Vitamin and Mineral Flashcards
Methotrexate for cancer will cause
Weight and Folate loss
Enriched vs. Fortified
- Enriched: Added b/c they lost faster
2. Fortified: Added b/c it didn’t have it
Pro-hormone vitamin
Vita D
Which mineral has over 300 reactions/processes
Magnesium
Pt says he has been itching and eating out a lot…
Hyper-phophatemia
alcoholic vitamin deficiency
Thiamin
Phosphorous
- Properties
- Function
- Sources.
- Deficiency
- Excess
- Properties: Second most abundant mineral
- Function: Phospholipids transport fat through lymph and blood. In bones and teeth.
- Sources: meat, diary, fish, eggs, and inorganic foods like processed foods
- Deficiency: rare
- Excess: itching, darkening of skin b/c when high it pulls calcium out of the bone
Long term use of a Proton Pump Inhibitor
- Intrinsic factor is lost and can cause pernicious anemia
Potassium
- Properties
- Function
- Sources.
- Deficiency
- Lab Values
- Properties: Electrolyte
- Function: Conducts nerve impulses and muscle contraction
- Sources: potato, oranges, tomato, banana, avocado (POTASSYUM)
- Deficiency: Hypokalemia
- Lab values: 3.5-5
Flouride
- Properties
- Function
- Sources.
- Deficiency
- Excess
- Properties: Trace mineral
- Function: teeth and bones
- Sources: Water, soil
- Deficiency: Dental Caries
- Excess: Flurosis (brown stains on teeth)
Iron
- Properties
- Function
- Sources.
- Deficiency
- Properties: Trace mineral, part of hgb
- Function: Oxygen transport
- Sources: eggs, dairy, meats
- Deficiency: Pale tongue, pale conjunctrate, fatigue, anemia, spoon shape nails (pale!)
Low zinc can cause ___ in adolescents
delayed maturity
Strengths and weakness of B1, B2, B3
Strength: Love to be part of metabolism, energy release, and precursor & essential
Weakness: Easily destroyed via heart & PH & UV
Fat Soluble Vitamins, Strengths & Weakness
KEDA (Dark-bright colors)
Strengths: Loves change, coverts things, anti-oxidant
Weakness: Greater risk for toxicity (b/c they are stored in the body longer
Omega 3 reduces
Triglycerides (“tri”) and inflammation
Omega 6 is
- known for
- deficiency
- known for “beauty and brains”
2. Deficiency leads to petechiae and eczema
Protein Deficiency
Easily pluckable hair and lines down all nails
Alopecia deficiency mineral
zinc
Dry vs Wet Beriberi
Dry affects nerves - Muscle Paralysis
Wet: affects the heart
Vita C
- Properties
- Function
- Sources.
- Deficiency
- Properties: Most easily destroyed! anti-oxidant, destroyed by heart, alkaline pH, oxidation
- Function: makes collagen, wound healing, aiding iron absorption
- Sources: citrus fruits, potatoes, papaya, dark greens, yellow veggies
- Deficiency: Scurvy, poor wound healing and bleeding gums & petechiae
Iodine
- Properties
- Sources.
- Deficiency
- Properties: Trace mineral and part of thyroxine
- Sources: Seafood, iodized salt
- Deficiency: goiter
Water soluble vitamins are always
first to lower w/ disease
B vitamins
Vita A
- Properties
- Function
- Sources.
- Deficiency
- Properties: Pro-vitamin, carotene, precursor
- Function: skin, vision
- Sources: Yellow and orange foods, dark leafy vegetables
- Deficiency: night blindness, corneal damage, dry scaly skin
Chromium
- Properties
- Function
- Sources.
- Deficiency
- Properties: absorption enhanced by vita C and B3
- Function: aids insulin action, glucose metabolism
- Sources: yeast, oyster, potatoes, liver
- Deficiency: insulin resistance
Magnesium
- Properties
- Function
- Sources.
- Deficiency
- Properties: part of chlorophyll
- Function: protein in FA synthesis, stabilizes structure of ATP, vita D increases need (over 300 reactions & properties)
- Sources: Milk, bread, chocolate
- Deficiency: Rare, tremors
Selenium
- Properties
- Function
- Sources.
- Deficiency
- Properties: Cooperates w/ Vita E
- Function: Anti-oxidant-tissue respiration
- Sources: soil, grain, poultry, fish and dairy
- Deficiency: Myalgia, cardiac myopathy
Vita D
- Properties
- Function
- Sources.
- Deficiency
- Properties: Cholesterol is a precursor of vita D
- Function: Ca & phosphate metabolism
- Sources: Sunlight, mushrooms, egg yolk and milk
- Deficiency : Rickets and Osteomalacia & xeropthalmia
* * Pro Hormone
Vitamins unable in heat
Vita C and Thiamin
Cyancobalamin
- Properties
- Function
- Sources.
- Deficiency
- What B Vita
- Properties: Contains Co to IF
- Function: coenzyme in protein synthesis
- Sources: Liver, meat, kidney, dairy, fish and egg
- Deficiency: Macrocytic, megaloblastic anemia, pernicious anemia
- What B Vita: B12
Zinc
- Properties
- Function
- Sources.
- Deficiency
- Properties: Trace mineral, excess leads to Cu and Fe deficiency, helps with WOUND HEALING
- Function: increase taste acuity, enhances insulin action, stabilizes DNA, RNA and cell division.
