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Nutrition
From Bynum Lecture 3-Feb-2010
| Question | Answer |
|---|---|
| Water soluble vitamins? | C, VITAMIN B COMPLEX EXCRETE WHAT IS NOT NEEDED |
| FAT SOLUBLE? | A, D, E, K CAN HAVE EXCESS! |
| _________PROVIDE ENERGY TO CELLS | CARBOHYDRATES |
| CARBOHYDRATES (SIMPLE MONOSACCHARIDES) | GLUCOSE (CORN SUGAR), FRUCTOSE (FRUIT), SUCROSE (TABLE SUGAR), LACTOSE (MILK SUGAR) |
| WHAT IS THE MAIN JOB OF CARBOHYDRATES | PROVIDE ENERGY TO CELLS |
| WHERE DOES MOST OF THE ENERGY IN THE BODY COME FROM? | CARBOHYDRATES |
| COMPLEX CARBOHYDRATES | STARCH-GRAINS, LEGUMES, ROOT VEGETABLES |
| FIBER | DOES NOT YIELD ENERGY COMES FROM INDIGESTIBLE PLANT PARTS |
| LIPIDS | NO MORE THAN 30% OF CALORIES FROM FATS AND LESS THAN 10% FROM SATURATED FATS |
| FOR ELEVATED LDL | USE MONOUNSATURATED FATS AND SOLUBLE FIBER |
| WATER | COMES SECOND ONLY TO O2 IN ASSESSMENT (MASLOW) |
| WATER | MOST BASIC OF NUTRIENTS |
| MINIMUM WATER FOR HEALTHY ADULT | 1500ml/DAY MORE FOR ATHELETES |
| WAYS TO LOSE WATER | FEVER, VOMITING/DIARRHEA, HEAT, RESPIRATION |
| DEHYDRATION RISK | GREATEST IN OLDER ADULTS AND YOUNG CHILDREN |
| A PROTECTIVE MECHANISM THAT IS AN ALERT TO THE NEED FOR FLUIDS | THIRST |
| INDIVIDUALS AT RISK FOR IMPAIRED THIRST MECHANISM | CONFUSED PATIENTS AND INFANTS |
| DRINKS TO AVOID | CAFFEINATED DRINKS ACT AS A DIURETIC AND CAN DEHYDRATE PATIENT |
| DRINKS TO ENCOURAGE | FRUIT JUICES, SOUPS, FLAVORED WATER |
| WAYS TO PROMOTE HEALTHY BONES FOR PATIENTS | WEIGHT BEARING EXERCISES, CALCIUM, MAGNESIUM, PHOSPHORUS, VITAMIN D, DAIRY GROUP |
| WAYS TO PROMOTE HEALTHY NERVOUS SYSTEM | B-COMPLEX VITAMINS, CALCIUM AND SODIUM, GRAIN AND DAIRY FOODS |
| CANCER PREVENTION AND THE FOOD PYRAMID | LIMIT SATURATED AND POLYUNSATURATED FAT USE MONOUNSATURATED OR OMEGA-3 FATTY ACIDS (NUTS AND FISH) FLUID INTAKE HIGH FIBER LIMIT SODIUM LIMIT ALCOHOL EXERCISE REGULARLY |
| A NUTRITIONAL ASSESSMENT IS AN ESSENTIAL PART OF EVERY ________RELATIONSHIP | NURSE-CLIENT |
| COLLABORATIVE NUTRITION INTERVENTION | PHYSICIAN AND DIETICIAN SHOULD BE INFORMED OF OBSERVATIONS THAT INDICATE A PROBLEM |
| CARE PLAN??? | WHO'S GOING TO BE A NURSE?? INCORPORATE YOUR SOLUTIONS INTO YOUR CARE PLANS |
| NUTRITIONALLY-AT-RISK ADULT CLIENTS | CONGENITAL ANOMALIES |
| NUTRITIONALLY-AT-RISK ADULT CLIENTS | GI SURGERY |
| NUTRITIONALLY-AT-RISK ADULT CLIENTS | PATIENTS ON IV'S LONGER THAN 7-10 DAYS |
| NUTRITIONALLY-AT-RISK ADULT CLIENTS | PATIENTS THAT ARE IMMOBILE |
| NUTRITIONALLY-AT-RISK ADULT CLIENTS | CANCER PATIENTS |
| NUTRITIONALLY-AT-RISK ADULT CLIENTS | CHEMO OR RADIATION THERAPY |
| DURING PHYSICAL ASSESSMENT OBSERVE FOR: | WATED APPERANCE, FALLING ASLEEP EASILY, THIN DULL AND BRITTLE HAIR ( this one could be many other things like thyroid disorder), GUMS THAT ARE SWOLLEN AND BLEED EASY |
| ANTHROPOMETRY | SYSTEM OF MEASURING THE SIZE AND MAKEUP OF THE BODY |
| ABOUT WEIGHING REMEMBER THIS SCENARIO | HT/WT-SAME TIME, ON SAME SCALES WITH SAME CLOTHES ON - ALWAYS DO ON ADMISSION |
| LAB VALUES CBC | COMPLETE BLOOD COUNT |
| LAB VALUES SERUM ALBUMIN | SHOWS PROTEIN SYNTHESIS |
| LAB VALUES BUN | BLOOD URINE NITROGEN (KIDNEYS) CREATININE |
| ACUTE CARE DISRUPTIVE INFLUENCES | POOR APPETITE, DIAGNOSTIC TESTING, NPO(NOTHING BY MOUTH), STRESS, MEDICATIONS EFFECTING TASTE, SMELL, VOMITING, |