Exam (elaborations)
Inman Domain II - Questions with Explanations of Answers
- Module
- Jean Inman Domain
- Institution
- Jean Inman Domain
Inman Domain II - Questions with Explanations of Answers
[Show more]
Seller
Follow
Content preview
Jean Inman Domain IINutrition Care Process is - ✅✅-standardized, consistent structure and framework
used to provide nutrition care
Steps of the NCP include - ✅✅-ADIME; assess, diagnose, intervene, monitor and
evaluate
Nutrition Screening is - ✅✅-process of discovering characteristics associated with
dietary problems
Nutrition screening is completed by - ✅✅-all health care team members
Screen tools include; - ✅✅
-subjective global assessment, mini nutritional
assessment, nutrition screening initiative
*nutrition screen initiative was developed specifically for the elderly
Assessment includes; - ✅✅
-reviewing data, assessment data clustered for
comparison , compare to standards
Dietary intake assessments include; - ✅✅-diet history, food record, 24hr recall,
food frequency lists
Anthropometric adjustments for amputations - ✅✅-entire leg 16%, below the knee
6%, entire arm 5%, below the elbow 2.3%
UBW values and nutrition indication - ✅✅-85-95% -- mild depletion
75 to 84% -- moderate
>75% -- severe
Triceps skin fold thickness definition and normal values include; - ✅✅-TSF;
measure body fat reserves/calorie reserves
normal values; male 12.5mm/female 16.5mm
Arm muscle area definition - ✅✅-measure skeletal muscle mass (somatic protein)
determined by TST + arm circumference
normal values; male 25.3cm/female 23.2cm
important in growing children
,BMI Values - ✅✅ ->18.5 -- underweight
18.5-24.9 -- normal
25-29.9 -- overweight
30-34.9 -- obesity class 1
35-39.9 -- obesity class 2
>40 -- obesity class 3
waist circumference definition and normal values - ✅✅-independent risk factor for
disease
normal values; male >40, female >35
Waist/ hip ratio; values that indicated risk - ✅✅-WHR; ration between waist and hip
values male 1.0 or greater
female 0.8 or greater
✅✅-chemotherapy, vitamin c,
Physical assessment of hair;
thin, sparse, dull dry easily pluck-able indicates -
protein deficiency, copper
✅✅
Physical assessment of eyes;
pale, dry, poor vision - -vitamin A, zinc, riboflavin deficiencies, iron
Physical assessment of lips; swollen, red, dry, cracked - ✅✅-riboflavin (B2),
pyridoxine (B6), niacin deficiencies
Physical assessment of tongue; smooth, slick, purple, white coating - ✅✅-vitamin
or iron deficiencies
Physical assessment of gums; sore, red, swallowed, bleeding - ✅✅-vitamin c
deficiencies
Physical assessment of teeth; missing, loose, loss of enamel - ✅✅-calcium
deficiency, poor intake
Physical assessment of skin; pale, dry, scaly - ✅✅-iron, folic acid, zinc deficiency,
ascorbic acid, essential fatty acids
Physical assessment of nails; brittle, thin, spoon-shaped - ✅✅-iron or protein
deficiency
Serum albumin lab value and indications - ✅✅-a. 3.5-5.0g/dl
b. hypoalbuminemia associated with edema
c. levels above normal 2/2 dehydration
,d. not a good indicator for PEM
Serum transferin lab value and indications - ✅✅ -a. >200mg/dl
b. controlled by iron storage, raises with iron deficiency
c. decreased with protein-energy deficiency
TTHY transthyretin, PAB pre albumin lab value and indications - ✅✅-a. 16-40mg/dl
b. quickly assess changes in protein
c. influenced by iron status, trauma, infection
Rentinol-binding protein (RBP) lab value and indications - ✅✅-a. 3-6mg/dl
b. circulates with preablumin
c. binds and transports retinol (vitamin A)
Hematocrit (Hct) lab value and indications - ✅✅-1. Men 44% women 38%,
pregnant women 33%
b. volume of packed cells in whole blood
Hemoglobin (Hb) lab value and indications - ✅✅-a. men 14-17gm/dl, women
12-15gm/dl, pregnant women <11
b. iron-containing pigment of red blood cells
c. low levels indicate generalized anemia
Serum ferritin lab value and indications - ✅✅-a. males 12-300ng/ml, female
10-150ng/ml
b. indicates size of iron storage pool
Serum creatinine lab value and indications - ✅✅
-a. 0.6-1.4mg/dl
b. related to muscle mass; measure somatic protein
c. may indicate renal disease, or muscle wasting
Creatinine height index (CHI) lab value and indications - ✅✅-a. 80% normal
b. ratio of creatinine/24hrs to height
c. estimated lean body mass - somatic protein
c. 60-80% muld muscle depletion
d. <60% severe muscle depletion
Blood Urea Nitrogen (BUN) lab value and indications - ✅✅-a. 10-20mg/dl
b. indicator of renal disease
✅✅-a. 115ml/minute
Urinary creatinine clearance
lab value and indications -
b. measure GFR
, Total lymphocyte count (TLC) lab value and indications - ✅✅-a. >2700 cells/cu mm
b. measures immunocompetence
c. moderate depletion 900-1800, <900 severe depletion
d. dressed in protein- energy malnutrition
C-reative protein (CRP) lab value and indications - ✅✅
-a. marker of acute
inflammatory process
b. during inflammation it increases
c. when CRP decreased anabolic stage has started and indicated a need for more
aggressive nutrition therapy
Free erythrocyte protoporphyrin (FEP) lab value and indications - ✅✅-a. direct
measure of toxic effects of lead on heme synthesis
b. increased in lead poisoning
Prothrombin time (PT) lab value and indications - ✅✅-a. 11.0-12.5 seconds
b. anticoagulants prolong PT
c. Evaluate clotting adequacy
Drug/effect; Megestrol acetate - ✅✅-appetite stimulant
Drug/effect; Orlistat -✅✅-decreases fat absorption by binding lipase
Drug/effect; Marinol - ✅✅-appetite stimulant
✅✅-decreased LDL, Triglycerides, increase HDL
Drug/effect; Statins
(HMG CoA reductase) -
Drug/effect; Chemotherapy - ✅✅-malabsorption
Drug/effect; mineral oil, cholestyramine - ✅✅-decreased absorption of fat,
fat-soluble vitamins
Drug/effect; glucocorticoids - ✅✅-protein deficits
Drug/effect; oral contraceptives - ✅✅-decreased folate, B6, and vitamin C
Drug/effect; loop diuretics - ✅✅-deplete potassium, magnesium, calcium, sodium,
chloride
Drug/effect; Thiazide diuretics - ✅✅-decrease potassium and magnesium, absorb
calcium
Drug/effect; antibiotics - ✅✅-decrease vitamin K, protein deficits
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller stuviaexam. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £7.16. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now