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? antibiotics?
a. Ca, Mg, Iron, Vit B12
b. none
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