Nutrition Final Flashcards
What are some HIGH RESIDUE foods?
- whole grain breads and cereals
- raw fruits and vegetables
When should you AVOID HIGH RESIDUE foods?
with a LOW FIBER diet
What type of foods should you AVOID with ANOREXIA?
HIGH FAT and HIGH SODIUM
With ANOREXIA, what should you HOLD 30 minutes before meals?
beverages
What should be INCREASED with ANOREXIA?
PROTEIN and CALORIES
- liquid supplements in between meals
What are EARLY manifestations of dumping syndrome?
10-20 minutes after eating
- faintness
- syncope
- diaphoresis
- tachycardia
- hypotension
- flushing
What are LATE manifestations of dumping syndrome?
1-3 hours after eating
- diaphoresis
- weakness
- tremors
- anxiety
- nausea
- hunger
What foods should you avoid with DUMPING SYNDROME?
- concentrated sugars and lactose
With GERD, how long should you wait after eating to lay down?
3 hours
What should you INCREASE with an ILEOSTOMY?
- fluids
- soluble fiber
- calories
- protein
What should be INCREASED with IBD?
- protein
- calories
Should PROTEIN be increased or decreased with liver problems?
increased
Should you drink fluids with meals when experiencing nausea?
NO
What is the sole source of nutrition for the first 6 months of life?
breast milk or formula
When is supplemental iron needed in babies?
after 4 months
How many minutes should a newborn nurse on each breast?
15 minutes
How long can breast milk be stored in the refrigerator? In the freezer?
R: 24 hours
F: 3 months
What are appropriate finger foods for an infant?
- ripe bananas
- toast strips
- graham crackers
- cheese cubes
- noodles
- peeled apples/pears/peaches
What are the manifestations of malnutrition?
- hair loss
- pitting edema
- wasted appearance
How much FIBER should be eaten in a day for men and women?
W: 25 g
M: 38 g
What fruits/vegetables are HIGH in VITAMIN C?
- oranges/lemons (citrus)
- tomatoes
- peppers
- green leafy veggies
- strawberries
What are NIACIN RICH foods?
- meats
- legumes
- milk
- whole grain/enriched bread and cereals
What foods are HIGH in VITAMIN B6?
- meats
- grains
- legumes
What foods are HIGH in FOLATE?
- liver
- dark green leafy veggies
- orange juice
- legumes
What foods are HIGH in VITAMIN B12?
- meat
- shellfish
- eggs
- dairy
What foods are HIGH in VITAMIN A?
- fatty fish
- egg yolks
- butter
- crema
- dark yellow/orange fruits and veggies (carrots, yams, apricots, squash, cantaloupe)
What foods are HIGH in VITAMIN D?
- fatty fish
- eggs
- ready to eat cereals
- milk
- orange juice
What foods are HIGH in VITAMIN E?
- vegetable oils
- nuts
What foods are HIGH in VITAMIN K?
- carrots
- eggs
- dark green veggies
What foods are HIGH in POTASSIUM?
- oranges
- dried fruit
- tomatoes
- avocados
- dried peas
- meat
- broccoli
- bananas
- dairy
- whole grains
- potatoes
What foods are HIGH in CALCIUM?
- dairy
- broccoli
- kale
- fortified grains
What foods are HIGH in MAGNESIUM?
- green leafy vegetables
- nuts
- whole grains
- tuna
- halibut
- chocolate
What foods are HIGH in PHOSPHORUS?
- peanut butter
- dried beans/peas
- bran
- cola
- chocolate
- beer
- grains
What vitamin increased the absorption of iron?
Vitamin C
What vitamins should be INCREASED with AMD?
- antioxidants
- carotene
- Vitamins E and B12
For enteral nutrition, what should you consider doing if the patient is experiencing diarrhea?
- decrease flow rate or total volume
- administer at room temperature
How should you unclog tubing for enteral nutrition?
- gentle pressure
- 30-50 ml warm water
- 60 ml piston syringe
What should you increase with COPD?
calories
What is the normal TOTAL CHOLESTEROL?
<200
What is the normal LDL level?
<130
What is the normal HDL level?
F: >55
M: >45
What is the normal TRIGLYCERIDE level?
M: 40-160
F: 35-135
What is the normal PREALBUMIN level?
15-36
If a patient has a metallic taste in their mouth when eating, what should be recommended?
- tart foods
- plastic utensils
- mints, candy, gum
What percentage of daily caloric intake should carbohydrates be with DM?
45-65%
How many mg/day should sodium be limited to with DM?
2300
How to meet carbohydrate needs with DM?
soft foods 6-8 times/day
- custard
- cream soup
- gelatin
- graham crackers
How are EN continuous infusions administered?
at a continuous rate over 24 hours
How often should residuals be measured with EN?
every 4-6 hours
How often should feeding tubes be flushed and with what?
every 4 hours with at least 30 ml of water
What amount of residual constitutes withholding a feeding?
250 ml on 2 consecutive measurements
How are EN cyclic feedings administered?
over 8-20 hours, often during sleeping hours
How are EN intermittent feedings administered?
