Nutrition flash cards

1
Q

macronutrients

A

, supply the body with energy (kilocalories). protein, lips, carbohydrates

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2
Q

micronutrients

A

help manufacture, repair, and maintain cell.

only needed in small amounts and regulate body function vitamins and minerals

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3
Q

Anabolism

A

involves the formation of larger molecules from smaller ones.

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4
Q

Catabolism

A

involves the breakdown of larger molecules into smaller components. This process releases of energy.

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5
Q

Carbohydrates

A

primary energy source

Supply energy for muscle and organ function.

Carbohydrates enhance insulin secretion, increase satiety (feeling of fullness and satisfaction), and improve absorption of sodium and excretion of calcium. Insulin is a pancreatic hormone that promotes the movement of glucose into the cells for use.

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6
Q

glycogenolysis.

A

Glycogen is converted back into glucose to meet energy needs.

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7
Q

Diabetics use fats not carbs

A

Fats are converted directly into an alternative fuel called ketones; ketones raise the acidity of the blood and can lead to acid-base imbalance. Fats are used for fuel in persons with diabetes, whose cells cannot use glucose for energy.

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8
Q

Carbohydrates digestion

A

are more easily and quickly digested than proteins and lipids, fuel strenuous short-term skeleton muscle activity and provide nearly all the energy for the brain. Humans store glucose in liver and skeletal muscle tissue as glycogen.

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9
Q

Proteins

A

It is essential for growth, maintenance, and repair of body cells and tissues.

tissue building; protein is structure of every cell

nitrogen balance input+ output equal. +NB exists when input greater than output resulting in amino acid pool for growth, pregnancy, tissue maintaence and repair.

Nitrogen - balance intake is lower than nitrogen loss. occurs in injury, burn , and illness, and malnuturtion.

amino acids: for protein synthesis to occur every AA to build the protein has to be available. complete protein usually comes from animal sources. two incomplete protein sources can combine for complete protein.

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10
Q

Lipids

A

solid at room temperature are called fats,

Because they are water soluble, lipoproteins are the major transport vehicles for lipids in the bloodstream.

Key component of lipoproteins
Back-up energy source- carbs first but if exhausted or doing sustained light activity burn fat.

Organ insulation/protection-insulation to protect vital organs, aids in thermoregulation, and enables accurate nerve-impulse transmission. lipids are a component of every cell membrane and are essential to cell metabolism.

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11
Q

Essential and nonessential fatty acids

A

A fatty acid is considered essential if 1) the body cannot manufacture it and 2) its absence creates a deficiency disease. The essential fatty acids, linoleic acid (omega-6) and alpha-linolenic acid (omega-3), help protect against heart disease.

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12
Q

Types of lipids

A

Glyceride, sterols, and phospholipids.
Saturated and unsaturated fatty acids: Fatty acids are classified as saturated, unsaturated, or trans-fats. Saturation means that a substance is holding all that it is capable of holding.

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13
Q

Carbohydrate CAL (CHO)

A

4 Cal per gram

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14
Q

protein CAL

A

4 cal per gram

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15
Q

fat CAL

A

9 cal per gram

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16
Q

Vitamins

A

These are organic substances that are necessary for metabolism or preventing a particular deficiency disease. Because the body cannot make vitamins, they must be supplied by the foods we eat. Vitamins are critical in building and maintaining body tissues, supporting our immune system so we can fight disease, and ensuring healthy vision. They also help our bodies to break down and use the energy found in carbohydrates, proteins, and lipids. Vitamins are especially critical during periods of rapid growth, pregnancy, lactation, and healing. Some evidence supports the claim that certain vitamins prevent chronic illness.
Vitamins are either water soluble or fat soluble.

