Vitamins

Question 1

Celiac Disease associated deficiencies

Answer 1

Folate, B12, ferritin, Vit D, Vit A, calcium

Question 2

Gastric resections watch for

Answer 2

B12, C, D (lead to MBD)

Question 3

Whipple Procedures causes

Answer 3

B12, A,D,E,K, Iron, (pancreatic enzymes)

Question 4

Deficiencies associated with Roux en y

Answer 4

Multi, Iron, B12, Cal, Vit D (thiamin)

Question 5

Ileal resections watch for

Answer 5

B12

Question 6

Pt on steroids need

Answer 6

B12 (cal and Vit D)

Question 7

Vit K (no colon) causes

Answer 7

osteoporosis

Question 8

Wounds need

Answer 8

A,C,E,K, Iron, Zinc, copper

Question 9

Older adults needs more

Answer 9

Ca, D, B6

Question 10

D deficiency symptoms

Answer 10

tetany, (maintains Phos and cal)

Question 11

E deficiency symptoms

Answer 11

seen in fat malabsorption, crones, biliary, ileum resection
hEmolytic anEmia

Question 12

K deficiency

Answer 12

clotting, bone health, long term PN no ILE (bruising)

Question 13

C deficiency

Answer 13

Ileum absorbs (petechiae, bleeding gums, scurvy, corkscrew hair)

Question 14

Thiaimin

Answer 14

part CHO metabolism -( replete Mg first and K+)

Question 15

Niacin

Answer 15

pellagra (DDD)
NAP/NADP

Question 16

B6 (microcytic anemia)

Answer 16

macronutrient metabolism (gluconeogenesis)
at risk (alcoholics, renal HD, corticosteroids)

Question 17

B12 (megablastic anemia)

Answer 17

Stomach HCL -> duodenum binds IF -> Ileum (absorbs)
Elevated homocysteine and MMA
folate def masks B12 def

Question 18

folate (macrocytic anemia)

Answer 18

(risk prego, alcoholics, Phenytoin, cholestyramine, estrogen, oral constra, metformin)
-cholestasis, nervous instability, dementia

Question 19

Biotin

Answer 19

colonic salvage - poor wounds healing

Question 20

Choline (long term PN - hepatic)

Answer 20

IV choline needed long term PN (contained in lipids) hepatic steatosis
sub B12 in making methionine

Question 21

Iron (need Vit C, OJ)

Answer 21

absorbs in stomach
non heme -> ferric -> ferrous
duodenum and jejunum
Increased zinc and copper limit absorption
if enteric coated not good for feeding past stomach need acidic slurry

Question 22

Zinc (no anemia)

Answer 22

gastric HCL =-> absorbed in D and J
low zinc affects A
decreases in inflammation
increased zinc lead to decreased copper
(taste and smell changes), alopecia, rash, wound healing)
meds : ciprofloxacin-levofloxacin, phos binder, propofol, corticosteroids

Question 23

Copper (celiac)

Answer 23

Duodenum and small intestine
cholestasis (hold copper in liver)
Watch toxicity long term PN

Question 24

Manganese

Answer 24

Parkinson like symptoms
builds in long term PN (>30 days)

Question 25

selenium

Answer 25

wasted in CRRT

Question 26

Toxic mineral in long term PN

Answer 26

manganese, copper, chromium, (aluminum)