Nutrition Screening Flashcards
SGA
Subjective Global Assessment
History, intake, GI symptoms, functional capacity, physical appearance, edema, weight change
MNA
Mini Nutritional Assessment
Evaluations independence, medications, number of full meals consumed/day, protein intake, f/v, fluid, mode of feeding
65 years and older
NSI
Nutrition Screening Initiative
Elderly
GNRI
Geriatric Nutritional Risk Index
Serum albumin, weight changes
MST
Malnutrition Screening Tool
Acute hospitalized adult population
Recent wt loss, recent poor dietary intake
NRS
Nutrition Risk Screening
Med-Surg hospitalized
% wt loss, BMI, intake, >70 yrs
MUST
Malnutrition Universal Screening Tool
BMI, unintentional wt loss, effect of acute disease on intake for more than 5 days
AMA
Arm muscle area
measures skeletal muscle mass (somatic protein)
important to measure in growing children
Healthy adult BMI
18.5-24.9
WHR
Waist to hip ratio
Difference between android and gynoid obesity
WHR of 1.0 or greater in men, 0.8 or greater in women is indicative of android obesity and at an incr risk of obesity-related diseases
Nutrition-focused physical exam
INSPECTION: father info via observation
PALPATION: father data via touch… fluid retention
AUSCULTATION: listening
PERCUSSION: not by RD
Activity Factors
BEE x…
- 2 sedentary
- 3 active
- 5 stressed
Drug: megestrol acetate
appetite stimulant
Drug: oral contraceptives
decrease folate, B6, C
Drug: loop diuretics
deplete thiamin, potassium, magnesium, calcium, sodium, chloride
Drug: methotrexate
decrease folate
Drug: lithium carbonate (antidepressant)
increase appetite, maintain consistent sodium (2g too low)
If sodium or caffeine are restricted lithium excretion decreases leading to toxicity
Drug: warfarin sodium (anticoagulant)
Antagonizes K (consistent intake essential)
Drug: propofol
administered in oil, consider fat cal, 1.1 cals/cc, check TG
Drug: cyclosporine (immunosuppresant)
hyperlipidemia, hyperglycemia, hyperkalemia, hypertension
Drug: Isoniazid (TB)
depletes pyridoxine, peripheral neuropathy, don’t take with food, interferes with D, calcium, phos
Drug: elavil (antidepressant)
weight gain, incr appetite