UN Nutrition Flashcards

1
Q

Nutrition def

A

Sum of all interactions between an organism and the food it consumes
Organic/inorganic/energy producing substances for body functioning

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2
Q

What are macronutrients

A

Energy providing nutrients:
Proteins, proteins and fats

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3
Q

What are micronutrients

A

Minerals and vitamins

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4
Q

Nurse’s role in nutrition

A
  1. Promote health by evaluating and facilitating adequate nutrition
  2. Having nutrition related knowledge
  3. Be based on reliable scientific evidence
  4. Assess patient’s nutritional habit and advise accordingly
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5
Q

Sugars (carbohydrates)

A

-Simplest of all carbs, water soluble, produce naturally by plants and animals
-monosaccharides or disaccharides

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6
Q

Starches (carbohydrates)

A

-insoluble, non sweet
-polysaccharides
-cereal, bread, flour, puddings
-Fibers

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7
Q

Fibres (starch)

A

-can’t be digested by humans
-insoluble (draws water into colon so prevents constipation) ex: wheat bran, fruit skin, broccoli, peas
-soluble (delays gastric emptying, slows entry of glucose in bloodstream -> helps prevent rapid postprandial increase in blood glucose, improving its control for DM individuals)
ex: beans, oats, lentils

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8
Q

Proteins

A

-organic substances of amino acids
-essential: can’t be manufactured, must be in diet
-nonessential: body manufactures
-complete proteins: meat, poultry, dairy, eggs
-partially complete: fish w small amount of methionine/milk prot casein w little arginine/beans
-helps with WOUND HEALING AND MUSCLE BUILDING

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9
Q

Lipids

A

-greasy insoluble (to water but not alcohol)
-fatty acids (carbon chains and hydrogen)
-sat fatty acids: butyric acids in butter
-unsaturated fatty acids

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10
Q

Vitamins

A

-can’t be manufactured by body
-fat soluble (body stores so not necessarily daily supply) : A.D,E,K
-water soluble: body can’t store so daily supply needed : B, C

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11
Q

What is basal metabolic rate

A

-calories burned at rest
-baseline nb if calories required to support involuntary functions at rest after 12h fast
-REE: Rest energy expenditure (similar to BMR w/o fast

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12
Q

Glycemic index approach

A

-how quickly blood glucose levels rise after food
-glycemic level: amount of glucose present in blood
Peak absorption level 30min after ingestion of food
Hypoglycaemia: low glycemic level
Hyperglycaemia: high glycemic level

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13
Q

Factors affecting nutrition

A
  1. Stage of development
  2. Sex
  3. Ethnicity/culture
  4. Beliefs about food
  5. Personal preference
  6. Religious beliefs
  7. Lifestyle
  8. Economics
  9. Meds and therapies
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14
Q

Alcohol consumption

A

-can lead to weight gain
-small amount directly converted to fat
-excess intake can lead to nutritional deficiencies
-fetal alcohol syndrome

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15
Q

Obesity epidemic

A

-exceptional increase in nb overweights/obese in Can for past 25y
-nurses help by health promotion
-BMI measurement: height and weight and BMI calculated

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16
Q

Nurse’s responsibility

A
  1. Review individual’s eating habits
  2. Educate people in healthy living
  3. Health promotion
  4. Disease prevention
17
Q

Diet history

A

-chewing/swallowing difficulty (oral hygiene,denture care)
-inadequate food intake
-IV fluid
-physical disability
-living/eating alone

18
Q

Medical history

A
  1. Unintentional weight loss/gain of 10% within 6months
  2. Fluid/electrolyte imbalance
  3. Oral/gi surgery
  4. Dental problems
  5. Gi problems (anorexia, dysphagia, nausea, constipation)
  6. Psychiatric conditions
  7. Renal health, copd, hiv, cancer
19
Q

Med history

A
  1. Aspirin
  2. Antacid
  3. Antidepressants
  4. Anti hypertensive
  5. Anti inflammatory
  6. Laxative
  7. Diuretics
  8. Glucocorticosteroids
20
Q

Providing meals to pts

A
  1. Assist hand hygiene
  2. Sitting position
  3. Check diet
  4. Visually impaired
  5. Diabetic
  6. Anorexic
  7. Doc/chart
21
Q

Modifiable factors

A
  1. Habits
  2. Weight
  3. Routine
  4. Lifestyle
  5. Knowledge
22
Q

Non modifiable factors

A
  1. Gender
  2. Age
  3. DM, autoimmune disorders, genetic disorders
23
Q

Older adults nutrition factors

A

-tooth loss
- physical changes
- psychosocial factors
- risk malnutrition
- lowered glucose tolerance
- loss appetite/smell/taste
- dec rate gastric emptying
- limited income
- difficulty sleeping at night

24
Q

Older adults nursing care

A
  1. Ensure adequate food intake
  2. Prot intake (25-30g per meal, 1-1.2g/kg/day)
  3. Reduce fat consumption
  4. Avoid empty calorie food
  5. Reduce sodium consumption
  6. Ensure adequate calcium and vitamin D intake
  7. Consume fiber rich food/adequate water intake
25
Q

Vegetarians should

A

-eat complementary prot foods
- eat vit B12
- might get calcium deficiency

26
Q

Lab values

A

-Serum prot (hb, albumin, transferrin)
Low hb may indicate iron-deficiency anemia
-cholesterol (HDL, LDL)
-fasting blood glucose

27
Q

DAT means

A

Diet as tolerated

28
Q

Clear fluid

A

-Coffe, tea, carbonated beverages, bouillon, fat free broth
-clear fruit juices
-popsicles, gelatin, honey, hard candy

29
Q

Full fluid

A

Clear fluid +:
-milk/milk drinks, pudding, custards, ice cream, sherbet, vegetables juices, cereal, egg, yogurt, smooth peanut butter

30
Q

Soft diet

A

Full fluid + meat/meat alternatives + vegetables + fruits + desserts
Mashed or chopped or cooked in soft texture

31
Q

Dysphagia

A

-Difficulty swallowing
-pt with cerebrovascular accident/head and neck cancer
-4 levels of diff food:
1. Thin
2. Nectar
3. Honey
4. Spoon thick
-4 levels of semi-solid food
1. Pureed
2. Mechanically altered
3. Mechanically soft
4. Regular

32
Q

Anorexia

A

-no appetite/desire to eat
-meds like corticosteroids/atypical antipsychotics can increase appetite and lead to obesity
-radiotherapy can lead to decrease salivation, taste distortion, swallowing difficulties
-nausea, vomiting, diarrhea

33
Q

Enteral nutrition (through GI system)

A

When pt can’t ingest food orupper GI tract is impaired
Nasogastric tube gastrostonomy or jejunostonomy tubes

34
Q

Parental feeding (intravenous)

A

When Gi tract not functional