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Nutrition/Metabolism

Health Assessment

QuestionAnswer
Body Mass Index is based on Height and Weight
Factors that can affect BMI are Fluid retention, muscle mass, and fat
BMI ranges for underweight, normal, overweight, obesity and extreme obesity underweight < 18.5 Normal 18.5-24.9 Overweight 25-29.9 Obestity 30-34.1 (class 1) 35.0-39.9 (class 2) Extreme obesity > or = 40
Waist circumference is the most common measurement to determine the extent of Visceral fat in relation to body fat
Waist circumference risk factors for women and men Women > 35 Men > 40
Disorders related to increased waist circumference are Type 2 diabetes, hypertension, abnormal cholesterol & triglyceride level and cardiovascular diseases (heart attack and stroke)
Indicators of GOOD nutrition status Alert, good posture, weight in normal range, shinny hair, healthy skin, pink gums, bright eyes.
Indicators of POOR nutrition status withdrawn, overweight, dry brittle hair, pale mouth and gums, eyes dull, abdomen flaccid or distended
Hydration assessment can be altered by Exposure to heat, availability of fluids, intake of alcohol or diuretic fluids: coffee, caffeine rich soft drinks, and people taking diuretic medications (messes up electrolyte balance)
Subjective Data for Nutrition/Metabolism assessment Present Health concern- do you have any N/V, indigestion or constipation. Have you lost or gained any weight Past health history- Have you experienced any trauma, surgery or serious illness Family history- Any family obese? Lifestyle-Prepare own meals
Abdominal ascites is seen in starvation and liver disease
3 types of body builds are Ectomorph, Mesomorph, Endomorph
Height begins to wane in the 5th decade of life because the intervertebral discs become thinner and spinal kyphosis increases
Extreme shortness is seen in achondroplastic dwarfism and Turner's syndrome
Extreme tallness is seen in Gigantism (excessive secretion of growth hormone) and in Marfan's syndrome
Objective Data (Hydration) you want to check Input and output, skin turgor (pinch skin, if it stays then sign of dehydration), pitting edema (fluid retention), skin moisture and tongue's condition
Imbalances in either direction of Input and output intake suggest impaired organ function and fluid overload or inability to compensate for losses resulting from dehydration
By weighing a clients at risk for hydration changes, what is normal? weight is stable or changes less than 2 to 3 lb over 1-5 days.
Tenting in the skin indicates fluid loss,but is also present in malnutrition or loss of collagen in aged individuals
Pitting edema is a sign of fluid retention especially in cardiac and renal diseases
Veins fill and empty in ___ secs 3-5 secs
Filling or emptying that takes more than 6-10secs suggests fluid volume deficit
A tongue that is dry with visible papillae and several longitudinal furrows suggests loss of normal third-space fluid and dehydration
An eyeball that is boggy and lacks normal tension suggests loss of normal third space fluid and dehydration
Elevated pulse rate and blood pressure indicate Overhydration
Blood pressure registers lower than usual or drops more than 20 mmhg from lying to standing position indicate fluid volume deficit, especially if the pulse rate is also elevated.
Created by: Jmariez