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fluid/electrolytes
Fluid and electrolyes Nursing
| Question | Answer |
|---|---|
| BMI less than 18.5 | underweight |
| BMI greater than 25- 29.9 | overweight |
| BMI greater than 30 | obese |
| BMI over 40 | extremely obese |
| Significant weight loss | 5% over 1 month 10% over 6 months |
| Severe weight loss | greater than 5% over 1 month greater than 10% over 6 months |
| Red raw fissured tongue | vit b def. |
| face pallor | anemia or iron def. |
| edema | protein def. |
| bitemporal wasting | protein def. |
| spongy red bleeding gums | vit def. |
| pale conjunctiva | iron def. |
| lip cheilosis | vit B def. |
| Hemoglobin levels | M: 14-18 F: 12-16 Blood loss, GI cancer less than 11 should be evaluated |
| transferrin | carries iron & part of RBC for Low levels = anemia |
| Total Iron Binding Capacity | Increased = low iron stores, iron def. 225-500 micro/dl |
| albumin | 3.5-5 ml/dl (long term evaluation) |
| Prealbumin | 15-35 ml/dl (short term) less than 15 ^ risk for protein def. less than 11= aggressively addressing nutrition |
| Renal diet | limit fluid, low protein, potassium, phosphorus, attention to calories |
| celiac disease | avoid gluten |
| Low residue diet | Low fiber(10-15g/ day) easy to digest, avoid seeds shelled veggies |
| Contraindications to NG tube | history of reflux, gastroparesis, aspiration USE: nasointestine or nasoenteric |
| hypoglycemia | 70 mg/dl- jitters, sweat, fatigue, disoriented GIVE:4 oz juice/soda, cake icing, glucose tab |
| hyperglycemia | 100-110 high 160 treat |
Created by:
bns5192
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