Nutrition Flashcards
Carbohydrates
Macronutrients
Convert to glucose
For energy
Plants and lactose
Protein
Macronutrients
Convert to amino acids
Function: cellular structure, tissue maintenance and growth, antibody formation, immunity
Sources: animal=complete plant=incomplete
Fat
Macronutrients
Covert to fatty acids
Function: energy, structure, isolation, temperature control, absorption of fat soluble vitamins
Source: animas fats, vegetable fats, oils and nuts
Water soluble vitamins
Micronutrients
B vitamins
Vitamin C
Fat soluble vitamins
Stored in body adipose tissue or liver Vitamin A Vitamin D Victim E Vitamin K
Minerals
Provide structure and regulate body functions
Water
Acts as solvent AIDS in digestion Regulates body temperature Produced though carbohydrates, fat, protein metabolism Requires 2000-3000 ml/day
Calcium helps with
Macro-mineral
Bone and tooth formation, blood Clotting, nerve transmission, muscle contraction
8.6-10.3
Phosphorus helps with
Macro minerals
Bone and tooth formation, Acid base balance, energy metabolism
Magnesium help with
Macromineral
Bone in tooth formation, proteins synthesis, carbohydrate metabolism
1.3-2.1 mEq
Sodium helps with
Macromineral
Major ion extracellular fluid, fluid balance, acid base balance
136-145
Potass(i)um helps with
Macromineral
Major ion of intracellular fluid, fluid balance, acid base balance
3.5-5
Chloride helps with
Macromineral
Component of HCl in stomach, fluid balance, acid base balance
98-106
Sulfur helps with
Macromineral
Promotes certain enzyme reactions and detoxification reaction
Lab data
Hemoglobin and hematocrit reflect status of iron
Prealbumin and albumin measures protein
BUN reflects protein intake
Vitamin A
vision, skin and mucous membranes maintenance, immunity ( liver, carrots, egg yolks, fortified milk)
Vitamin D
calcium and phosphorus metabolism, calcium absorption ( sunlight)
Vitamin E
antioxidant, vitamin A protection, hemoglobin synthesis ( vegetable oils, whole grains)
Vitamin K
blood clotting ( green leafy vegetables, gut flora)
Vitamins B
nutrient metabolism, RNA/DNA synthesis, hemoglobin and RBC formation
Vitamin C
Collagen formation, antioxidants, iron absorption
Recommended dietary allowance for carbohydrates
50-100g to prevent ketosis
Types of carbohydrates
- simple sugars and starch
- cellulose and water insoluble fiber
- water soluble fiber
Water insoluble fiber
Absorbs water, adds fecal bull, decrease transit time in intestine
Water soluble fiber
Delay gastric emptying, lower serum cholesterol, delay glucose absorption
RDA for protein
0.8 g / kg of desired body weight
Too much can cause kidney injury
Saturated fats vs unsaturated fats
Saturated fats tend to be solid at room temperature and from animal sources, while unsaturated fats are usually liquid and from plant sources
Trans fats
Partially hydrogenated liquid oils and raise cholesterol levels
Cholesterol
Fat like substance found in animal products and made by the body
Necessary for brain, nerve cell functions, steroid hormone and vitamin D production
Calcium sourced
Milk / dairy products
Canned fish
Greens
Phosphorus source
Milk/ milk products
Soft drinks
Processed foods
MaGNesium source
Green leafy vegetables
Nuts
Beans
Grains
Sodium source
Salt
Processed foods
Calcium s/s
Deficiency= osteoporosis Excess= renal calculi
PhospHorus s/s
Deficiency = anorexia, muscle weakness Excess = CNS depression, coma, hypotension
MagnEsium s/s
Deficiency = weakness, muscle pain, poor heart functions Excess = CNS depression, coma, hypotension
Sodium s/s
Deficiency = muscle cramps, cold clammy hands Excess= edema, weight gain, higher blood pressure
Potassium source
Whole grains
Fruits
Leafy vegetables
Potassium s/s
Deficiency = muscle cramps an weakness, irregular heartbeat Excess= irritability, anxiety, cardiac arrhythmia
Chloride source
Salt
Chloride s/s
Deficiency= muscle spasms, alkalosis, depressed respiratory Excess= acidosis
Sulfur source
Meat Eggs Milk Dried peas Beans Nuts
Basal metabolic rate (BMR)
number of calories required to keep your body functioning at rest.
BMI
Weight (kg)/ height (cm)
Waist circumference
Help determine % of body fat
Dysphagia
Difficulty or inability to swallow
Anthropometric data
Determine body dimensions- fat and protein storage
Decreased H&H
Anemia
Hematocrit increase
Dehydration
BUN increase
Starvation, increased protein intake, dehydration
BUN decreased
Malnutrition, over hydration
Creatinine increase
Dehydration
Creatinine decreased
Reduced muscle mass, malnutrition
Liquid diets
Jello Broth popsicles Clear juice Soda Decaf coffee Tea
Full liquids
Can be poured at room temp Milk Puddings Custard Yogurt
Soft diets
Regular diets that exclude foods that are harder to chew or digest
Feeding with dysphagia
HOB elevate 90 degrees Mouth care before meals Eliminate distractions Alteration solids and liquids Inspect oral cavity for pocketing
Parenteral nutrition
Patient with nonfunctional GI tracks greater than 10 days
Do not add other fluids
Monitored blood sugar levels
TPN
Through central venous access device
More nutrient dense
PPN
Through peripheral IV
Short term
Enteral nutrition responsibilities
Verify placement Check residual q4-6h HOB 30 degree with continuous and 1 h after intermittent Change/clean tube every 24h Perform oral care q4h Assess skin around tube