- Sources: meat, liver, fish, eggs,
- Deficiency: reduced immune function, hair loss and alopecia
Biotin
- Properties
- Function
- Sources.
- Deficiency
- What B Vita
- Properties: made by intestinal bacteria
- Function: fatty acid synthesis
- Sources: liver, kidney, yeast
- Deficiency: Dermatitis, glossitis (inflammation of the tongue)
- What B Vita: b7
Pantothenic Acid
- Function
- Sources.
- Deficiency
- What B Vita
- Function: energy Synthesis of Fatty Acids
- Sources: legumes, grains
- Deficiency: rare
- What B Vita: Vita B5
Copper
- Properties
- Function
- Sources.
- Deficiency
- Properties: attached to protein
- Function: hemoglobin synthesis, aids Fe absorption
- Sources: Liver, kidney, shellfish
- Deficiency: Microcytic anemia, neutropenia, Wilson’s disease, low serum
Vita E
- Properties
- Function
- Sources.
- Deficiency
- Properties: Least toxic fat-soluble vitamin
- Function: antioxidant
- Sources: veg oil, almonds, green vegetables
- Deficiency: hEmolytic anemia (vita e protects the red blood cell membrane from oxidative damage)
Manganese (can skip)
- Properties
- Function
- Sources.
- Deficiency
- Properties: Trace mineral
- Function: CNS
- Sources: Whole grains, legumes, and nuts
- Deficiency: Rare
3 stages for Vita D to become active
- Skin + Sun = Cholecalciferol
- Cholecalciferol + liver = 25 Calcidiol
- Kidney + Calcidiol = 1,25 Calitriol
* the darker skin the more likely to be deficient
Pt on hemodialysis need which supp?
B6, B12, Folate, and vita C
Choline “skip”
- Properties
- Function
- Sources.
- Properties: Components of lecithin
- Function: transport lipids as acetyl choline
- Sources: fat in egg, milk, liver, soybeans
Myo-Inositol “skip”
- Properties
- Function
- Sources.
- Deficiency
- Properties: In plants as phytic acid, related to sugar contains phosphate
- Function: binds calcium, zinc, iron, part of the membrane structure
- Sources: leafy green veggies & husks of cereal
- Deficiency: N/A
Riboflavin
- Properties
- Function
- Sources.
- Deficiency
- Which B vitamin?
- Properties: Lost in UV
- Function: energy release from protein, red cell production
- Sources: Liver, kidney, milk, meat
- Deficiency: Growth failure, “anything w/ the mouth,” and magenta tongue
- B2
Niacin
- Properties
- Function
- Sources.
- Deficiency
- Which B vitamin?
- Properties: essential in all cells for energy production and metabolism
- Function: metabolism of all 3: CHO, PRO, FAT
- Sources: chicken, rice, yeast, milk and READY TO EAT cereal
- Deficiency: “The D’s”: Dermatitis, Diarrhea, Dementia and Death, Beefy red tongue
- Vita B vitamin: B3
Thiamin
- Properties
- Function
- Sources.
- Deficiency
- which b vitamin?
- Properties: Lost in an alkaline environment and high temp (so is vita C)
- Function: Metabolism of pyruvate, CHO oxidase
- Sources: Liver, pork, turkey, grains
- Deficiency: Wernickle-Korsoakoff, BeriBerri, memory loss, high plasma pyruvate
- B1
* * Alcohol affects B1
* * NO thiamine= pyruvate builds up and tca cycle will not move forward
Pyridoxine
- Function
- Sources.
- Deficiency
- Which B vitamin?
- Function: Amino acid metabolism
- Sources: Pork, liver, yeast, corn
- Deficiency: Seizure, glossitis, peripheral neuropathy, dermatitis.
- Which B vitamin? B6
Long term use of steroids
Osteoporosis
Vita C deficiency
Red swollen gums
Vita K
- Properties
- Function
- Sources.
- Deficiency
- Properties: Synthesized by lower intestinal bacteria
- Function: aids blood clotting, forms prothrombin in liver
- Sources: spinach, kale, leafy green, brocolli
- Deficiency: Hemorrhage, affected by mineral oil, anticoagulant
* produces collagen
When deficiencies causes petechiae
Vita C, omega 3, niacin
Folate
- Function
- Sources.
- Deficiency
- Which B vitamin?
- Function: DNA synthesis, prevents neural tube defect
- Sources: fortified dry cereal, citrus fruits, leafy vegetables, liver, kidney
- Deficiency: megaloblastic, macrocytic anemia, diarrhea, fatigue
- Which B vitamin: B9
Calcium
- Properties
- Function
- Sources.
- Deficiency
- RDA
- Properties: most abundant mineral
- Function: blood clotting, cardiac function, nerve transmission, smooth muscle contractility
- Sources: dairy, leafy vegetables and legumes
- Deficiency: Tetany w/ hypocalcemia
- RDA: 1000-1200 adults and 1300 teenager/pregnant
* * important for dialysis
Sulfur
- Properties
- Function
- Sources.
- Properties: Part of amino acids, cysteine, homocysteine, and methionine
- Function: component of organic molecules
- Sources.: meat, fish, egg and poultry
Which deficiencies cause glossitis
B2, B6, B7, B12