Guide, the average person should consume 2½ cups of vegetables daily.

34
Q

Dietary nursing interventions

A

Screening patients at home for nutritional risk
Observing intake and appetite
Evaluating the patient’s tolerance
Assisting the patient with eating
Administering enteral and parenteral feedings
Consulting with the dietitian and physician
Addressing potential for drug–nutrient reactions
Obtaining more food or snacks for the patient if appropriate
Monitoring food brought in by visitors
Participating in nutrition education efforts

35
Q

Enteral

A

GI tract

36
Q

Parenteral

A

Usually IV

37
Q

Monitoring nutritional status

A

Stimulating the appetite
Assisting with eating
Providing nutrition in special situations

38
Q

Describe Liquid diets

A

Clear- foods that are clear at room temperature (water, tea, broth, clear juices, gelatin)

39
Q

Describe full liquids diet

A

contain additional items such as milk drinks, pasteurized eggs, vegetable juices…
*Commonly used with patients with dysphagia

40
Q

Describe soft diets

A

(AKA bland/low fiber) low in fiber- lightly seasoned

41
Q

Descrive mechanical soft diet

A

diet that this modified texture and allows minimal chewing before swallowing

42
Q

Describe vegan diets

A

range from avoidance of red meat to complete elimination of animal products.

43
Q

NPO

A

Nothing by mouth

44
Q

Describe enteral nutrition

A

(tube feeding) less than 4 week duration -Levine, Salem Sump, Dobhoff (stylet)

45
Q

Describe Peg

A

(Percutaneous endoscopic gastrostomy), Low profile Pegs

46
Q

Describe parental nutrition

A

nutrition support via IV route. Can be given through a

  • CVC or TPN
  • Peripherally –PPN through a short term IV access device (less concentrated).
47
Q

PICC

A

Peripherally interted centeral catheter
Length ranges from 40 to 65 cm
Chest x-ray to determine placement (tip rests in the SVC)

48
Q

Complications of TPN

A
Insertion problems
Infection and sepsis
Metabolic alterations (hyperglycemia)
Fluid, electrolyte, and acid–base imbalances
Phlebitis
Hyperlipidemia
49
Q

PICC

A

Peripherally inserted central catheter
Length ranges from 40 to 65 cm
Chest x-ray to determine placement (tip rests in the SVC)

50
Q

CVC

A

central venous catheter