Nutrition Assessment Flashcards
Nutrition Screening uses ABCDEI
A-Anthropometrics, B-Biochemical Data, C-Clinical s/s, D- Diet recall, E- Etiology, I- Intervention
BMI should not be used for this population
children
Casals Neck
pellagra (niacin) 3Ds Dermatitis, Diarrhea, Dementia
Keyser-Fleicher rings in eyes
Inc Copper or Wilsons Disease
Xeropthalmia
Vit A deficiency
Vit D Deficiency
osteopenia, osteoporosis
Vit A deficiency
night blindness, dec immune fx
Thiamin deficiency
Wernickes enceph, poly neuropathy
2 types Beriberi
dry: neuro paresthesis lower extremities, wet: cardiac failure, dyspnea, hepatomegaly, tachy, oliguria
Folate Deficiency
megaloblastic/macrocytic anemia, GI (diarrhea), sore smooth tongue, wt loss
Non-specific nutrition markers
hand grip, lung fx, skin antigen test, ADLs, Karnofsky performance stairs scale
SGA
Sub global assessment
MNA
Mini nutr assessment= easy, validated in elderly
What is measures in SGA
nutr/med hx, physical exam, (A,B,C) renal fx (1-7), onc is pt generated. Final score A-well nourished,B-mod malnutr,C-malnutr
Long term assessment vits
Fat soluble with malabsorptive dz, Fe supp with PN, check for high manganese with PN