Nutrition Disorders Flashcards
vit A deficiency
manifestation
night blindness
vit C deficiency
manifestations
bleeding gums
vit D deficiency
manifestations
- rib deformity
- bowed legs
- bone + joint repair
vit B deficiency
manifestations
- decr deep tendon reflex
- dermatitis
protein deficiency
manifestations
edema
carb deficiency
manifestations
- emaciation
- decr energy
- retarded growth + dvlpt
iron deficiency
manifestations
- lethargy
- slowed growth + dvlpt
- progression
- pallor
Celiac Disease
chronic malabsorption syndrome
Celiac Disease
manifestations
greasy, foul smell, frothy, excessive stools -classic signs: >>chronic diarrhea >>growth impartmt >>ab distention
Celiac Disease has malabsorption of…
- protein
- carb
- Fe
- folate
- vit ADEK
- vit B12
celiac disease appears when gluten is introduced…
6-24 MO
Celiac Disease
diagnosis
- measure fecal fat content
- improvement w removal of gluten
Celiac Disease
treatment
total exclusion of gluten
Anorexia Nervosa
etiology
3% of adolescents
- 3x more in women
- white, mid to upper mid class
- controlling, perfectionist parents
Anorexia Nervosa is often preceded by..
significant life stress or change
Anorexia Nervosa
symptoms
- extreme wt loss
- compulsive exercise
- distort body image
- fear of becoming fat
- depression
- feel isolation
- suicidal ideation
- OCD
- anxiety
- hx of abuse
Anorexia Nervosa
physical signs
- cold intolerance
- irregular menses
- fluid + electrolyte imbalance
- bradycardia
- hypothalamic suppression (gynecologic function)
Anorexia Nervosa
diagnosis
DSM-V criteria: >intense fear of wt gain >bodyimage disturbance >restricting/binging type >restrictn of intake
goal wt gain for Anorexia Nervosa
hospitalized: 2-3lb/wk
outpatient: 0.5-1lb/wk
Bulimia Nervosa
binge eating followed by purging
purging may be induced by…
- self induced vomiting
- laxatives
- diuretics
Bulimia Nervosa
manifestations
- erosion of tooth enamel
- vomiting induced calluses on back of hand
Bulimia Nervosa
etiology
mid to late adolescence
1% of popltn, 3x more in women
purging is often ____ at the time, but immediately followed by ______
pleasurable;
guilt, shame, anger, + fear
Bulimia Nervosa
therapy
food diary
cognitive behavior therapy
2 types Food Reactions
Foor intolerance
Food allergy
Food Intolerance
>Not IgE mediated >indigestion >flatulence >sweating >rhinitis
Food allergy
> IgE mediated
rapid onset
swellingof lips, mouth, uvula
anaphylaxis
Enteral Therapy
indications
- weak throat + mouth
- neoplasm
- immune dysfunction
- acute states of recovery
types of enteral therapy routes
- nasogastric tube
- gastric tube
- jejunal tube
Total Parenteral Nutrition
IntraVenous nutritional support
Total Parenteral Nutrition requires…
central venous catheter
Total Parenteral Nutrition
indications
- congenital malformation of GI tract
- brain injury
- severe burns
- bone marrow transplant
- sepsis