- every 4-6 hours
- 250-400 ml
- over 30-60 mins
How are EN bolus feedings administered?
- 250-400 ml (max 700)
- large syringe attached to feeding tube
over short period of time (5-30 mins) - 4-6 times daily
How/when should you verify tube placement for feedings?
- before feedings
- radiography
What foods should you AVOID when taking MAOI’s?
tyramine foods
What foods are tyramine-rich?
- aged cheese
- pepperoni
- salami
- avocados
- figs
- bananas
- smoked fish
- beers/red wine
How should you feed a baby with an isolated cleft lip?
- encourage breast feeding
- wide based nipple for bottle feeding
- squeeze cheeks together
How should you feed a baby with a cleft palate/cleft lip and palate?
- upright
- bottle with one-way valve
- burp frequently
- possible syringe feeding
What is a normal kcal intake per day?
at least 1500
What does the DASH diet encourage?
- low sodium (eventually 1500 mg)
- eat low fat dairy (promotes calcium intake)
- eat fruits and veggies high in potassium (apricots, bananas, tomatoes, potatoes)
What vitamin deficiencies are vegetarians/vegans at risk for?
- B12
- D
- iron
- calcium
- zinc
What religions participate in some type of fasting?
- Islam
- Roman Catholicism
- Seventh-day Adventist
- Judaism
What religions do not eat pork?
- seventh-day adventist
- judaism
- islam
- hindu
- buddhism
What religions participate in a Kosher diet?
- judaism
- islam
How much should calories be increased in the second trimester?
340
How much should calories be increased in the third trimester?
452
For someone of a normal weight, how much should be gained during pregnancy?
25-35 lbs
For someone who is underweight, how much should be gained during pregnancy?
28-40 lbs
For someone who is overweight, how much should be gained during pregnancy?
15-25 lbs
For someone who is obese, how much should be gained during pregnancy?
11-20 lbs
How much folic acid should be consumed during pregnancy? During lactation?
P: 600
L: 500
What can be eaten/drank in a clear liquid diet?
- water
- tea
- coffee
- fat-free broth
- carbonated beverages
- clear juices
- gelatin
What can be eaten/drank in a full liquid diet?
- plain ice cream
- strained cereals
What foods can be eaten/drank in a mechanical soft diet?
- ground meats
- canned fruits
- softly cooked veggies
What are the levels of solid textures for the dysphagia diet?
- pureed
- mechanically altered
- advanced
What are examples of thin liquids?
- clear juices
- frozen yogurt
- ice cream
- milk
- soda
- broth
What are examples of nectar liquids?
- nectars
- cream soups
- buttermilk
- milkshake
What are examples of honey liquids?
- honey
- tomato sauce
- yogurt
What are examples of spoon thick liquids?
- pudding
- custard
- hot cereal
What foods are HIGH in omega-3 fatty acids?
- fish
- flaxseed
- soybeans
- canola
- walnuts
What foods are high in fiber?
- oats
- beans
- fruits
- veggies
- whole grains
- barley
- flaxseed
What type of foods should you LIMIT to prevent CHD?
- trans fat
- saturated fat
- cholesterol
What type of foods should you INCREASE to prevent CHD?
- fiber
- carbs
- omega 3 fatty acids
What type of food should you INCREASE with HF?
protein (1.12g/kg/day)
What type of diet is indicated for 24 hrs after an MI?
liquid
What foods are good sources of IRON?
- meat/fish/poultry/tofu
- dried peas/beans
- whole grains
- dried fruits
Why should HIGH-FAT foods be AVOIDED with N/V?
they are hard to digest
What vitamin deficiency might be experienced with GASTRITIS?
vitamin B12
What vitamin deficiency might be experienced with LACTOSE INTOLERANCE?
Vitamin D and calcium
What type of diet can help prevent diverticulosis/diverticulitis?
high-fiber
Intake of what should be LIMITED with CHOLECYSTITIS?
fat
What disease diet is characterized by low-fat, high-protein, and high-carb given through an NG tube?
pancreatitis
What should be RESTRICTED with CKD?
- potassium
- sodium
- protein
- phosphorus
How many oz of meat can be eaten with CKD?
M: 5-6
F: 4
How much dairy can be eaten with CKD?
1/2 cup
What is the Somogyi phenomenon?
morning hyperglycemia in response to nighttime hypoglycemia
What is the dawn phenomenon?
a rise in glucose from 0500-0600
Can artificial sweeteners be used with DM?
yes
What foods contain 15g of carbohydrates?
- 1 slice of sandwich bread
- 1/2 cup of cooked pasta
- 1/2 cup canned fruit in juice (not syrup)
- 1/4 cup dried fruit
- 3 cups raw vegetables
- 1 1/2 cups cooked vegetables
- 4-6 snack crackers
- 1/2 cup regular ice cream
What should be INCREASED with CANCER?
- protein
- calories
What should be eaten to PREVENT CANCER?
- fiber
- fruits and veggies
- Vitamin A
- Vitamin C
- whole grains
- polyunsaturated and monounsaturated fats
What should be INCREASED with HIV/AIDS?
- protein
- calories