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Jean Inman Domain #2_ Nutrition Care - Questions with Explanations of Answers
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Jean Inman Domain #2_ Nutrition Care - Questions with Explanations of Answers
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Jean Inman Domain #2: Nutrition CareIs nutrition screening part of the NCP? - ✅✅-no
✅✅
According to Joint Commission pts must be screened for malnutrition within how long
of admission? do they specify methods of screening? - -24 hr
no
nutrition assessments are initiated either by ___ or ____ - ✅✅-referral
screening
what type of food intake form is easier to use with larger groups - ✅✅-food
frequency questionnaire
what is a common method of measuring malnut in kids - ✅✅
-arm muscle area or
muscular upper arm circumference (remember texas childrens lunch and learn)
BMI formula - ✅✅-weight (kg) / height (m^2)
waist hip ratio risk factor for men? for women? - ✅✅-> 1.0 in men
> 0.8 in women
NFPE indicators:
thin, dry, dull hair
poor vision
swollen, red, dry, cracked lips
bleeding gums
✅✅
dry, scaly skin
brittle, spoon shaped nails - -thin, dry, dull hair = vit c/protein def
poor vision = vit a, zinc, riboflavin def
swollen, red, dry, cracked lips = b vitamins def
bleeding gums = vit c def
dry, scaly skin = iron, zinc, folic acid def
brittle, spoon shaped nails = iron/protein def
albumin:
normal levels
✅✅
albumin maintains __ ___ - so when it is low what occurs
levels above normal are usually due to _____ - -over 3.5
colloidal pressure - when its low --> edema
dehydration
serum transferrin:
normal levels
, ✅✅
job is to transport what where?
helps to diagnose ___ - -> 200
transports iron to bone marrow
anemia
prealbumin:
normal levels
✅✅
why is it a good measure of protein status
what type of protein circulates w it - -16-40
short half life, detects changes in status quickly
retinol-binding protein
hematocrit and hemoglobin are both markers of ___ status - ✅✅-iron
ferretin indicates size of what - ✅✅-iron storage pool
creatinine:
✅✅-0.6-1.4
normal levels
is released from ___, measures ____ ____ -
muscles, somatic protein
✅✅
BUN is an indicator of what disease
normal BUN:Cr ratio - -renal
10-15:1
✅✅
C-reactive protein (CRP) is a measures of what
inversely related to what - -acute inflammatory stress
prealb
✅✅
Free erythrocyte protoporphyrin (FEP) increases in?
when lead increases, iron ____ --> ? ---> > - -lead poisoning
iron decreases --> anemia and ca displacement in bone --> zinc deficiency
prothrombin time measures what
✅✅
anticoagulants have what effect
vit k has what effect - -clotting time
increase it
reduces it
Hair analysis can help measure what - ✅✅-toxic metal levels
Energy requirements:
sedentary = BEE x ?
active = BEE x ?
, stressed = BEE x ? - ✅✅-1.2
1.3
1.5
oral contraceptives may decrease ____ levels - ✅✅-folate
✅✅
loop diuretics may deplete what vitamins/minerals?
what about thiazide diuretics? - -loop = decrease Cl, K, Mg, Ca, Na
thiazide = K, Mg down. Ca up
Methotrexate (for chemo pts) depletes what - ✅✅-folate
✅✅
lithium increases ____. may need to increase ___ levels when taking lithium to avoid
reaching toxicity levels - -appetite
sodium
cyclosporine (an immunosuppressant) can lead to ? (4) - ✅✅-HTN, HLD,
hyperglycemia, hyperkalemia
Isoniazid - treats what?
✅✅-TB
depletes what? may lead to what condition?
need to supplement what when taking it -
pyridoxine (b6) --? peripheral neuropathy
need calcium w it (interferes w vit d)
✅✅-weight gain
elavil leads to ? -
when should you avoid taking b6 - ✅✅-with protein
Incidence vs. Prevalence - ✅✅-Incidence = new cases
Prevalence = all current cases
survey vs surveillance - ✅✅ -survey = cross sectional study of a group at a
particular point in time
surveillance = continuous and ongoing data collection, detects trends over time
nutrition screening initiative (NSI) does what - ✅✅-identifies nutrition problems
early in the elderly population
✅✅
DETERMINE checklist?
level 1 vs level 2 - -identifies factors placing people at nutritional risk
level 1 identifies ppl that need a more comprehensive assessment
level 2 provides more specific diagnostic info on nut status
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