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17
Q

Minerals

A

are inorganic elements found in nature. They occur in foods either naturally or as additives, as well as in supplements

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18
Q

water

A
Makes up large percentage of body weight
Solvent for chemical processes
Transports substances
Form for tissues
Maintains body temperature
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19
Q

Factors That Affect Nutrition

A
Developmental stage
Lifestyle choices
Vegetarianism
Eating for health
Eating for weight loss
Ethnic, cultural, and religious practices
Disease processes and functional limitations
Medications
Special diets
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20
Q

Screening for Nutritional Problems

A

Obtain a diet history
24-hr recall
Food frequency questionnaire
Food record

Subjective global assessment
Mini-nutritional assessment
Nutrition screening initiative
Body composition

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21
Q

Nutritional Imbalances

A

Complete physical examination
Laboratory results
Changes in blood glucose, serum albumin, creatinine, hemoglobin

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22
Q

Overweight

A

25.0 – 29.9

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23
Q

Class I obesity

A

30.0 – 34.9

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24
Q

Class II obesity

A

35.0 – 39.9

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25
Q

Class III obesity

A

40.0 or higher

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26
Q

Underweight/undernutrition

A

Insufficient intake of protein, fat, vitamins, minerals

Consuming fewer calories than needed according to activity, gender, height, and weight

27
Q

percutaneous endoscopic gastrostomy (P E G)

A

PEG tubes are well tolerated (better than nasogastric tubes) for long-term nutrition.
Nutritional status is improved.
Ease of usage over other methods for caregivers (nasogastric or oral feeding for certain patients).
Low incidence of complications.
Reduction in aspiration pneumonia associated with swallowing disorders and some neurological conditions.
Cost-effective relative to alternative methods, particularly when needed for long-term care.

28
Q

Cellular metabolism

A

Cellular metabolism includes the hormonal and enzymatic processes that occur within cell structures that allow proteins, carbohydrates, or fats to be used for energy or made into new products or tissues.

29
Q

Older Adults nutrition

A

Physiologically, the effects of aging can be associated with a reduced ability to ingest, absorb, and metabolize nutrients.

30
Q

Age-Related Differences nutrition

A

Older Adults nutrition
Infants and Children
Pregnancy and Lactation Increases in carbohydrates, proteins, fats, and most micronutrients are recommended.

31
Q

insufficient nutrition

A

occurs when there is inadequate intake, impaired nutrient absorption, or ineffective nutrient utilization, leading to a state of malnutrition.

32
Q

Starvation-related malnutrition

A

anorexia

33
Q

acute disease-related malnutrition

A

occurs after burn injury or trauma.

34
Q

chronic disease-related malnutrition

A

is exemplified by sarcopenic obesity or pancreatic cancer.

35
Q

Excess Nutrition

A

Excess Nutrition
At the opposite end of the spectrum is the situation in which excessive nutritional intake progresses to weight gain or nutritional toxicities

36
Q

Essential fatty acid deficiency

A

affects all cellular membranes and is particularly a problem with premature infants. Docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) are long-chain omega-3 fatty acids that support retinal development, neurotransmitter production, and brain function.

37
Q

Inadequate carbohydrate intake

A

an alter cellular metabolism and results in the use of dietary protein as a fuel substrate, diminishing cell growth and repair. Ultimately, if inadequate carbohydrate intake continues, there is a shift to use body fat and protein for energy resulting in weight loss and accumulation of ketones, especially if insulin is unavailable.

38
Q

Hypoalbuminemia/impaired protein nutrition

A

Oral/GI problems with limited protein–calorie intake (e.g., sensory issues, allergies, dental problems, dysphagia)

Impaired intestinal absorption of proteins (diarrhea/malabsorption: e.g., celiac disease, Crohn disease, short-bowel syndrome, bariatric surgery)

Hepatic disease with impaired protein synthesis

Chronic kidney disease with proteinuria

Nephrotic syndrome

Cancer with increased metabolic needs

39
Q

Hypocalcemia

A

Hypoalbuminemia (lack of carrier proteins)

Hyperphosphatemia (in chronic kidney disease, end stage)

