Unit 6: Water and Minerals Flashcards

1
Q

What are some signs and symptoms of mild dehydration (

A

Thirst, rough, dry skin, dry mouth, impaired kidney function, fainting, low blood pressure, rapid pulse

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2
Q

What are some signs and symptoms of severe dehydration (>5% body weight loss)?

A

Pale skin, bluish lips and fingertips, confusion, shock, seizures, rapid, shallow breathing, weak, rapid, irregular pulse

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3
Q

What are our sources for water?

A

Liquids, foods and metabolic water

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4
Q

Where is our water lost?

A

Kidneys (urine), skin (sweat), lungs (breath) and GI tract (feces)

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5
Q

What organ is important in maintaining fluid and electrolyte balance?

A

The kidney. Acid-base balance as well.

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6
Q

What is the difference between major and minor minerals?

A

Major are found in amounts >5 g in the body. Minor (trace) are found in amounts

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7
Q

What are some examples of major minerals?

A

Calcium, chloride, magnesium, phosphorus, potassium, sodium, sulfur

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8
Q

What are some examples of trace minerals?

A

Zinc, Iron, Iodine, Maganese, Copper, Fluoride

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9
Q

What is sodium?

A

Na. A positively charge ion that is used to maintain the volume of fluid outside of cells. Nerve transmission and muscle contractions

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10
Q

What is the DRI and UL for sodium?

A

DRI is 1500 mg, UL is 2300 mg/day

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11
Q

When does water intoxication occur?

A

Occurs with excessive water consumption and kidney disorders that reduce urine production. Dilutes sodium concentration of blood, contributes to hyponatremia

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12
Q

What happens during water excretion regulation?

A

The hypothalamus, which monitor’s blood salts stimulates the pituitary gland to release antidiuretic hormone (ADH) which causes the kidney to reabsorb water.
Aldosterone also has the same effect.

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13
Q

What major minerals are critical to nerve transmission and muscle contractions?

A

Sodium, potassium, calcium and magnesium

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14
Q

What major minerals are involved in energy metabolism?

A

Phosphorus and magnesium

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15
Q

What major minerals contribute to the structure of bones?

A

Calcium, phosphorus and magnesium

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16
Q

What major mineral helps determine the shape of proteins?

A

Sulfur

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17
Q

What can happen when there are high intakes of sodium?

A

Hypertension, cardiovascular disease and cerebral hemorrhage

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18
Q

What is a DASH diet?

A

A diet designed to help lower Na intake and increase K intake with fruits and vegetables, low fat or fat free milk, whole grains, poultry, fish.

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19
Q

What is chloride?

A

Cl. A major negative ion that accompanies Na outside of cells, help to maintain fluid and electrolyte balances and the acid-base balance. Also in stomach acid.

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20
Q

What is the main source of chloride?

A

Salt that is added to foods and naturally occurring

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21
Q

How much sodium does the average canadian diet contain?

A

3100 mg of sodium per day

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22
Q

What happens to K during dehydration?

A

K is lost within the cell. Dangerous because if they are lost in the brain, they lose their ability to detect the need for fluids.

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23
Q

What should be done when a patient is taking diuretics?

A

Take under doctor supervision. Eat potassium rich foods to compensate for losses.

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24
Q

What is potassium deficiency characterized by?

A

Increased blood pressure, kidney stones and salt sensitivity. Due to excessive losses.

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25
Q

What is potassium toxicity characterized by?

A

Irregular heartbeats, muscle weakness and glucose intolerance.

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26
Q

How does potassium deficiency occur?

A

Medications (diuretics, steroids, cathartics), diabetic acidosis, dehydration or prolonged vomiting or diarrhea

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27
Q

What is calcium?

A

Most abundant mineral in the body. Stored in bones, teeth and fluids outside cell

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28
Q

What happens if we don’t have adequate calcium blood levels?

A

The body with take calcium from the bones to maintain the blood levels.
Small intestine will absorb more and kidneys with excrete less

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29
Q

Who needs more calcium and why?

A

Children and adolescents to help achieve peak bone mass.

30
Q

What occurs when calcium withdrawals exceed deposits?

A

Osteoporosis, porous and fragile bones, fractures will occur later in life.

31
Q

What are some sources of calcium?

A

Milk and alternatives food group, leafy green vegetables (don’t actually provide), canned sardines and salmon, almonds, fortified tofu, juice and soy beverages.

32
Q

What are some symptoms of calcium toxicity?

A

Constipation, interference with the absorption of other minerals and an increased risk of kidney stone formation.

33
Q

What is phosphorous?

A

P. The second most abundant mineral in the body. Found in all body tissues,

34
Q

What are some sources of phosphorous?

A

Milk products, beef, fish and some legumes.

35
Q

What occurs in phosphorous toxicity?

A

Calcification of non-skeletal tissues (especially in those with chronic kidney disease)

36
Q

What is magnesium?

