Vitamins, Minerals, Electrolytes (week 8&9) Flashcards
What is the ideal vehicle for vitamins?
Food
What is a big indicator of vitamin deficiency?
Poverty
What are the 4 fat soluble vitamins?
A
D
E
K
What vitamin can reach toxic levels?
Vitamin A
What are the water soluble vitamins?
B1 B2 B3 B6 B9 B12 Vitamin C
What deficiency is common with vitamin B1?
Thiamine deficiency
All minerals are consumed from a well- balanced diet except two. What are they?
Calcium
Iron
All minerals are ____ when taken in excess
Toxic
What is Zinc used for?
Wound Closure
What do you want to assess when discussing potassium replacement therapy?
Cardiac rhythm status
Serum K levels
When should you reassess your client after beginning a potassium infusion?
Every 5-10 mins
What do you IV push for Hyperkalemia?
Insulin and Dextrose 50%
What do Diuretics do for Hyperkalemia?
Promotes Diuresis
What do you want to assess before administering Mag Sulfate?
Uterine contraction could if applicable
More Mag equals what?
More CNS Depression
What PMH do you want to know before administering Mag Sulfate?
Serious cardiac disease
What should you never IV Push
Potassium
Mag Sulfate
What is the reversal agent of Mag Sulfate?
Calcium gluconate
What is the earliest indication of Mag Drag?
Earliest indication if DTR
When should you administer and Enteral Feeding?
Working Gi system by unable to take PO
What should you give with an Enteral Feeding?
Free Water
What are some contraindications for an Enteral Feeding?
Peritonitis
Any obstruction
Intractable Diarrhea
What are the complications of an Enteral Feeding?
Nausea and Vomiting (From distention)
Refeeding Syndrome
Most elixirs for Enteral Feedings are hypertonic, so what should you do?
Dilute with water
When should you stop the tube feeding before and after giving meds?
15 minutes
What are Parenteral Feedings used for?
Patients unable to tolerate enteral feedings?
What is included with a total PN?
Carbs, lipids, amino acids, electrolytes, minerals, and vitamins
What are the complications of Parenteral Nutrition?
Mechanical
Metabolic
Infectious
Why are central lines infectious?
Due to the Glucose
What is the Iron supplement called?
Ferrous Sulfate
What do you want to assess before administering Ferrous Sulfate?
Hematocrit
Assess degreased of Anemia
What can Ferrous Sulfate interact with?
Certain Antibiotics
What do you want to know in the PMH before administering Ferrous Sulfate?
Anemia due to any cause other than iron deficiency (administering drugs for this is useless)
What is an indication of iron deficiency anemia?
Ulcers