Malabsorption/diarrhea

Hypoparathyroidism

Hypomagnesemia

Vitamin D deficiency

40
Q

Hypercalcemia

A

Hyperparathyroidism

Hyperthyroidism

Adrenal insufficiency

Cancer

Hypervitaminosis A and D

41
Q

Copper deficiency anemia

A

Wound healing protocol with excess supplementation of zinc

42
Q

Iron deficiency anemia/microcytic anemia

A

GI bleed

43
Q

Vitamin B12 deficiency

A

Gastrectomy

Pernicious anemia/lack of intrinsic factor

Primary hypothyroidism

Achlorhydria

44
Q

Folic acid deficiency/megaloblastic anemia

A

Epilepsy with use of antiseizure medications

Chronic kidney disease (end stage) and dialysis treatments

45
Q

Hypomagnesemia

A

Edema/hypertension with K+-depleting diuretics

Malabsorption/diarrhea

Hepatic disease

Pancreatitis

46
Q

Vitamin D deficiency

A

Chronic kidney disease with limited ability to convert to active form

Malabsorption

47
Q

Zinc deficiency

A

Hypoalbuminemia

Chronic kidney disease (end stage) and dialysis treatments

Alcoholic cirrhosis/hepatic disease

Inflammatory bowel disease

Sickle cell anemia

48
Q

Serum albumin

A

Serum albumin measures circulating protein in the blood. Low albumin can reflect protein-calorie malnutrition. However, other conditions (such as chronic or acute inflammation, blood loss, altered fluid status) can also cause low serum albumin levels.

49
Q

Blood glucose

A

reflects metabolism of carbohydrates, and this test is generally used to screen or monitor impaired glucose metabolism.

50
Q

Hypoglycemia

A

may suggest inadequate caloric intake and hyperglycemia may be an indication of diabetes mellitus or an acute illness.

51
Q

Hemoglobin A1c

A

is a test that shows average blood glucose levels over time and is used in the management of diabetic patients.

52
Q

A lipid profile

A

A lipid profile includes several tests that assess lipid metabolism. Tests included are low-density lipoprotein (LDL), high-density lipoprotein (HDL), cholesterol, and triglycerides. High triglyceride levels generally reflect hyperinsulinemia, although an individual with newly diagnosed type 1 diabetes may have temporary elevations.

53
Q

Hemoglobin (Hgb) and hematocrit (Hct) is a blood test

A

that examines red blood cells (including the number, size, shape, and color) to diagnose anemia caused by dietary deficiency, such as iron, folate, and vitamin B12. Hgb and Hct also provide information about the hydration status of the patient.

54
Q

Electrolytes provide information

A

about general health status and specific information about sodium, potassium, calcium, magnesium, and phosphorus. These are usually ordered as part of a chemistry profile blood test.

55
Q

Tube feedings

A
  • Nasogastric tube
  • Gastrostomy tube
  • Jejunostomy tube
56
Q

The Dietary Reference Intakes (DRIs)

A

The Dietary Reference Intakes (DRIs) are used for planning and assessing diets for healthy individuals

The DRIs encompass four types of nutrient reference values for males and females in different age groups:
Estimated Average Requirement (EAR)
■ Recommended Dietary Allowance (RDA)
■ Adequate Intake (AI)
■ Tolerable Upper Intake Level (UL
■ Acceptable Macronutrient Distribution Range (AMDR)

57
Q

Estimated Average Requirement (EAR)

A

the amount of a nutrient that is estimated to meet the requirement of half of all healthy individuals within a given age and gender group.

58
Q

Recommended Dietary Allowance (RDA)

A

the average daily dietary intake of a nutrient that is sufficient to meet the nutritional requirements of approximately 98% of healthy people.

59
Q

Adequate Intake (AI

A

the amount of a nutrient consumed by a group of healthy people.

60
Q

Tolerable Upper Intake Level (UL)

A

the maximum daily intake of a nutrient that is likely to be without adverse health effects for almost all individuals.

61
Q

Acceptable Macronutrient Distribution Range (AMDR

A

the percentage of protein, fat, and carbohydrate associated with reduced risk of chronic disease, provided there is an intake of other essential nutrients (U.S. Department of Agriculture [USDA] and U.S. Department of Health and Human Services [USDHHS], 2015).

62
Q

The U.S. Department of Agriculture (USDA) developed the Dietary Guidelines for Americans

A

o help people improve their nutritional habits. The guidelines do not specify daily amounts of food and nutrients

63
Q

MyPlate

A

is a colorful food guide that visually illustrates a healthy meal