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Inman Domain II - Questions with Explanations of Answers
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Inman Domain II - Questions with Explanations of Answers
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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
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