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Adult Health II - (Josh) > T3 - Malnutrition Obesity (Josh) > Flashcards

T3 - Malnutrition Obesity (Josh) Flashcards

1
Q

When is a nutrition screening supposed to be done?

A

within first 24 hrs of admission

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2
Q

What is formula for calculating change in weight?

A

Usual weight MINUS current weight DIVIDED BY usual weight

then MULTIPLY by 100 for a percentage

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3
Q

What is formula for BMI?

A

Weight (kg) DIVIDED BY height (meters) squared

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4
Q

What would be considered significant weight loss?

A

anything greater than 10 percent within 6 months

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5
Q

BMI:

— is underweight

— is normal weight

— is overweight

— is obese

— is morbidly obese

A

less than 18.5

18.5 - 24.9

25 - 29.9

30 or more

40 or more

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6
Q

What is PEM (aka: PCM) and how many forms are their?

A

Protein-Energy Malnutrition (PEM)

or

Protein-Calorie Malnutrition (PCM)

3 Forms:

  • Marasmus
  • Kwashiorkor
  • Marasmus-kwashiokor
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7
Q

PEM:

There are three forms.

Which form is a lack of calories where protein and body fat are wasted?

A

Marasmus

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8
Q

PEM:

There are three forms.

Which form has adequate calories, but lacks protein quality and quantity?

A

Kwashiorkor

***K has the Kalories, but not the protein

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9
Q

PEM:

There are three forms:

Which form is a combined protein and calorie (energy) malnutrition?

A

Marasmus-Kwashiokor

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10
Q

What unintentional weight loss is diagnostic for malnutrition?

A

5 percent or more over 30 days

10 percent of more over 6 mths

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11
Q

What lab is best indicator of malnutrition?

Why?

What is normal?

A

Prealbumin

it has a shorter half life

normal values are 15-36 mg per dL

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12
Q

What cholesterol levels are diagnostic for malnutrition?

A

less than 160

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13
Q

What Total Lymphocyte Count indicates malnourishment?

A

less than 1500

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14
Q

What are normal Albumin levels?

A

3.5 - 5

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15
Q

What are normal Prealbumin levels?

A

15-36

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16
Q

What is a symptom of Refeeding Syndrome?

A

hypophosphatemia

17
Q

What is a contraindication for TEN (Total Enteral Nutrition)?

A

low BP that isn’t perfusing GI tract

18
Q

Why is bacteria a concern with TPN?

A

you’re infusing glucose which bacteria love

19
Q

What should you have ready if you run out of TPN?

A

10 percent glucose

20
Q

With TPN, what are you doing regularly?

A

accuchecks

21
Q

Central obesity is measured how?

A

Waist Circumference

22
Q

What waist circumference is obese?

A

men: greater than 40
women: greater than 35

23
Q

What is WHR?

A

Waist to Hip Ratio

  1. 95 or greater in men is obese
  2. 8 or greater in women is obese
24
Q

Which shape is more of a risk factor for CV disease?

A

apple shaped

25
Q

Which obesity med can be used to block the absorption of fat to help you lose weight?

A

Orlistat

Rx: 120 mg TID
OTC: 60 mg

26
Q

What are the official names for Lab Band surgery?

A

Laparoscopic Adjustable Gastric Band (LAGB)

or

Laparascopic Sleeve Gastrectomy (LSG)

***people do gain weight back with these

27
Q

What is the official name for Gastric Bypass?

A

Roux-en-Y Gastric Bypass (RNYGB)

28
Q

What type of surgery is Gastric Bypass?

What type of surgery is Lab Band?

A

Malabsorption - decreases amount of absorption by limiting stomach space

Restriction - restricts amount of food entering stomach

29
Q

With — surgery, they will need supplements for the rest of their lives.

A

Gastric Bypass

30
Q

What is priority care after Bariatric Surgery?

A

Airway management

Abdominal Binder

Sequential compression or Heparin
Skin Assessment

Absorbent padding

Removal of Foley within 24 hrs

31
Q

What are special considerations after Bariatric Sugery?

A

Ambulate asap

Monitor abdominal girth

6 small feeds

Prevent Dehydration

Watch for Dumping Syndrome

32
Q

What is Dumping Syndrome?

A

after bariatric surgery, client gets food too quickly and gets tachycardia, nausea, abdominal cramping, and rapid bowel emptying

33
Q

What are signs and symptoms of Vit A deficiency?

A

Conjunctival xerosis

Dry skin

Follicular hyperkeratosis

Purple tongue

Adult Health II - (Josh) (13 decks)

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