Nutrition DSA Flashcards
What are the three components of total energy expenditure?
basal energery expenditure
thermal effect of feeding
activity energy expenditure
What is the difference in calorie need b/t sedentary hospitalized pt and acutely ill pt to maintain wt?
sedentary - 30-35kcal/kg
ill - 35-40kcal/kg
What waist circumference qualifies as obese?
>40” in men
>35” in women
What is the acronym “DETERMINE” used for and what does it stand for?
older adult assessment of nutritional status
Disease
Eating poorly
Tooth loss/mouth pain
Economic hardship
Reduced social contact
Multiple medications
Involuntary weight loss
Need for assistance with self care
Elderly years (>80a)
What nutrients are affected by tetracyclines?
Ca, Mg, Iron, Vit B12
What nutrients does neomycin affect? kanamycin?
both affect fat soluble vitamins, B12
What medications can affect folate?
sulfasalazine
phenobarbital, phenytoin
methotrexate
What nutrients can anticonvulsants affect?
Ca, vit D, folate, Niacin
(phenobarbital, phenytoin)
What nutrients can hypolipidemics affect?
fat and fat soluble vitamins
(cholestryramine, colestipol)
What nutrients can mineral oil affect?
water, electrolytes, fat, fat solube vit
What nutrients can Isoniazid affect? Warfarin?
a. B6, B3
b. Vit K
What nutrients can diuretics affect?
K, Mg, Ca, Zn
(thiazides, furosemide)
What nutrients can lithium affect? amiodarone?
iodine
What qualifies as significant unintentional weight loss?
5% loss in 6 mo or 10% in a year
%wt change = [(usual wt - current wt)/usual wt] x 100
Rapid weight gain is more likely related to ____1____. Weight loss is more likely related to ____2____.
- Fluid retention
- Tissue loss
What can the following labs tell you is deficient?
a. CBC
b. TSH
c. Total protein, albumin
a. iron, b12, folate
b. iodine
c. protein calorie malnutrition
What are the four Hs of scruvy?
hemorrhagic signs
hyperkeratosis of the hair follicles
hypochondriasis
hematologic abnormalities
What are the three Ds of pellegra?
dermatitis
dementia
diarrhea
Vitamin A def sign
follicular hyperkeratosis
night blindness
xerosis, keratomalacia, bitot spots
Proteind def signs
dry and scaly, cellophane appearance
interossesous muscle atrophy
poor hand grip/strength
poor leg strength
parotid enlargment
Calorie def sign
interossesous muscle atrophy
poor hand grip/strength
poor leg strength
Vit d def
interossesous muscle atrophy
poor hand grip/strength
poor leg strength
Zinc def signs
flaking dermatitis
Niacin def signs
pigmentation changes
angular stomatitis
cheilosis
glossitis
Riboflavin def sings
angular stomatitis
cheilosis
glossitis
bleeding gums
Pyridoxine def signs
angular stomatitis
cheilosis
Vit C def signs
petechiae
purpura
bleeding gums
corkscrew hairs
Vit k def signs
purpura
Iron def signs
conjunctiva pallor
pallor
spooning (of nails)
Vit b12 def signs
conjunctiva pallor
pallor
glossitis
Folate def signs
conjunctiva pallor
pallor
glossitis
What def can cause tetany?
Ca, Mg
What def causes a goiter?
iodine