A

Mg. Stored in bone, critical to many cell functions. Kidneys conserve it too.

37
Q

What are some sources of magnesium?

A

Nuts, legumes, “hard water”, seafood, whole grains, dark green vegetables and dark chocolate
Whole foods rather than processed

38
Q

What happens in magnesium deficiency?

A

Rare. Uncontrollable muscle contractions, hallucinations, swallowing difficulties and growth failure.
Related to cardiovascular disease, heart attacks and hypertension

39
Q

What is sulfate?

A

Involved in the synthesis of many important sulfur-containing compounds (amino acids in skin, hair and nails)

40
Q

What are some important sulfur-containing compounds?

A

Antioxidants, B vitamins (biotin and thiamin)

41
Q

What is iron used for?

A

Stored in the bone marrow and sent to the liver to be packed into new red blood cells. Salvaged, when RBC are broken down in liver and spleen.

42
Q

What is hepcidin?

A

A hormone that is central to iron balance regulation. Lowers iron secretion.

43
Q

What does iron deficiency cause?

A

Fatigue, pica (craving of ice, chalk, starch and other nonfood substances)

44
Q

Who is iron deficiency most common in?

A

Overweight children and adolescents, pregnancy and infants and toddlers

45
Q

What happens in iron toxicity (iron overload or hemochromatosis)?

A

Hard to get rid of. Intestinal tract will continue to absorb iron at a high rate despite being buildup in tissues.
Fatigue, depression, abdominal pain.

46
Q

What can iron supplements do?

A

Leading cause of fatal, accidental poisonings among Canadians under 6.

47
Q

Who needs more iron?

A

Menstruating women, vegetarians

48
Q

What are some food sources of iron?

A

Meats, fish, poultry, legumes, eggs, cooking on cast iron pans

49
Q

Where is heme bound iron found?

A

Meat, fish and poultry. More readily absorbed in the body.

50
Q

Where is nonheme bound iron found?

A

Plant foods and meats

51
Q

How can nonheme iron absorption be increased?

A

Meat, fish and poultry that contains MFP factor

Vitamin C

52
Q

What are some substances that inhibit iron absorption?

A

Tannins (tea and coffee), Calcium and phosphorous (milk) and Phytates (with fibre whole-grains and legumes)

53
Q

What does zinc do?

A

Works with proteins in every organ and helps activate over 50 enzymes in the body. Vitamin metabolism

54
Q

What does zinc deficiency cause?

A

Growth impairment, immune system impairment, affects digestive functions, abnormal taste, abnormal night vision, loss of appetite, slow wound healing

55
Q

What happens in zinc toxicity?

A

Loss of appetite, impaired immunity and death, can reduce HDL levels and block copper and iron absorption

56
Q

What are some food sources of zinc?

A

Meats, poultry and milk products.

Legumes and whole grains (not as well absorbed)

57
Q

How does yeast help zinc absorption?

A

Breakdown the phytates in fibre that bind zinc

58
Q

What is selenium?

A

An antioxidant, helps proper functioning of iodine-containing thyroid hormones

59
Q

What are some food sources of selenium?

A

Meats, seafood and grains and vegetables (dependent on soil grown in)

60
Q

What is iodine?

A

Part of the thyroid hormones which regulate metabolic rate, growth, reproduction and regulating body temperature.

61
Q

What happens when iodine is deficient?

A

Cells in the thyroid glands enlarge, attempting to trap the iodine in. This forms a lump in the neck called a goiter. Sluggishness, weight gain

62
Q

What happens to infants whose mothers were iodine deficient during pregnancy?

A

Born with cretinism which is an extreme and irreversible mental and physical impairment.
Must be treated in first 6 months of pregnancy to avoid.

63
Q

What happens when you excessively intake iodine?

A

Enlargement of the thyroid gland.

Deadly poison

64
Q

What are some sources of iodine?

A

Iodized salt (1/2 tsp), ocean, soil

65
Q

What is copper?

A

Part of enzymes that assist wound healing, collagen manufacturing and maintaining sheaths around nerve fibres. Helps cells use iron.

66
Q

What are some sources of copper?

A

Organ meats, seafood, legumes, nuts, seeds, whole grains

67
Q

What is maganese? Where is it found?

A

Works with enzymes, found in plant foods.

68
Q

What does fluoride do? Where is it found?

A

Inhibits the development of dental caries through the role it plays in the mineralization of teeth and bones
In drinking water (45% of Canadians), toothpaste and mouthwash

69
Q

What happens when you consume excess fluoride?

A

Fluorosis, discolouration of developing teeth

70
Q

What does chromium do? Where is it found?

A

Plays a role in how body metabolizes carbohydrates and fat, works with insulin
Found in liver, nuts, cheese, yeast, whole grains, fruits and vegetables

71
Q

What happens when there is a chromium deficiency?

A

Problems with blood sugar regulation

72
Q

What are the other trace minerals?

A

Molybdenum, nickel, silicon, cobalt and boron