Nutrition DSA Flashcards

1
Q

What are the three components of total energy expenditure?

A

basal energery expenditure

thermal effect of feeding

activity energy expenditure

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2
Q

What is the difference in calorie need b/t sedentary hospitalized pt and acutely ill pt to maintain wt?

A

sedentary - 30-35kcal/kg

ill - 35-40kcal/kg

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3
Q

What waist circumference qualifies as obese?

A

>40” in men

>35” in women

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4
Q

What is the acronym “DETERMINE” used for and what does it stand for?

A

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)

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5
Q

What nutrients are affected by tetracyclines?

A

Ca, Mg, Iron, Vit B12

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6
Q

What nutrients does neomycin affect? kanamycin?

A

both affect fat soluble vitamins, B12

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7
Q

What medications can affect folate?

A

sulfasalazine

phenobarbital, phenytoin

methotrexate

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8
Q

What nutrients can anticonvulsants affect?

A

Ca, vit D, folate, Niacin

(phenobarbital, phenytoin)

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9
Q

What nutrients can hypolipidemics affect?

A

fat and fat soluble vitamins

(cholestryramine, colestipol)

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10
Q

What nutrients can mineral oil affect?

A

water, electrolytes, fat, fat solube vit

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11
Q

What nutrients can Isoniazid affect? Warfarin?

A

a. B6, B3
b. Vit K

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12
Q

What nutrients can diuretics affect?

A

K, Mg, Ca, Zn

(thiazides, furosemide)

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13
Q

What nutrients can lithium affect? amiodarone?

A

iodine

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14
Q

What qualifies as significant unintentional weight loss?

A

5% loss in 6 mo or 10% in a year

%wt change = [(usual wt - current wt)/usual wt] x 100

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15
Q

Rapid weight gain is more likely related to ____1____. Weight loss is more likely related to ____2____.

A
  1. Fluid retention
  2. Tissue loss
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16
Q
A
17
Q

What can the following labs tell you is deficient?

a. CBC
b. TSH
c. Total protein, albumin

A

a. iron, b12, folate
b. iodine
c. protein calorie malnutrition

18
Q

What are the four Hs of scruvy?

A

hemorrhagic signs

hyperkeratosis of the hair follicles

hypochondriasis

hematologic abnormalities

19
Q

What are the three Ds of pellegra?

A

dermatitis

dementia

diarrhea

20
Q

Vitamin A def sign

A

follicular hyperkeratosis

night blindness

xerosis, keratomalacia, bitot spots

21
Q

Proteind def signs

A

dry and scaly, cellophane appearance

interossesous muscle atrophy

poor hand grip/strength

poor leg strength

parotid enlargment

22
Q

Calorie def sign

A

interossesous muscle atrophy

poor hand grip/strength

poor leg strength

23
Q

Vit d def

A

interossesous muscle atrophy

poor hand grip/strength

poor leg strength

24
Q

Zinc def signs

A

flaking dermatitis

25
Q

Niacin def signs

A

pigmentation changes

angular stomatitis

cheilosis

glossitis

26
Q

Riboflavin def sings

A

angular stomatitis

cheilosis

glossitis

bleeding gums

27
Q

Pyridoxine def signs

A

angular stomatitis

cheilosis

28
Q

Vit C def signs

A

petechiae

purpura

bleeding gums

corkscrew hairs

29
Q

Vit k def signs

A

purpura

30
Q

Iron def signs

A

conjunctiva pallor

pallor

spooning (of nails)

31
Q

Vit b12 def signs

A

conjunctiva pallor

pallor

glossitis

32
Q

Folate def signs

A

conjunctiva pallor

pallor

glossitis

33
Q

What def can cause tetany?

A

Ca, Mg

34
Q

What def causes a goiter?

A

iodine